CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Kettering Health Miamisburg

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,060
about 2.2× the $950 Medicare rate · typically $1,154–$3,366
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,207
About the fair price
about $147 over the fair price · 2.3× Medicare
Medicare pays $950 Fair price $2,060 This hospital $2,207

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $139 Priciest $2,207

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $2,060 (about 2.2× the $950 Medicare rate). Kettering Health Miamisburg charges insurers about $2,207 — about the fair price. Located in Miamisburg, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $778 - $6,636 82%
Blue Cross Blue Shieldmajor $1,398 - $3,223 147%
Aetnamajor $922 - $8,387 97%
Cignamajor $11,143 1173%
CareSource $1,425 150%
Medical Mutual $4,830 - $6,900 508%
Molina $968 - $1,914 102%
+ 2 smaller / regional plans $1,936 - $2,477

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Facility Profile & Credentials

  • Address: 4000 Miamisburg-Centerville Road, Miamisburg, OH 45342
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals