CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Kings Daughters Medical Center Ohio

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,254
about 1.0× the $1,223 Medicare rate · typically $329–$1,470
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,276
About the fair price
about $22 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,254 This hospital $1,276

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 $175 Priciest $1,276

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

A fair price for a Colonoscopy with biopsy is about $1,254 (about 1.0× the $1,223 Medicare rate). Kings Daughters Medical Center Ohio charges insurers about $1,276 — about the fair price. Located in Portsmouth, OH.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $1,145 - $1,191 94%
CareSource $2,179 178%
+ 1 smaller / regional plan $1,362

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Facility Profile & Credentials

  • Address: 1901 Argonne Road, Portsmouth, OH 45662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals