CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Kettering Health Troy

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,785
about 2.3× the $1,223 Medicare rate · typically $1,442–$4,734
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,807
About the fair price
about $22 over the fair price · 2.3× Medicare
Medicare pays $1,223 Fair price $2,785 This hospital $2,807

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 $2,807

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 $2,785 (about 2.3× the $1,223 Medicare rate). Kettering Health Troy charges insurers about $2,807 — about the fair price. Located in Troy, 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 64%
Blue Cross Blue Shieldmajor $1,783 - $4,108 146%
Aetnamajor $1,173 - $8,387 96%
Cignamajor $11,143 911%
CareSource $1,812 148%
Medical Mutual $4,830 - $6,900 395%
Molina $1,231 - $2,435 101%
+ 2 smaller / regional plans $2,463 - $3,151

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Facility Profile & Credentials

  • Address: 600 West Main Street, Troy, OH 45373
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals