CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,292
about 1.1× the $1,223 Medicare rate · typically $359–$1,746
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,857
Above the fair price
about $565 over the fair price · 1.5× Medicare
Medicare pays $1,223 Fair price $1,292 This hospital $1,857 Cash price $1,995 Hospital's list price $2,660

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 $1,857

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 $1,292 (about 1.1× the $1,223 Medicare rate). Uhhs Memorial Hospital of Geneva charges insurers about $1,857, or about $1,995 in cash — above the fair price. Located in Geneva, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,292. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $532 - $2,251 44%
Blue Cross Blue Shieldmajor $532 - $2,538 44%
Aetnamajor $532 - $3,602 44%
Cignamajor $532 - $2,526 44%
Humanamajor $532 44%
Ambetter (Centene) $958 78%
CareSource $958 78%
Devoted Health $532 44%
Health Net $2,261 185%
Medical Mutual $532 - $2,660 44%
Molina $532 44%
Paramount $548 45%
WellCare $532 44%
+ 19 smaller / regional plans $532 - $2,394
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals