CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,179
about 1.0× the $1,223 Medicare rate · typically $414–$1,368
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,093
About the fair price
about $86 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,179 This hospital $1,093 Cash price $2,539 Hospital's list price $3,385

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 $1,093

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 $1,179 (about 1.0× the $1,223 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $1,093, or about $2,539 in cash — about the fair price. Located in Cleveland, OH.

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 $1,093 - $2,376 89%
Blue Cross Blue Shieldmajor $1,093 - $2,200 89%
Aetnamajor $1,093 - $2,691 89%
Cignamajor $1,093 - $2,183 89%
Humanamajor $1,093 89%
Ambetter (Centene) $1,896 155%
CareSource $1,828 150%
Devoted Health $1,093 89%
Health Net $2,877 235%
Medical Mutual $1,093 - $2,684 89%
Molina $1,093 89%
Paramount $1,126 92%
WellCare $1,093 89%
+ 21 smaller / regional plans $1,093 - $3,046
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens