CMS Price Transparency Data

Colonoscopy with biopsy

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,411
about 1.2× the $1,223 Medicare rate · typically $1,168–$1,557
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,411
About the fair price
1.2× Medicare
Medicare pays $1,223 Fair price $1,411 This hospital $1,411

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $179 Priciest $1,411

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

A fair price for a Colonoscopy with biopsy is about $1,411 (about 1.2× the $1,223 Medicare rate). SSM Health St Anthony Hospital - Shawnee charges insurers about $1,411 — about the fair price. Located in Shawnee, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $1,168 96%
Blue Cross Blue Shieldmajor $1,151 - $1,185 94%
Humanamajor $1,170 96%
Ambetter (Centene) $1,554 127%
Medica $303 - $1,411 25%
Oscar Health $1,514 - $4,104 124%
+ 2 smaller / regional plans $2,240 - $2,244
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1102 W Macarthur, Shawnee, OK 74801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals