CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ascension St John Nowata

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,012
about 0.8× the $1,223 Medicare rate · typically $231–$2,632
modeled estimate · not a bill or quote
What this hospital charges insurers
$559
Below the fair price — a good deal
about $453 under the fair price · 0.5× Medicare
Medicare pays $1,223 Fair price $1,012 This hospital $559

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 $559

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 $1,012 (about 0.8× the $1,223 Medicare rate). Ascension St John Nowata charges insurers about $559 — below the fair price — a good deal. Located in Nowata, OK.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $559 46%
Aetnamajor $229 19%
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: 237 South Locust Street, Nowata, OK 74048
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals