CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Madison St Joseph Health Center

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$776
about 0.8× the $950 Medicare rate · typically $201–$1,655
modeled estimate · not a bill or quote
What this hospital charges insurers
$874
About the fair price
about $98 over the fair price · 0.9× Medicare
Medicare pays $950 Fair price $776 This hospital $874

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $100 Priciest $874

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

A fair price for a Colonoscopy (diagnostic) is about $776 (about 0.8× the $950 Medicare rate). Madison St Joseph Health Center charges insurers about $874 — about the fair price. Located in Madisonville, TX.

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✓ Cigna AetnaHumanaKaiser 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 $352 - $4,168 37%
Blue Cross Blue Shieldmajor $363 - $1,260 38%
Cignamajor $3,346 352%
+ 1 smaller / regional plan $346 - $857

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Facility Profile & Credentials

  • Address: 100 West Cross Street, Madisonville, TX 77864
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals