CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ascension Ne Wisconsin - St Elizabeth Campus

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,268
about 1.0× the $1,223 Medicare rate · typically $267–$2,736
modeled estimate · not a bill or quote
What this hospital charges insurers
$207
Below the fair price — a good deal
about $1,061 under the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $1,268 This hospital $207

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $166 Priciest $773

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

A fair price for a Colonoscopy with biopsy is about $1,268 (about 1.0× the $1,223 Medicare rate). Ascension Ne Wisconsin - St Elizabeth Campus charges insurers about $207 — below the fair price — a good deal. Located in Appleton, WI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $207 17%
+ 2 smaller / regional plans $1,548

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Facility Profile & Credentials

  • Address: 1506 S Oneida St, Appleton, WI 54915
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals