CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ascension Columbia St Marys Hospital Milwaukee

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,887
about 1.5× the $1,223 Medicare rate · typically $1,158–$4,256
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,692
Below the fair price — a good deal
about $195 under the fair price · 1.4× Medicare
Medicare pays $1,223 Fair price $1,887 This hospital $1,692

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $166 Priciest $1,692

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 $1,887 (about 1.5× the $1,223 Medicare rate). Ascension Columbia St Marys Hospital Milwaukee charges insurers about $1,692 — below the fair price — a good deal. Located in Milwaukee, WI.

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $1,692 138%
Humanamajor $1,692 138%
+ 2 smaller / regional plans $316 - $1,648

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Facility Profile & Credentials

  • Address: 2323 N Lake Dr, Milwaukee, WI 53211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals