CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Grant Regional Health Center

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,223
about 1.0× the $1,223 Medicare rate · typically $268–$2,818
modeled estimate · not a bill or quote
What this hospital charges insurers
$266
Below the fair price — a good deal
about $957 under the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $1,223 This hospital $266 Cash price $415 Hospital's list price $639

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WI hospitals compared.

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 $1,223 (about 1.0× the $1,223 Medicare rate). Grant Regional Health Center charges insurers about $266, or about $415 in cash — below the fair price — a good deal. Located in Lancaster, 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✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $259 - $266 21%
Blue Cross Blue Shieldmajor $382 31%
Dean Health Plan $72 6%
Quartz $166 - $376 14%
+ 4 smaller / regional plans $266 - $1,113

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 507 S Monroe St, Lancaster, WI 53813
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals