CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Upland Hills Health

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$701
about 0.7× the $950 Medicare rate · typically $205–$2,807
modeled estimate · not a bill or quote
What this hospital charges insurers
$654
About the fair price
about $47 under the fair price · 0.7× Medicare
Medicare pays $950 Fair price $701 This hospital $654 Cash price $1,345 Hospital's list price $2,491

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 $153 Priciest $654

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

A fair price for a Colonoscopy (diagnostic) is about $701 (about 0.7× the $950 Medicare rate). Upland Hills Health charges insurers about $654, or about $1,345 in cash — about the fair price. Located in Dodgeville, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $315 - $654 33%
Blue Cross Blue Shieldmajor $900 - $2,635 95%
Cignamajor $2,397 - $2,680 252%
Humanamajor $163 - $2,892 17%
Dean Health Plan $316 - $3,346 33%
Quartz $2,217 233%
Security Health Plan $900 95%
+ 5 smaller / regional plans $757 - $2,410
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: 800 Compassion Way, Dodgeville, WI 53533
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals