CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: St Marys Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$225
about 0.2× the $950 Medicare rate · typically $148–$642
modeled estimate · not a bill or quote
What this hospital charges insurers
$212
About the fair price
about $13 under the fair price · 0.2× Medicare
Medicare pays $950 Fair price $225 This hospital $212

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WV hospitals compared.

Cheapest $107 Priciest $523

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

A fair price for a Colonoscopy (diagnostic) is about $225 (about 0.2× the $950 Medicare rate). St Marys Medical Center charges insurers about $212 — about the fair price. Located in Huntington, WV.

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✓ Aetna✓ Humana CignaKaiser 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 $154 - $912 16%
Blue Cross Blue Shieldmajor $154 - $6,370 16%
Aetnamajor $154 - $912 16%
Humanamajor $154 - $912 16%
CareSource $194 20%
UniCare $100 - $138 11%
+ 3 smaller / regional plans $100 - $1,012
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2900 1St Avenue, Huntington, WV 25702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals