CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Berkeley Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$699
about 0.6× the $1,223 Medicare rate · typically $494–$1,013
modeled estimate · not a bill or quote
What this hospital charges insurers
$709
About the fair price
about $10 over the fair price · 0.6× Medicare
Medicare pays $1,223 Fair price $699 This hospital $709 Cash price $570 Hospital's list price $1,140

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $149 Priciest $709

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

A fair price for a Colonoscopy with biopsy is about $699 (about 0.6× the $1,223 Medicare rate). Berkeley Medical Center charges insurers about $709, or about $570 in cash — about the fair price. Located in Martinsburg, 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 $1,255 103%
Blue Cross Blue Shieldmajor $206 17%
Aetnamajor $210 - $1,209 17%
Humanamajor $1,209 99%
CareSource $1,728 141%
+ 1 smaller / regional plan $209
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2500 Hospital Drive, Martinsburg, WV 25401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals