CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Boone Memorial Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$741
about 0.8× the $950 Medicare rate · typically $301–$1,516
modeled estimate · not a bill or quote
What this hospital charges insurers
$709
About the fair price
about $32 under the fair price · 0.7× Medicare
Medicare pays $950 Fair price $741 This hospital $709 Cash price $1,267 Hospital's list price $2,533

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 $107 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 (diagnostic) is about $741 (about 0.8× the $950 Medicare rate). Boone Memorial Hospital charges insurers about $709, or about $1,267 in cash — about the fair price. Located in Madison, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $709 75%
Aetnamajor $709 - $2,406 75%
Cignamajor $1,890 199%
Humanamajor $695 73%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 701 Madison Avenue, Madison, WV 25130
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals