CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Boone Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$659
about 0.5× the $1,223 Medicare rate · typically $331–$1,076
modeled estimate · not a bill or quote
What this hospital charges insurers
$562
Below the fair price — a good deal
about $97 under the fair price · 0.5× Medicare
Medicare pays $1,223 Fair price $659 This hospital $562 Cash price $1,108 Hospital's list price $2,040

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

On the higher side — 7 of 8 other WV hospitals charge less.

Cheapest $149 Priciest $684

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 $659 (about 0.5× the $1,223 Medicare rate). Boone Memorial Hospital charges insurers about $562, or about $1,108 in cash — below the fair price — a good deal. 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 $247 - $895 20%
Aetnamajor $247 - $3,037 20%
Cignamajor $658 - $2,385 54%
Humanamajor $242 - $877 20%
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