CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Central Peninsula General Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,304

about 1.1× the $1,223 Medicare rate · typically $880–$2,032

modeled estimate · not a bill or quote

What this hospital charges insurers

$799

Below the fair price — a good deal

about $505 under the fair price · 0.7× Medicare

Medicare pays $1,223 Fair price $1,304 This hospital $799 Cash price $2,841 Hospital's list price $2,841

How we calculate the fair BaseRate →

How this hospital compares to other AK hospitals

One of the lower prices — 4 of 6 other AK hospitals charge more for the same procedure.

Cheapest $724 Priciest $6,160

Black dot = this hospital, among the 7 AK hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $1,304 (about 1.1× the $1,223 Medicare rate). Central Peninsula General Hospital charges insurers about $799, or about $2,841 in cash — below the fair price — a good deal. Located in Soldotna, AK.

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✓ Cigna HumanaKaiser 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	$2,557	209%
Blue Cross Blue Shieldmajor	$799	65%
Aetnamajor	$2,671	218%
Cignamajor	$2,554	209%
GEHA	$2,756	225%
Moda Health	$1,705 - $2,500	139%
+ 3 smaller / regional plans	$1,705 - $2,756

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,841), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Central Peninsula General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Central Peninsula General Hospital

Compare: Colonoscopy with biopsy at other AK hospitals

Norton Sound Regional Hospital · Nome $724
South Peninsula Hospital · Homer $725
Fairbanks Memorial Hospital · Fairbanks $1,328
Mat-Su Regional Medical Center · Palmer $1,778
Providence St Elias Specialty Hospital · Anchorage $2,039
Alaska Regional Hospital · Anchorage $6,160

Insurance negotiated median for the same procedure, sorted lowest first.