CMS Price Transparency Data

Colonoscopy with biopsy

Facility: North Alabama Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,153
about 0.9× the $1,223 Medicare rate · typically $1,015–$1,207
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,087
About the fair price
about $66 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,153 This hospital $1,087 Cash price $1,627 Hospital's list price $4,648

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $371 Priciest $1,087

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

A fair price for a Colonoscopy with biopsy is about $1,153 (about 0.9× the $1,223 Medicare rate). North Alabama Medical Center charges insurers about $1,087, or about $1,627 in cash — about the fair price. Located in Florence, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $506 - $1,825 41%
Blue Cross Blue Shieldmajor $518 - $1,076 42%
Aetnamajor $1,098 - $2,278 90%
Cignamajor $1,305 - $2,886 107%
Humanamajor $1,130 92%
Ambetter (Centene) $1,399 114%
Cigna HealthSpring $1,002 82%
+ 1 smaller / regional plan $1,043

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Facility Profile & Credentials

  • Address: 1701 Veterans Drive, Florence, AL 35630
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals