CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $644
Cash Discount Price: $563
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Medical West, An Affiliate of UAB Health System is $644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $563. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.53x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$563

Average discount available for prompt cash payment at this facility.

Insurance Median

$644

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $563 (46%)

Insurance Median: $644 (53%)

Cash: $563 (46% of Medicare)

Ins. Median: $644 (53% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$184 - $1,138	15%
Viva	$375 - $1,259	31%
Phcs	$450 - $525	37%
Beech Street	$465 - $525	38%
One Health Plan	$488	40%
Aetna	$525 - $1,095	43%
Geha	$525	43%
Healthchoice	$525	43%
Alamed	$587	48%
Construction Claims Management	$607	50%
Multiplan	$615	50%
Corvel	$620 - $675	51%
Novanet	$626	51%
Humana	$638 - $1,160	52%
UnitedHealthcare	$644 - $1,204	53%
Department Of Labor	$652	53%
Heritage Summit Health	$652	53%
Pnoa	$675	55%
Three Rivers	$675	55%
Blue Cross Blue Shield	$1,084	89%
Cooper Green	$1,095	90%
Jefferson County Sheriff	$1,095	90%
Triwest	$1,095	90%
United Mine Workers	$1,095	90%
Ambetter / Centene	$1,505	123%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $563.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.