CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ochsner Choctaw General

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$822

about 0.7× the $1,223 Medicare rate · typically $305–$1,496

modeled estimate · not a bill or quote

What this hospital charges insurers

$916

About the fair price

about $94 over the fair price · 0.7× Medicare

Medicare pays $1,223 Fair price $822 This hospital $916 Cash price $1,473 Hospital's list price $1,938

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 AL hospitals compared.

Cheapest $371 Priciest $1,045

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 $822 (about 0.7× the $1,223 Medicare rate). Ochsner Choctaw General charges insurers about $916, or about $1,473 in cash — about the fair price. Located in Butler, 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	$1,066 - $1,182	87%
Blue Cross Blue Shieldmajor	$2,989	244%
Aetnamajor	$1,260	103%
Cignamajor	$872 - $1,066	71%
Humanamajor	$764 - $872	62%
Ambetter (Centene)	$881	72%
WellCare	$872	71%
+ 5 smaller / regional plans	$916 - $1,579

Government programs also on file: Medicare, Medicaid.

Excludes 4 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 1,473), 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 Ochsner Choctaw General 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 Ochsner Choctaw General

Compare: Colonoscopy with biopsy at other AL hospitals

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