Colonoscopy with biopsy
Facility: Chi-St Vincent Infirmary
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $1,349 compared to the $1,212 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.11× fair market pricing.
Highest price of the 9 AR hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.
A fair price for a Colonoscopy with biopsy is about $1,212 (about 1.0× the $1,223 Medicare rate). Chi-St Vincent Infirmary charges insurers about $1,349, or about $846 in cash — about the fair price. Located in Little Rock, AR.
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
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 | $1,155 - $2,421 | 94% |
| Blue Cross Blue Shieldmajor | $1,101 - $1,155 | 90% |
| Aetnamajor | $1,177 - $1,759 | 96% |
| Cignamajor | $1,155 - $1,799 | 94% |
| Humanamajor | $1,155 - $2,070 | 94% |
| Ambetter (Centene) | $1,177 - $1,804 | 96% |
| + 4 smaller / regional plans | $568 - $3,148 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Chi-St Vincent Infirmary
Compare: Colonoscopy with biopsy at other AR hospitals
- Mercy Hospital Ozark · Ozark $162
- Mercy Hospital Booneville · Booneville $187
- Mercy Hospital Paris · Paris $221
- Mercy Hospital Waldron · Waldron $221
- Lawrence Memorial Hospital · Walnut Ridge $234
- Delta Memorial Hospital · Dumas $399
- Chicot Memorial Medical Center · Lake Village $424
- White River Medical Center · Batesville $502
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Chi-St Vincent Infirmary (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,197
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,197).
Self-Pay Cash Rate ($846) Beats Your Bill
Chi-St Vincent Infirmary's published 45 CFR § 180 self-pay cash rate is $846 (vs. $1,349 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,212 Fair BaseRate ($1,223 Medicare)
Your bill ($3,298) is $2,086 above the denoised Fair BaseRate ($1,212) and 2.7× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.