CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University of Arkansas Medical Sciences

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,152
Cash Discount Price: $1,475
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at University of Arkansas Medical Sciences is $1,152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,475. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.94x the Medicare baseline. Located in 4301 West Markham Street Mail Slot 612, Little Rock, AR.

Cash / Self-Pay

$1,475

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,152

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: $1,475 (121%)

Insurance Median: $1,152 (94%)

Cash: $1,475 (121% of Medicare)

Ins. Median: $1,152 (94% 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
Blue Cross Blue Shield	$867 - $1,377	71%
Triwest	$1,085	89%
Medicare (plans)	$1,119 - $1,141	92%
Va	$1,119	92%
Aetna	$1,130	92%
Tribute Health	$1,130	92%
Wellcare By Allwell	$1,141	93%
Wellcare Non	$1,141	93%
Humana	$1,152	94%
Primewell Health Services	$1,152 - $3,144	94%
UnitedHealthcare	$1,152 - $2,214	94%
Cigna	$1,164 - $1,700	95%
Essence Healthcare	$1,164	95%
Devoted Health Plan	$1,175	96%
Health Advantage	$1,377	113%
Ambetter / Centene	$1,645	135%
Northwest Health Plan	$1,896	155%
Qualchoice Novasys	$1,896	155%
Vantos	$1,902	156%

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 $1,475.
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 University of Arkansas Medical Sciences 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.