Colonoscopy with biopsy
Facility: Delta Memorial Hospital
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $399 compared to the $663 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
A typical price — 3 charge more and 5 charge less, among the 9 AR hospitals compared.
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 $663 (about 0.5× the $1,223 Medicare rate). Delta Memorial Hospital charges insurers about $399, or about $438 in cash — below the fair price — a good deal. Located in Dumas, AR.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 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 | $520 | 43% |
| Blue Cross Blue Shieldmajor | $548 | 45% |
| Humanamajor | $195 | 16% |
| WellCare | $185 | 15% |
| + 1 smaller / regional plan | $250 |
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 Delta Memorial Hospital
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
- Chicot Memorial Medical Center · Lake Village $424
- White River Medical Center · Batesville $502
- Mercy Hospital Berryville · Berryville $568
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Delta Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $199
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 = $199).
Self-Pay Cash Rate ($438) Beats Your Bill
Delta Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $438 (vs. $399 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $663 Fair BaseRate ($1,223 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($663).
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.