CMS Price Transparency Data
Colonoscopy with biopsy
Facility: George Washington Univ Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,600
about 2.1× the $1,223 Medicare rate · typically $1,066–$3,533
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,572
About the fair price
about $28 under the fair price · 2.1× Medicare
Medicare pays $1,223 Fair price $2,600 This hospital $2,572
A fair price for a Colonoscopy with biopsy is about $2,600 (about 2.1× the $1,223 Medicare rate). George Washington Univ Hospital charges insurers about $2,572 — about the fair price. Located in Washington, DC.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $2,416 - $8,266 | 198% |
| Blue Cross Blue Shieldmajor | $596 - $676 | 49% |
| Aetnamajor | $3,575 | 292% |
| Cignamajor | $2,727 | 223% |
| + 1 smaller / regional plan | $2,161 |
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