CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,993
about 1.6× the $1,223 Medicare rate · typically $676–$3,050
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,993 Cash price $1,200 Hospital's list price $1,200
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $3,252 | 266% |
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Colonoscopy with biopsy at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $415
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $415
- Christiana Hospital · Newark $1,410
- Bayhealth Hospital, Sussex Campus · Milford $1,629
- Bayhealth Medical Center, Kent Campus · Dover $1,681
- St Francis Hospital · Wilmington $2,809
Insurance negotiated median for the same procedure, sorted lowest first.