CMS Price Transparency Data

Colonoscopy with biopsy

Facility: HCA Florida Highlands Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,663
about 3.8× the $1,223 Medicare rate · typically $1,331–$6,846
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,163
About the fair price
about $500 over the fair price · 4.2× Medicare
Medicare pays $1,223 Fair price $4,663 This hospital $5,163

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $135 Priciest $5,163

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $4,663 (about 3.8× the $1,223 Medicare rate). HCA Florida Highlands Hospital charges insurers about $5,163 — about the fair price. Located in Sebring, FL.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $15,600 1276%
Blue Cross Blue Shieldmajor $4,854 - $11,343 397%
Cignamajor $11,166 - $15,153 913%
AvMed $4,281 350%
Molina $1,950 160%
Oscar Health $5,336 436%
Simply Healthcare $4,989 408%
+ 1 smaller / regional plan $2,350
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals