CMS Price Transparency Data

Colonoscopy with biopsy

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $2,443
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at HCA Florida Pasadena Hospital A Part of HCA Florid is $2,443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 2.00x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,443

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%)

Insurance Median: $2,443 (200%)

Ins. Median: $2,443 (200% 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
Suncoast Neighborly Care	$1,500	123%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,638	134%
Access 2 Healthcare Physicians Freedom Health	$1,950	160%
Access 2 Healthcare Physicians Optimum	$1,950	160%
Freedom Health Care	$1,950	160%
Molina	$1,950 - $2,702	160%
Optimum Healthcare	$1,950	160%
Simply Healthcare	$2,250 - $2,594	184%
Blue Cross Blue Shield	$2,367 - $6,649	194%
Truli	$2,367	194%
Corvel Corporation	$2,393 - $3,239	196%
Rockport Healthcare Group	$2,393 - $3,239	196%
Prime Health	$2,443 - $3,307	200%
United	$3,611	295%
Oscar	$3,955	324%
Avmed	$4,922 - $12,418	403%
Cigna	$7,480	612%

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 $X.
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 HCA Florida Pasadena Hospital A Part of HCA Florid 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.