CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Baptist Medical Center - Nassau

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,245

about 1.0× the $1,223 Medicare rate · typically $793–$2,658

modeled estimate · not a bill or quote

What this hospital charges insurers

$764

Below the fair price — a good deal

about $481 under the fair price · 0.6× Medicare

Medicare pays $1,223 Fair price $1,245 This hospital $764

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 $764

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 $1,245 (about 1.0× the $1,223 Medicare rate). Baptist Medical Center - Nassau charges insurers about $764 — below the fair price — a good deal. Located in Fernandina Beach, 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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$701 - $1,195	57%
Aetnamajor	$764 - $1,207	62%
Humanamajor	$637	52%
Ambetter (Centene)	$2,840	232%
Amerigroup	$637	52%
AmeriHealth	$701	57%
Devoted Health	$1,255	103%
Molina	$758	62%
Simply Healthcare	$669 - $764	55%
UPMC Health Plan	$1,302	106%
+ 8 smaller / regional plans	$637 - $1,243

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Medical Center - Nassau is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Baptist Medical Center - Nassau

Compare: Colonoscopy with biopsy at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.