CMS Price Transparency Data

Colonoscopy with biopsy

Facility: HCA Florida Raulerson Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,738

about 3.1× the $1,223 Medicare rate · typically $1,319–$5,747

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,281

About the fair price

about $543 over the fair price · 3.5× Medicare

Medicare pays $1,223 Fair price $3,738 This hospital $4,281

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 $4,281

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 $3,738 (about 3.1× the $1,223 Medicare rate). HCA Florida Raulerson Hospital charges insurers about $4,281 — about the fair price. Located in Okeechobee, 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	$6,312 - $11,343	516%
Cignamajor	$11,166 - $15,153	913%
AvMed	$4,281	350%
Molina	$1,950 - $2,702	160%
Oscar Health	$5,336	436%
Simply Healthcare	$2,160 - $4,989	177%
+ 3 smaller / regional plans	$1,495 - $2,350

Excludes 3 rental-network / third-party entries (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 HCA Florida Raulerson Hospital 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 (%)

Enter your details and press estimate to compare.

Other Procedures at HCA Florida Raulerson Hospital

Compare: Colonoscopy with biopsy at other FL hospitals

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