CMS Price Transparency Data

Colonoscopy with biopsy

Facility: HCA Florida Capital Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,630

about 3.0× the $1,223 Medicare rate · typically $1,314–$4,242

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,242

Below the fair price — a good deal

about $388 under the fair price · 2.7× Medicare

Medicare pays $1,223 Fair price $3,630 This hospital $3,242

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 $3,242

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 $3,630 (about 3.0× the $1,223 Medicare rate). HCA Florida Capital Hospital charges insurers about $3,242 — below the fair price — a good deal. Located in Tallahassee, 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	$5,370	439%
Blue Cross Blue Shieldmajor	$2,335 - $3,975	191%
Cignamajor	$17,004 - $40,673	1391%
AvMed	$8,168 - $8,971	668%
Molina	$1,950 - $3,242	160%
Oscar Health	$3,743	306%
Simply Healthcare	$3,440	281%
+ 2 smaller / regional plans	$2,250 - $12,500

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 Capital 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 Capital Hospital

Compare: Colonoscopy with biopsy at other FL hospitals

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