CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Halifax Health /UF Health Medical Center of Delton

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,164

about 1.0× the $1,223 Medicare rate · typically $797–$1,198

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,179

About the fair price

about $15 over the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,164 This hospital $1,179

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 $1,179

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 $1,164 (about 1.0× the $1,223 Medicare rate). Halifax Health /UF Health Medical Center of Delton charges insurers about $1,179 — about the fair price. Located in Deltona, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$1,179	96%
Blue Cross Blue Shieldmajor	$1,179	96%
Aetnamajor	$1,179 - $2,530	96%
Cignamajor	$1,179	96%
Humanamajor	$1,144 - $2,346	94%
Devoted Health	$1,226	100%
Health Net	$2,358	193%
Molina	$1,203	98%
WellCare	$1,179	96%
+ 12 smaller / regional plans	$1,002 - $2,653

Government programs also on file: Medicare, 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 Halifax Health /UF Health Medical Center of Delton 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 Halifax Health /UF Health Medical Center of Delton

Compare: Colonoscopy with biopsy at other FL hospitals

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