CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Phoebe Putney Memorial Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,215
about 1.0× the $1,223 Medicare rate · typically $1,067–$2,452
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,215 Cash price $703 Hospital's list price $1,171
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 | $1,153 | 94% |
| Aetnamajor | $1,176 - $1,787 | 96% |
| Humanamajor | $1,210 | 99% |
| Ambetter (Centene) | $2,017 | 165% |
| Clover Health | $1,187 | 97% |
| + 1 smaller / regional plan | $1,671 |
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Other Procedures at Phoebe Putney Memorial Hospital
Compare: Colonoscopy with biopsy at other GA hospitals
- Miller County Hospital · Colquitt $236
- Atrium Health Navicent Peach · Byron $244
- Jeff Davis Hospital · Hazlehurst $294
- Shepherd Center, Inc. · Atlanta $497
- Grady Memorial Hospital · Atlanta $597
- Navicent Health Baldwin · Milledgeville $854
- Atrium Health Navicent the Medical Center · Macon $929
- Atrium Health Navicent Rehabilitation Hopsital · Macon $938
Insurance negotiated median for the same procedure, sorted lowest first.