CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Phoebe Sumter Medical Center
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,314
about 1.1× the $1,223 Medicare rate · typically $1,021–$2,558
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,314 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.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $1,070 - $1,625 | 88% |
| Ambetter (Centene) | $1,835 | 150% |
| Clover Health | $1,080 | 88% |
| + 2 smaller / regional plans | $1,101 - $1,521 |
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Other Procedures at Phoebe Sumter Medical Center
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.