CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Atrium Health Floyd Medical Center

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 $1,145–$1,705

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,178

About the fair price

about $14 over the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,164 This hospital $1,178

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $236 Priciest $1,178

Black dot = this hospital, among the 9 GA 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). Atrium Health Floyd Medical Center charges insurers about $1,178 — about the fair price. Located in Rome, GA.

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	$1,149	94%
Blue Cross Blue Shieldmajor	$1,149 - $2,091	94%
Aetnamajor	$1,160	95%
Cignamajor	$1,149 - $2,500	94%
Humanamajor	$1,149	94%
Ambetter (Centene)	$1,723	141%
CareSource	$1,149 - $1,723	94%
Clover Health	$1,183	97%
WellCare	$1,172	96%
+ 3 smaller / regional plans	$1,149 - $2,298

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 Atrium Health Floyd Medical Center 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 Atrium Health Floyd Medical Center

Compare: Colonoscopy with biopsy at other GA hospitals

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