CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Atrium Health Navicent the Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$926

about 0.8× the $1,223 Medicare rate · typically $626–$1,874

modeled estimate · not a bill or quote

What this hospital charges insurers

$929

About the fair price

about $3 over the fair price · 0.8× Medicare

Medicare pays $1,223 Fair price $926 This hospital $929

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

On the higher side — 6 of 8 other GA hospitals charge less.

Cheapest $236 Priciest $987

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 $926 (about 0.8× the $1,223 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $929 — about the fair price. Located in Macon, GA.

What each insurance company pays

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

6 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	$187 - $1,149	15%
Blue Cross Blue Shieldmajor	$187 - $3,157	15%
Aetnamajor	$187 - $5,079	15%
Cignamajor	$701 - $2,875	57%
Humanamajor	$187 - $4,453	15%
Kaiser Permanentemajor	$938 - $2,386	77%
Ambetter (Centene)	$253	21%
Clover Health	$191 - $1,172	16%
+ 6 smaller / regional plans	$187 - $2,309

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 Navicent the 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 Navicent the Medical Center

Compare: Colonoscopy with biopsy at other GA hospitals

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