CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Sgmc Health

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,166
about 1.0× the $1,223 Medicare rate · typically $1,058–$1,902
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,148
About the fair price
about $18 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,166 This hospital $1,148 Cash price $3,978 Hospital's list price $5,304

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 $1,148

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $1,166 (about 1.0× the $1,223 Medicare rate). Sgmc Health charges insurers about $1,148, or about $3,978 in cash — about the fair price. Located in Valdosta, GA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
WellCare $1,044 85%
+ 3 smaller / regional plans $830 - $1,357

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2501 North Patterson Street, Po Box 1727, Valdosta, GA 31602
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals