CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Sgmc Berrien Campus

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,296
about 1.1× the $1,223 Medicare rate · typically $788–$2,873
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,252
About the fair price
about $44 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,296 This hospital $1,252 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 $1,252

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 $1,296 (about 1.1× the $1,223 Medicare rate). Sgmc Berrien Campus charges insurers about $1,252, or about $3,978 in cash — about the fair price. Located in Nashville, 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%
+ 2 smaller / regional plans $1,252 - $1,565

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1221 E McPherson Avenue, Nashville, GA 31639
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals