CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$647

about 0.5× the $1,223 Medicare rate · typically $269–$1,752

modeled estimate · not a bill or quote

What this hospital charges insurers

$938

Above the fair price

about $291 over the fair price · 0.8× Medicare

Medicare pays $1,223 Fair price $647 This hospital $938

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

On the higher side — 7 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 $647 (about 0.5× the $1,223 Medicare rate). Atrium Health Navicent Rehabilitation Hopsital charges insurers about $938 — above the fair price. Located in Macon, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $647. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 - $1,179	15%
Blue Cross Blue Shieldmajor	$187 - $3,157	15%
Aetnamajor	$187 - $1,889	15%
Cignamajor	$701 - $2,875	57%
Humanamajor	$187 - $4,453	15%
Kaiser Permanentemajor	$938 - $1,884	77%
Ambetter (Centene)	$253	21%
Clover Health	$191 - $1,203	16%
+ 7 smaller / regional plans	$187 - $2,242

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 Rehabilitation Hopsital 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 Rehabilitation Hopsital

Compare: Colonoscopy with biopsy at other GA hospitals

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