CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Greene County Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$738

about 0.6× the $1,223 Medicare rate · typically $233–$2,160

modeled estimate · not a bill or quote

What this hospital charges insurers

$258

Below the fair price — a good deal

about $480 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $738 This hospital $258 Cash price $775 Hospital's list price $1,384

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 7 of 8 other IA hospitals charge less.

Cheapest $165 Priciest $263

Black dot = this hospital, among the 9 IA 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 $738 (about 0.6× the $1,223 Medicare rate). Greene County Medical Center charges insurers about $258, or about $775 in cash — below the fair price — a good deal. Located in Jefferson, IA.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor	$334	27%
Humanamajor	$183	15%
Ambetter (Centene)	$164	13%
+ 1 smaller / regional plan	$1,315

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 775), 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 Greene County 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 Greene County Medical Center

Compare: Colonoscopy with biopsy at other IA hospitals

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