CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Manning Regional Healthcare Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$350

about 0.3× the $1,223 Medicare rate · typically $289–$1,009

modeled estimate · not a bill or quote

What this hospital charges insurers

$314

Below the fair price — a good deal

about $36 under the fair price · 0.3× Medicare

Medicare pays $1,223 Fair price $350 This hospital $314 Cash price $1,672 Hospital's list price $2,355

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $165 Priciest $314

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 $350 (about 0.3× the $1,223 Medicare rate). Manning Regional Healthcare Center charges insurers about $314, or about $1,672 in cash — below the fair price — a good deal. Located in Manning, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$165 - $3,663	13%
Blue Cross Blue Shieldmajor	$391	32%
Aetnamajor	$616 - $3,700	50%
Oscar Health	$286 - $3,965	23%
+ 4 smaller / regional plans	$165 - $2,832

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (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 1,672), 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 Manning Regional Healthcare 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 Manning Regional Healthcare Center

Compare: Colonoscopy with biopsy at other IA hospitals

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