CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Hendricks Regional Health

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$571

about 0.5× the $1,223 Medicare rate · typically $271–$2,904

modeled estimate · not a bill or quote

What this hospital charges insurers

$385

Below the fair price — a good deal

about $186 under the fair price · 0.3× Medicare

Medicare pays $1,223 Fair price $571 This hospital $385 Cash price $333 Hospital's list price $832

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $167 Priciest $385

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

A fair price for a Colonoscopy with biopsy is about $571 (about 0.5× the $1,223 Medicare rate). Hendricks Regional Health charges insurers about $385, or about $333 in cash — below the fair price — a good deal. Located in Danville, IN.

What each insurance company pays

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

5 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	$486	40%
Blue Cross Blue Shieldmajor	$182 - $385	15%
Aetnamajor	$182 - $488	15%
Cignamajor	$255	21%
Humanamajor	$182 - $186	15%
Ambetter (Centene)	$539	44%
CareSource	$519	42%
Health Net	$258 - $631	21%
+ 2 smaller / regional plans	$258 - $666

Government programs also on file: Medicare.

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 333), 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 Hendricks Regional Health 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 Hendricks Regional Health

Compare: Colonoscopy with biopsy at other IN hospitals

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