CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Dupont Hospital LLC

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,572

about 1.3× the $1,223 Medicare rate · typically $1,020–$1,988

modeled estimate · not a bill or quote

Medicare pays $1,223 Fair price $1,572 Cash price $297 Hospital's list price $989

How we calculate the fair BaseRate →

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	$1,121 - $6,759	92%
Blue Cross Blue Shieldmajor	$1,246 - $5,203	102%
Aetnamajor	$233 - $5,134	19%
Cignamajor	$203 - $4,169	17%
Humanamajor	$1,246 - $3,122	102%
CareSource	$3,122	255%
Devoted Health	$1,271	104%
Health Net	$516 - $10,338	42%
Medical Mutual	$333 - $6,088	27%
+ 18 smaller / regional plans	$170 - $10,338

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

Excludes 8 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 297), 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 Dupont Hospital LLC 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 Dupont Hospital LLC

Compare: Colonoscopy with biopsy at other IN hospitals

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