Colonoscopy with biopsy
Facility: Iu Health West Hospital
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $3,177 compared to the $725 fair price benchmark.
4-Star CMS clinical quality rating paired with 4.38× fair market pricing.
Highest price of the 9 IN hospitals we have prices for — worth calling around.
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 $725 (about 0.6× the $1,223 Medicare rate). Iu Health West Hospital charges insurers about $3,177 — well above the fair price. Located in Avon, IN.
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 $725. 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.
5 of 6 major insurers have a published price at this hospital
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 | $1,271 - $4,025 | 104% |
| Blue Cross Blue Shieldmajor | $1,271 - $5,000 | 104% |
| Aetnamajor | $1,271 - $5,000 | 104% |
| Cignamajor | $5,000 | 409% |
| Humanamajor | $1,271 - $1,296 | 104% |
| Ambetter (Centene) | $2,097 | 172% |
| CareSource | $1,906 - $3,122 | 156% |
| Health Net | $3,177 - $10,000 | 260% |
| WellCare | $1,296 | 106% |
| + 5 smaller / regional plans | $1,271 - $5,000 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Iu Health West Hospital
Compare: Colonoscopy with biopsy at other IN hospitals
- Johnson Memorial Hospital · Franklin $167
- Decatur County Memorial Hospital · Greensburg $167
- Harrison County Hospital · Corydon $178
- Woodlawn Hospital · Rochester $180
- Daviess Community Hospital · Washington $184
- Pulaski Memorial Hospital · Winamac $184
- Rush Memorial Hospital · Rushville $195
- Henry County Memorial Hospital · New Castle $210
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Iu Health West Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,768
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $2,768).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Iu Health West Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $725 Fair BaseRate ($1,223 Medicare)
Your bill ($7,625) is $6,900 above the denoised Fair BaseRate ($725) and 6.2× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.