CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Harrison County Hospital

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $180
Cash Discount Price: $776
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Harrison County Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $776. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.15x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$776

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $776 (63%)

Insurance Median: $180 (15%)

Cash: $776 (63% of Medicare)

Ins. Median: $180 (15% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Tricare	$154	13%
Aetna	$167 - $225	14%
Blue Cross Blue Shield	$167 - $862	14%
Buckeye Exchange-All Plans	$167	14%
Caresource Mcaid Hip	$167	14%
Caresource Mcr Adv	$167	14%
Mdwise Mcaid Hip	$167	14%
Mhs Exchange-All Other Plans	$167	14%
Mhs Mcaid Hip	$167	14%
Passport Mcr Adv	$167	14%
UnitedHealthcare	$167 - $385	14%
Mhs Mcr Adv	$169	14%
Communicare Adv-All Plans	$170	14%
Caresource Exchange-All Other Plans	$175	14%
Caresource Mcaid Hhw	$180	15%
Passport Mcaid-All Other Plans	$180	15%
Siho Exchange	$217	18%
Siho One Southern	$217	18%
Siho Ppo/Hmo - All Other Plans	$217	18%
Encore Encircle	$225	18%
Encore Ppo - All Other Plans	$225	18%
Cigna	$258	21%
Sagamore-All Plans	$258	21%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$385	31%
Mhs Mcaid Hhw/Hcc	$385	31%
Beech Street Comm-All Plans	$1,099	90%
First Health-All Plans	$1,099	90%
Multiplan-All Plans	$1,164	95%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $776.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.