Colonoscopy with biopsy
Facility: Greeley County Health Services
Billing Code: 45380 (CPT)
- CPT Billing Code: 45380
- Insurance Median: $245
- Cash Discount Price: $1,057
- vs. Medicare Baseline: 0.20x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $234 - $245 | 19% |
| Aetna | $234 - $245 | 19% |
| Blue Cross Blue Shield | $1,769 | 145% |
Consumer Guidance & Cost Commentary
For a colonoscopy with biopsy at Greeley County Health Services in Tribune, Kansas, the cash median price is $1,057.00, which is lower than the facility's gross charge of $1,511.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that insurance negotiated rates can sometimes exceed cash prices. For instance, Blue Cross Blue Shield has a fixed negotiated rate of $1,769.00, which is significantly higher than the cash option. Similarly, Medicaid/KanCare and Aetna have negotiated ranges between $234 and $245, which are much lower than the cash price but may still result in higher out-of-pocket costs depending on the patient's specific deductible and co-insurance obligations.
To minimize costs, patients should verify if the hospital offers prompt-pay discounts for upfront payment, which can reduce the bill by 20% to 50% and avoid administrative fees associated with insurance claims. It is also important to request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Since the facility is in-network for the listed payers, the No Surprises Act generally protects patients from balance billing for emergency or non-emergency services, but patients should still confirm their plan's deductible status and ensure they are not signing away rights to dispute out-of-network ancillary services.