CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Christus St Frances Cabrini Hospital

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,372
Cash Discount Price: $3,190
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Christus St Frances Cabrini Hospital is $1,372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,190. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.12x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$3,190

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,372

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: $3,190 (261%)

Insurance Median: $1,372 (112%)

Cash: $3,190 (261% of Medicare)

Ins. Median: $1,372 (112% 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
Louisiana Healthcare Connections	$50	4%
Amerihealth Caritas Louisiana	$483	40%
UnitedHealthcare	$483 - $3,081	40%
Healthy Blue Louisiana	$488	40%
Humana	$493 - $3,573	40%
Aetna	$507 - $1,614	41%
Triwest	$1,099	90%
Active Med	$1,122	92%
Arcadian Health Plan	$1,122	92%
Blue Cross Blue Shield	$1,122 - $2,730	92%
Christus Health	$1,122 - $1,570	92%
Coventry	$1,122	92%
Vantage Health Plan Inc.	$1,122 - $6,134	92%
Dignity Health	$1,155	94%
Peoples Health	$1,155	94%
Wellcare	$1,178	96%
Allyalign Health	$1,234	101%
Medicare (plans)	$1,234	101%
Five Point Credit Union	$4,650	380%
Lsu First Choice Verity	$6,134	502%
Cigna	$6,695	548%
Gilsbar, Inc.	$7,361	602%
Healthcare Highways	$7,361	602%
Verity Healthnet	$7,361	602%
Healthsmart	$7,974 - $9,814	652%
Ppoplus Llc	$7,974	652%
Multiplan	$8,588	702%
Phcs	$8,588	702%
Health Management Network	$9,814	803%
Provider Select	$9,814	803%
First Health	$10,428	853%
Verity Healthnet National	$10,428	853%

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 $3,190.
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 Christus St Frances Cabrini 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.