CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ochsner LSU Health Shreveport-St Mary Medical Cent

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,087
Cash Discount Price: $610
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Ochsner LSU Health Shreveport-St Mary Medical Cent is $1,087. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $610. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.89x the Medicare baseline. Located in 1 St Mary Place, Shreveport, LA.

Cash / Self-Pay

$610

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,087

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: $610 (50%)

Insurance Median: $1,087 (89%)

Cash: $610 (50% of Medicare)

Ins. Median: $1,087 (89% 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
Aetna	$481 - $1,698	39%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$481	39%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$481	39%
Humana	$481 - $1,087	39%
Louisiana Healthcare Connections (Healthy Louisiana)	$481	39%
UnitedHealthcare	$481 - $2,198	39%
Verity Health Network – Lsu First Choice	$711	58%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$1,087	89%
Blue Cross Blue Shield	$1,087 - $1,338	89%
Medicare (plans)	$1,087	89%
Multiplan/Phcs/American Lifecare	$1,205	99%
Cigna	$1,323	108%
First Health Network	$1,698	139%
Vantage Health Plan - Commercial	$1,793	147%
Zelis	$1,887	154%
Healthcomp Ppo (Formerly Gilsbar 360	$2,717	222%

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 $610.
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 Ochsner LSU Health Shreveport-St Mary Medical Cent 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.