CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Bayou Bend Health System

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $851
Cash Discount Price: $846
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Bayou Bend Health System is $851. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $846. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.70x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$846

Average discount available for prompt cash payment at this facility.

Insurance Median

$851

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: $846 (69%)

Insurance Median: $851 (70%)

Cash: $846 (69% of Medicare)

Ins. Median: $851 (70% 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
Blue Cross Blue Shield	$544 - $1,520	44%
Tricare	$544	44%
UnitedHealthcare	$568 - $604	46%
Aetna	$604 - $822	49%
Dignity Mcr Adv Ip/Op Only-All Plans	$604	49%
Humana	$604 - $786	49%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$604	49%
Verity Healthnet Mcr Adv Ip/Op Only	$604	49%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$604	49%
Ambetter / Centene	$695	57%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$851	70%
La Health Mcaid Ip/Op Only	$851	70%
Verity Healthnet Mcaid Ip/Op Only	$851	70%
Diocese Of Lafaytte Ip/Op Only-All Plans	$907	74%
Gilsbar 360 Ip/Op Only-All Plans	$907	74%
Verity Healthnet Ip/Op Only-All Other Plans	$907	74%
Ccn/First Health Ip/Op Only-All Plans	$967	79%
Integrated Hp Multiplan Ip/Op Only-All Plans	$967	79%
Ppo Plus / Zelis Ip/Op Only-All Plans	$967	79%
Geha Ppo Ip/Op Only-All Plans	$1,028	84%
Usa Mco Ip/Op Only-All Plans	$1,028	84%
Galaxy Ip/Op Only-All Plans	$1,088	89%

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 $846.
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 Bayou Bend Health System 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.