CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Richland Parish Hospital-Delhi

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,864
Cash Discount Price: $1,582
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Richland Parish Hospital-Delhi is $1,864. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,582. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.52x the Medicare baseline. Located in 407 Cincinnati Street, Delhi, LA.

Cash / Self-Pay

$1,582

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,864

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: $1,582 (129%)

Insurance Median: $1,864 (152%)

Cash: $1,582 (129% of Medicare)

Ins. Median: $1,864 (152% 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
Cigna	$1,103	90%
Aetna	$1,460 - $1,902	119%
Humana	$1,475 - $2,069	121%
Vantage Mcr Adv	$1,475	121%
Blue Cross Blue Shield	$1,519 - $1,552	124%
Geha-All Plans	$1,704	139%
Ppo Plus-All Plans	$1,704	139%
Verity Healthnet Exclusive	$1,826	149%
Amerihealth Caritas-All Plans	$1,902	156%
Healthy Blue Mcaid-All Plans	$1,902	156%
Galaxy Network-All Plans	$1,947	159%
UnitedHealthcare	$1,947	159%
Multiplan-All Plans	$2,069	169%
Verity Healthnet Standard-All Other Plans	$2,069	169%
Vantage-All Other Plans	$2,191	179%
Vantage Ppo	$2,312	189%

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 $1,582.
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 Richland Parish Hospital-Delhi 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.