CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Munson Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$387

about 0.3× the $1,223 Medicare rate · typically $299–$944

modeled estimate · not a bill or quote

What this hospital charges insurers

$298

Below the fair price — a good deal

about $89 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $387 This hospital $298

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $150 Priciest $298

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $387 (about 0.3× the $1,223 Medicare rate). Munson Medical Center charges insurers about $298 — below the fair price — a good deal. Located in Traverse City, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$127 - $1,192	10%
Blue Cross Blue Shieldmajor	$58 - $1,192	5%
Aetnamajor	$175 - $1,192	14%
Cignamajor	$362 - $1,129	30%
Humanamajor	$175 - $1,192	14%
Meridian	$127 - $624	10%
Molina	$127 - $1,288	10%
Priority Health	$127 - $1,192	10%
+ 12 smaller / regional plans	$127 - $1,789

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Munson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Munson Medical Center

Compare: Colonoscopy with biopsy at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.