CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Centerpoint Medical Center

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,826
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Centerpoint Medical Center is $1,826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.49x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,826

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%)

Insurance Median: $1,826 (149%)

Ins. Median: $1,826 (149% 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
United	$382 - $3,071	31%
Healthyblue	$390	32%
Medicaid / KanCare	$394	32%
Amerigroup	$398	33%
Unicare	$398	33%
Home State Health Plan	$401	33%
Aetna	$1,178 - $2,417	96%
Multiplan	$1,498 - $4,562	123%
Humana	$1,770 - $2,192	145%
Corvel Corporation	$1,779	146%
Oha Network	$1,854	152%
Universal Healthcare	$1,995	163%
Cigna	$2,460 - $3,668	201%
Nhc Advantage	$2,550	209%
Oscar	$3,122	255%

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 $X.
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 Centerpoint Medical Center 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.