CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University Health Lakewood Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,599

about 1.3× the $1,223 Medicare rate · typically $681–$2,520

modeled estimate · not a bill or quote

What this hospital charges insurers

$707

Below the fair price — a good deal

about $892 under the fair price · 0.6× Medicare

Medicare pays $1,223 Fair price $1,599 This hospital $707 Cash price $1,663 Hospital's list price $3,024

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $171 Priciest $707

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

A fair price for a Colonoscopy with biopsy is about $1,599 (about 1.3× the $1,223 Medicare rate). University Health Lakewood Medical Center charges insurers about $707, or about $1,663 in cash — below the fair price — a good deal. Located in Kansas City, MO.

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	$1,872	153%
Blue Cross Blue Shieldmajor	$646 - $945	53%
Aetnamajor	$314	26%
Cignamajor	$800	65%
Humanamajor	$190	16%
Oscar Health	$3,100	254%

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 (about 1,663), 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 University Health Lakewood 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 University Health Lakewood Medical Center

Compare: Colonoscopy with biopsy at other MO hospitals

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