CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University of Missouri Health Care

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,557

about 1.3× the $1,223 Medicare rate · typically $1,133–$1,557

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,508

About the fair price

about $49 under the fair price · 1.2× Medicare

Medicare pays $1,223 Fair price $1,557 This hospital $1,508 Cash price $1,491 Hospital's list price $2,485

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 $1,508

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 $1,557 (about 1.3× the $1,223 Medicare rate). University of Missouri Health Care charges insurers about $1,508, or about $1,491 in cash — about the fair price. Located in Columbia, 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	$1,121 - $2,650	92%
Blue Cross Blue Shieldmajor	$1,143 - $1,628	93%
Aetnamajor	$1,143 - $1,913	93%
Cignamajor	$2,112	173%
Humanamajor	$1,143	93%
Health Net	$1,988	163%
HealthLink	$1,789	146%
Medica	$2,097	172%
WellCare	$1,143	93%
+ 6 smaller / regional plans	$870 - $1,864

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,491), 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 of Missouri Health Care 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 of Missouri Health Care

Compare: Colonoscopy with biopsy at other MO hospitals

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