CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Parkland Health Center - Bonne Terre

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,682
Cash Discount Price: $7,041
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Parkland Health Center - Bonne Terre is $1,682. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,041. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.38x the Medicare baseline. Located in 7245 Raider Road, Bonne Terre, MO.

Cash / Self-Pay

$7,041

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,682

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: $7,041 (576%)

Insurance Median: $1,682 (138%)

Cash: $7,041 (576% of Medicare)

Ins. Median: $1,682 (138% 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
Cox Health Systems Insurance Company [220]	$1,156 - $2,312	95%
Health Alliance [224]	$1,156 - $2,312	95%
Aetna	$1,209	99%
Blue Cross Blue Shield	$1,209 - $3,683	99%
Cigna	$1,209 - $2,951	99%
Cox Health [757]	$1,209	99%
Devoted Health Plan [847]	$1,209	99%
Essence Healthcare [221]	$1,209	99%
Humana	$1,209 - $2,796	99%
Medica [662]	$1,209	99%
Medicare (plans)	$1,209	99%
UnitedHealthcare	$1,209 - $2,823	99%
Allied Benefits [498]	$1,219 - $2,438	100%
Hope Trust [806]	$1,219 - $2,438	100%
Healthscope Benefits [258]	$1,366 - $2,823	112%
Apwu Health Plan [216]	$1,476 - $2,951	121%
Nalc Health Benefit Plan [242]	$1,476 - $2,951	121%
Priority Health [648]	$1,476 - $2,951	121%
Healthcare Sol Mercy [609]	$1,576 - $3,153	129%
Med-Pay [480]	$1,576 - $3,153	129%
Medica [661]	$1,682 - $3,363	138%
Phcs [244]	$1,682 - $3,363	138%
Consociate [478]	$1,775 - $4,402	145%
Sarah Bush Lincoln [636]	$1,775 - $4,402	145%

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 $7,041.
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 Parkland Health Center - Bonne Terre 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.