CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$641

about 0.5× the $1,223 Medicare rate · typically $167–$1,813

modeled estimate · not a bill or quote

What this hospital charges insurers

$452

Below the fair price — a good deal

about $189 under the fair price · 0.4× Medicare

Medicare pays $1,223 Fair price $641 This hospital $452 Cash price $770 Hospital's list price $1,539

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 $452

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 $641 (about 0.5× the $1,223 Medicare rate). Ste Genevieve County Memorial Hospital charges insurers about $452, or about $770 in cash — below the fair price — a good deal. Located in Sainte Genevieve, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$452 - $628	37%
Blue Cross Blue Shieldmajor	$385	31%
Aetnamajor	$392 - $1,185	32%
Ambetter (Centene)	$481	39%
HealthLink	$1,370	112%
+ 3 smaller / regional plans	$392 - $640

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (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 770), 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 Ste Genevieve County Memorial Hospital 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 Ste Genevieve County Memorial Hospital

Compare: Colonoscopy with biopsy at other MO hospitals

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