CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Wilkes Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,235
about 1.0× the $1,223 Medicare rate · typically $1,051–$2,498
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,160
About the fair price
about $75 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,235 This hospital $1,160

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $318 Priciest $1,160

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

A fair price for a Colonoscopy with biopsy is about $1,235 (about 1.0× the $1,223 Medicare rate). Wilkes Regional Medical Center charges insurers about $1,160 — about the fair price. Located in North Wilkesboro, NC.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $1,160

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Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals