CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Frye Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,179

about 1.0× the $1,223 Medicare rate · typically $780–$1,555

modeled estimate · not a bill or quote

What this hospital charges insurers

$762

Below the fair price — a good deal

about $417 under the fair price · 0.6× Medicare

Medicare pays $1,223 Fair price $1,179 This hospital $762 Cash price $1,368 Hospital's list price $3,420

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 $762

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 $1,179 (about 1.0× the $1,223 Medicare rate). Frye Regional Medical Center charges insurers about $762, or about $1,368 in cash — below the fair price — a good deal. Located in Hickory, NC.

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	$343 - $5,073	28%
Blue Cross Blue Shieldmajor	$210 - $762	17%
Aetnamajor	$225 - $1,129	18%
Cignamajor	$574 - $1,395	47%
Humanamajor	$554 - $1,107	45%
Ambetter (Centene)	$1,444	118%
AmeriHealth	$745	61%
WellCare	$748	61%
+ 6 smaller / regional plans	$542 - $1,290

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 1,368), 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 Frye Regional 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 Frye Regional Medical Center

Compare: Colonoscopy with biopsy at other NC hospitals

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