CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Novant Health New Hanover Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,193
about 1.0× the $1,223 Medicare rate · typically $561–$1,228
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,228
About the fair price
about $35 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,193 This hospital $1,228

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 $1,228

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 $1,193 (about 1.0× the $1,223 Medicare rate). Novant Health New Hanover Regional Medical Center charges insurers about $1,228 — about the fair price. Located in Wilmington, 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 $1,222 - $1,728 100%
Blue Cross Blue Shieldmajor $1,198 98%
Aetnamajor $1,228 - $4,951 100%
Cignamajor $1,234 101%
Humanamajor $1,174 - $1,198 96%
Ambetter (Centene) $2,888 236%
+ 4 smaller / regional plans $1,198 - $2,397

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Facility Profile & Credentials

  • Address: 2131 S 17Th St, Wilmington, NC 28402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals