CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Carolinas Rehabilitation

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$522
about 0.4× the $1,223 Medicare rate · typically $245–$979
modeled estimate · not a bill or quote
What this hospital charges insurers
$519
About the fair price
about $3 under the fair price · 0.4× Medicare
Medicare pays $1,223 Fair price $522 This hospital $519

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 $519

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 $522 (about 0.4× the $1,223 Medicare rate). Carolinas Rehabilitation charges insurers about $519 — about the fair price. Located in Charlotte, 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 $190 - $1,242 16%
Blue Cross Blue Shieldmajor $542 - $714 44%
Aetnamajor $189 - $1,220 15%
Cignamajor $183 - $1,238 15%
Humanamajor $187 - $1,203 15%
Ambetter (Centene) $343 28%
AmeriHealth $203 17%
Health Net $464 38%
WellCare $203 17%
+ 3 smaller / regional plans $203 - $573
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1100 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL