CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Kearney County Health Services Hospital

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $2,496
Cash Discount Price: $2,541
vs. Medicare Baseline: 2.04x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Kearney County Health Services Hospital is $2,496. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,541. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 2.04x the Medicare baseline. Located in 727 East 1St St, Minden, NE.

Cash / Self-Pay

$2,541

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,496

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $2,541 (208%)

Insurance Median: $2,496 (204%)

Cash: $2,541 (208% of Medicare)

Ins. Median: $2,496 (204% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 204% of the Medicare baseline (a markup of 104%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$622 - $2,809	51%
Medica	$622 - $10,010	51%
Humana	$684 - $2,809	56%
UnitedHealthcare	$684 - $4,852	56%
Total Care	$691 - $2,893	57%
Aetna	$718 - $9,703	59%
Great Plains	$718 - $2,949	59%
Healthy Blue	$718 - $2,949	59%
Multiplan	$1,219 - $5,005	100%
Healthnet	$1,244 - $5,107	102%
Triwest	$1,244 - $5,107	102%
Molina	$1,281 - $5,260	105%
Private Healthcare Systems And Multiplan	$2,046 - $8,398	167%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,541.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kearney County Health Services Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.