CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Howard County Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$216

about 0.2× the $1,223 Medicare rate · typically $195–$1,412

modeled estimate · not a bill or quote

What this hospital charges insurers

$237

About the fair price

about $21 over the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $216 This hospital $237 Cash price $892 Hospital's list price $892

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NE hospitals compared.

Cheapest $179 Priciest $316

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $216 (about 0.2× the $1,223 Medicare rate). Howard County Medical Center charges insurers about $237, or about $892 in cash — about the fair price. Located in St Paul, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$177 - $731	14%
Blue Cross Blue Shieldmajor	$177 - $1,862	14%
Aetnamajor	$177 - $506	14%
Humanamajor	$150 - $177	12%
Ambetter (Centene)	$354	29%
Medica	$177 - $455	14%
Molina	$186 - $237	15%
Oscar Health	$310	25%
WellCare	$182	15%
+ 4 smaller / regional plans	$177 - $805

Government programs also on file: Military & VA.

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 892), 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 Howard County 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 Howard County Medical Center

Compare: Colonoscopy with biopsy at other NE hospitals

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