CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Flushing Hospital Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,472

about 1.2× the $1,223 Medicare rate · typically $670–$1,868

modeled estimate · not a bill or quote

Medicare pays $1,223 Fair price $1,472 Cash price $1,394 Hospital's list price $1,394

How we calculate the fair BaseRate →

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	$705 - $4,215	58%
Blue Cross Blue Shieldmajor	$2,623	215%
Aetnamajor	$1,486 - $2,812	122%
Cignamajor	$4,250	348%
Humanamajor	$1,501 - $1,576	123%
EmblemHealth	$2,319	190%
Fidelis Care	$1,412 - $1,486	115%
MagnaCare	$1,709 - $4,555	140%
Oscar Health	$4,018	329%
WellCare	$1,546	126%
+ 17 smaller / regional plans	$274 - $5,159

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 1,394), 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 Flushing Hospital 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 Flushing Hospital Medical Center

Compare: Colonoscopy with biopsy at other NY hospitals

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