CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Akron General Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$877

about 0.7× the $1,223 Medicare rate · typically $651–$1,766

modeled estimate · not a bill or quote

What this hospital charges insurers

$738

Below the fair price — a good deal

about $139 under the fair price · 0.6× Medicare

Medicare pays $1,223 Fair price $877 This hospital $738 Cash price $727 Hospital's list price $1,119

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $175 Priciest $738

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

A fair price for a Colonoscopy with biopsy is about $877 (about 0.7× the $1,223 Medicare rate). Akron General Medical Center charges insurers about $738, or about $727 in cash — below the fair price — a good deal. Located in Akron, OH.

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	$188 - $4,831	15%
Blue Cross Blue Shieldmajor	$188 - $2,904	15%
Aetnamajor	$188 - $1,531	15%
Cignamajor	$269 - $1,122	22%
Humanamajor	$188 - $1,089	15%
AmeriHealth	$223 - $812	18%
CareSource	$213 - $738	17%
Molina	$223 - $775	18%
Oscar Health	$188 - $409	15%
UniCare	$197	16%
UPMC Health Plan	$1,020	83%
+ 12 smaller / regional plans	$122 - $2,475

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

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 727), 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 Akron General 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 Akron General Medical Center

Compare: Colonoscopy with biopsy at other OH hospitals

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