Colonoscopy with biopsy
Facility: Community Hospitals and Wellness Centers
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $1,339 compared to the $1,329 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $1,329 (about 1.1× the $1,223 Medicare rate). Community Hospitals and Wellness Centers charges insurers about $1,339 — about the fair price. Located in Bryan, OH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| Aetnamajor | $1,190 | 97% |
| CareSource | $1,429 | 117% |
| + 2 smaller / regional plans | $1,250 - $3,572 |
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.
Other Procedures at Community Hospitals and Wellness Centers
Compare: Colonoscopy with biopsy at other OH hospitals
- Genesis Hospital · Zanesville $175
- Southwest General Health Center · Middleburg Heights $203
- Cincinnati Children's Hospital Medical Center · Cincinnati $213
- Fisher-Titus Hospital · Norwalk $263
- Ashtabula County Medical Center · Ashtabula $288
- Henry County Hospital, Inc · Napoleon $469
- Union Hospital · Dover $564
- Cleveland Clinic · Cleveland $673
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Community Hospitals and Wellness Centers (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,167
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,167).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Community Hospitals and Wellness Centers's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $1,329 Fair BaseRate ($1,223 Medicare)
Your bill ($3,214) is $1,885 above the denoised Fair BaseRate ($1,329) and 2.6× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.