CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Henry County Hospital, Inc

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,155

about 0.9× the $1,223 Medicare rate · typically $353–$2,667

modeled estimate · not a bill or quote

What this hospital charges insurers

$469

Below the fair price — a good deal

about $686 under the fair price · 0.4× Medicare

Medicare pays $1,223 Fair price $1,155 This hospital $469 Cash price $352 Hospital's list price $469

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

On the higher side — 6 of 8 other OH hospitals charge less.

Cheapest $175 Priciest $727

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 $1,155 (about 0.9× the $1,223 Medicare rate). Henry County Hospital, Inc charges insurers about $469, or about $352 in cash — below the fair price — a good deal. Located in Napoleon, 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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor	$469	38%

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 352), 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 Henry County Hospital, Inc 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 Henry County Hospital, Inc

Compare: Colonoscopy with biopsy at other OH hospitals

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