CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Highland District Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$819
about 0.7× the $1,223 Medicare rate · typically $285–$2,176
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $819 Cash price $2,792 Hospital's list price $3,490
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 | $1,117 - $3,211 | 91% |
| Blue Cross Blue Shieldmajor | $1,117 - $4,917 | 91% |
| Aetnamajor | $1,139 - $2,834 | 93% |
| Cignamajor | $3,141 | 257% |
| Humanamajor | $1,117 - $3,092 | 91% |
| Medical Mutual | $3,176 | 260% |
| + 4 smaller / regional plans | $1,173 - $3,141 |
Government programs also on file: Medicare.
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Other Procedures at Highland District Hospital
Compare: Colonoscopy with biopsy at other OH hospitals
- Genesis Hospital · Zanesville $175
- Cincinnati Children's Hospital Medical Center · Cincinnati $213
- Fisher-Titus Hospital · Norwalk $263
- Union Hospital · Dover $293
- Southwest General Health Center · Middleburg Heights $331
- Southern Ohio Medical Center · Portsmouth $416
- Henry County Hospital, Inc · Napoleon $469
- Mercy Medical Center · Canton $720
Insurance negotiated median for the same procedure, sorted lowest first.