CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Muscogee (Creek) Nation Medical Center

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,897
Cash Discount Price: $1,239
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Muscogee (Creek) Nation Medical Center is $1,897. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,239. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.55x the Medicare baseline. Located in 1401 Morris Drive, Okmulgee, OK.

Cash / Self-Pay

$1,239

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,897

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $1,239 (101%)

Insurance Median: $1,897 (155%)

Cash: $1,239 (101% of Medicare)

Ins. Median: $1,897 (155% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Community Care Mcr Adv	$1,151	94%
Blue Cross Blue Shield	$1,230 - $2,021	101%
Humana	$1,266 - $2,065	104%
Global Health Comm - All Other Plans	$1,496	122%
UnitedHealthcare	$1,574	129%
Healthchoice-All Plans	$2,024	166%
Aetna	$2,065 - $2,272	169%
Global Health Mcr Adv	$2,065	169%
First Health-All Plans	$2,375	194%
Community Care Comm - All Other Plans	$2,474	202%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,239.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Muscogee (Creek) Nation Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.