CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Curry General Hospital

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,079
Cash Discount Price: $1,136
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Curry General Hospital is $1,079. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,136. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.88x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$1,136

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,079

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: $1,136 (93%)

Insurance Median: $1,079 (88%)

Cash: $1,136 (93% of Medicare)

Ins. Median: $1,079 (88% 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
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$211	17%
Medicare (plans)	$211	17%
Tricare	$354	29%
Medicaid / KanCare	$506 - $716	41%
Blue Cross Blue Shield	$579 - $1,136	47%
First Choice Health Admin [1294]	$584	48%
First Choice [528]	$584	48%
Department Of Corrections [1051]	$738	60%
Coordinated Care Commercial [1649]	$966	79%
Pacificsource [1148]	$966	79%
Moda [512]	$975 - $1,022	80%
Multiplan [1131]	$1,034	85%
Asuris [1258]	$1,079	88%
Operating Engineers [1144]	$1,079	88%
Regence [1351]	$1,079 - $1,136	88%
Cigna	$1,113 - $1,136	91%
Coventry First Health Managed Care [1774]	$1,113	91%
Coventry Health [1046]	$1,113	91%
Providence Health Plan Plm Alt [1692]	$1,113	91%
Providence Health Plan [567]	$1,113	91%
Aetna	$1,136	93%
Employee Bene Admin Mgmt [525]	$1,136	93%
Geha [531]	$1,136	93%
Mailhandlers Benefit Pln [547]	$1,136	93%
Meritain [550]	$1,136	93%
Nw Sheet Metal Workers [597]	$1,136	93%
Trustmark [524]	$1,136	93%
UnitedHealthcare	$1,136	93%
Zenith Administrators [586]	$1,136	93%
Allcare Alt [2598]	$2,000	164%
Allcare [1695]	$2,000	164%

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 $1,136.
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 Curry General Hospital 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.