CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Prisma Health Oconee Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,254
about 1.0× the $1,223 Medicare rate · typically $1,244–$1,719
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,243
About the fair price
about $11 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,254 This hospital $1,243 Cash price $2,439 Hospital's list price $3,752

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $258 Priciest $1,243

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $1,254 (about 1.0× the $1,223 Medicare rate). Prisma Health Oconee Memorial Hospital charges insurers about $1,243, or about $2,439 in cash — about the fair price. Located in Seneca, SC.

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 $578 - $5,804 47%
Blue Cross Blue Shieldmajor $305 - $1,924 25%
Aetnamajor $1,279 - $2,964 105%
Cignamajor $1,219 - $2,604 100%
Humanamajor $1,243 - $1,267 102%
Ambetter (Centene) $2,242 183%
Molina $1,340 110%
MVP Health Care $2,604 213%
WellCare $1,279 105%
+ 23 smaller / regional plans $364 - $5,804
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 298 Memorial Dr, Seneca, SC 29672
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals