CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Cannon Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$412

about 0.3× the $1,223 Medicare rate · typically $239–$858

modeled estimate · not a bill or quote

What this hospital charges insurers

$258

Below the fair price — a good deal

about $154 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $412 This hospital $258 Cash price $154 Hospital's list price $307

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Lowest price of the 9 SC hospitals we have prices for — a strong deal.

Cheapest $258 Priciest $1,113

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 $412 (about 0.3× the $1,223 Medicare rate). Cannon Memorial Hospital charges insurers about $258, or about $154 in cash — below the fair price — a good deal. Located in Pickens, 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	$181 - $326	15%
Blue Cross Blue Shieldmajor	$181 - $481	15%
Aetnamajor	$181 - $290	15%
Cignamajor	$187 - $350	15%
Humanamajor	$138 - $1,207	11%
Ambetter (Centene)	$259	21%
Bright Health	$193 - $258	16%
Devoted Health	$181 - $185	15%
GEHA	$326	27%
Molina	$187 - $263	15%
SelectHealth	$138 - $152	11%
+ 19 smaller / regional plans	$135 - $481

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 154), 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 Cannon Memorial Hospital 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 Cannon Memorial Hospital

Compare: Colonoscopy with biopsy at other SC hospitals

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