CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Anmed Health

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$402

about 0.3× the $1,223 Medicare rate · typically $301–$736

modeled estimate · not a bill or quote

What this hospital charges insurers

$317

Below the fair price — a good deal

about $85 under the fair price · 0.3× Medicare

Medicare pays $1,223 Fair price $402 This hospital $317 Cash price $295 Hospital's list price $590

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 7 of 8 other SC hospitals charge more for the same procedure.

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 $402 (about 0.3× the $1,223 Medicare rate). Anmed Health charges insurers about $317, or about $295 in cash — below the fair price — a good deal. Located in Anderson, 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 - $668	15%
Blue Cross Blue Shieldmajor	$181 - $847	15%
Aetnamajor	$181 - $614	15%
Cignamajor	$187 - $681	15%
Humanamajor	$138 - $1,207	11%
Ambetter (Centene)	$259 - $549	21%
Bright Health	$193 - $511	16%
Devoted Health	$181 - $392	15%
GEHA	$326 - $668	27%
Molina	$187 - $557	15%
SelectHealth	$138 - $324	11%
+ 19 smaller / regional plans	$135 - $681

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 295), 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 Anmed Health 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 Anmed Health

Compare: Colonoscopy with biopsy at other SC hospitals

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