Colonoscopy with biopsy
Facility: Prisma Health Tuomey Hospital
Billing Code: 45380 (CPT)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
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 $1,219 (about 1.0× the $1,223 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $1,166, or about $2,439 in cash — about the fair price. Located in Sumter, 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
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 - $6,939 | 47% |
| Blue Cross Blue Shieldmajor | $803 - $1,118 | 66% |
| Aetnamajor | $1,174 - $2,964 | 96% |
| Cignamajor | $1,118 - $2,878 | 91% |
| Humanamajor | $1,091 - $2,814 | 89% |
| Ambetter (Centene) | $2,058 | 168% |
| Molina | $1,174 | 96% |
| WellCare | $1,174 | 96% |
| + 16 smaller / regional plans | $579 - $6,939 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Prisma Health Tuomey Hospital
Compare: Colonoscopy with biopsy at other SC hospitals
- Cannon Memorial Hospital · Pickens $258
- Anmed Health · Anderson $317
- Conway Medical Center · Conway $387
- Aiken Regional Medical Center · Aiken $822
- Prisma Health Richland Hospital · Columbia $833
- Piedmont Medical Center · Rock Hill $892
- Prisma Health Greer Memorial Hospital · Spartanburg $1,071
- MUSC Medical Center · Charleston $1,113
Insurance negotiated median for the same procedure, sorted lowest first.