CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Lexington Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,381
about 1.1× the $1,223 Medicare rate · typically $1,158–$1,698
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,388
About the fair price
about $7 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,381 This hospital $1,388

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 $1,388

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 $1,381 (about 1.1× the $1,223 Medicare rate). Lexington Medical Center charges insurers about $1,388 — about the fair price. Located in West Columbia, 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 $2,892 237%
Blue Cross Blue Shieldmajor $856 - $5,590 70%
Aetnamajor $1,238 101%
Cignamajor $15,483 1266%
Humanamajor $1,226 100%
Ambetter (Centene) $2,082 170%
Molina $1,388 - $4,060 114%
+ 2 smaller / regional plans $1,215 - $5,109

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Facility Profile & Credentials

  • Address: 2720 Sunset Blvd, West Columbia, SC 29169
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals