CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Cumberland Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,235
about 1.0× the $1,223 Medicare rate · typically $1,195–$1,235
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,211
About the fair price
about $24 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,235 This hospital $1,211

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $258 Priciest $1,211

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

A fair price for a Colonoscopy with biopsy is about $1,235 (about 1.0× the $1,223 Medicare rate). Cumberland Medical Center charges insurers about $1,211 — about the fair price. Located in Crossville, TN.

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 $882 - $1,502 72%
Blue Cross Blue Shieldmajor $1,211 - $2,805 99%
Aetnamajor $1,211 - $1,722 99%
Cignamajor $1,211 - $2,329 99%
Humanamajor $1,188 97%
Ambetter (Centene) $1,941 159%
Devoted Health $1,211 99%
WellCare $1,211 99%
+ 1 smaller / regional plan $1,102
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals