CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Tennova Healthcare - Clarksville

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,268

about 1.0× the $1,223 Medicare rate · typically $1,161–$1,297

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,263

About the fair price

about $5 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,268 This hospital $1,263 Cash price $2,393 Hospital's list price $12,337

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 $1,263

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 $1,268 (about 1.0× the $1,223 Medicare rate). Tennova Healthcare - Clarksville charges insurers about $1,263, or about $2,393 in cash — about the fair price. Located in Clarksville, 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	$886 - $2,179	72%
Blue Cross Blue Shieldmajor	$862 - $2,522	71%
Aetnamajor	$1,208 - $2,788	99%
Cignamajor	$1,155 - $2,568	94%
Humanamajor	$1,173 - $2,714	96%
Ambetter (Centene)	$2,205	180%
Amerigroup	$801 - $1,232	66%
Cigna HealthSpring	$1,196	98%
Devoted Health	$1,191	97%
Oscar Health	$7,193	588%
WellCare	$1,192 - $3,084	98%
+ 11 smaller / regional plans	$1,173 - $11,103

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

Excludes 11 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 2,393), 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 Tennova Healthcare - Clarksville 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 Tennova Healthcare - Clarksville

Compare: Colonoscopy with biopsy at other TN hospitals

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