CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Claiborne Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$955
about 1.0× the $950 Medicare rate · typically $635–$1,097
modeled estimate · not a bill or quote
What this hospital charges insurers
$936
About the fair price
about $19 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $955 This hospital $936

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 $166 Priciest $936

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

A fair price for a Colonoscopy (diagnostic) is about $955 (about 1.0× the $950 Medicare rate). Claiborne Medical Center charges insurers about $936 — about the fair price. Located in Tazewell, 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 $892 - $2,604 94%
Blue Cross Blue Shieldmajor $936 - $2,244 99%
Aetnamajor $936 - $1,722 99%
Cignamajor $936 - $2,329 99%
Humanamajor $918 97%
Ambetter (Centene) $1,941 204%
Devoted Health $936 99%
WellCare $936 99%
+ 1 smaller / regional plan $853
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 1850 Old Knoxville Highway, Tazewell, TN 37879
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals