CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Starr Regional Medical Center Athens

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,918
about 1.6× the $1,223 Medicare rate · typically $1,129–$2,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,937
About the fair price
about $19 over the fair price · 1.6× Medicare
Medicare pays $1,223 Fair price $1,918 This hospital $1,937 Cash price $2,352 Hospital's list price $11,998

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 $1,937

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 $1,918 (about 1.6× the $1,223 Medicare rate). Starr Regional Medical Center Athens charges insurers about $1,937, or about $2,352 in cash — about the fair price. Located in Athens, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,260 185%
Blue Cross Blue Shieldmajor $1,613 132%

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Facility Profile & Credentials

  • Address: 1114 W Madison Ave, Athens, TN 37371
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals