CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint Thomas Highlands Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,196
about 1.0× the $1,223 Medicare rate · typically $985–$1,363
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,218
About the fair price
about $22 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,196 This hospital $1,218 Cash price $1,261 Hospital's list price $4,204

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 $1,218

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 $1,196 (about 1.0× the $1,223 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $1,218, or about $1,261 in cash — about the fair price. Located in Sparta, TN.

What each insurance company pays

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

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

✓ Cigna UnitedHealthcareBlue Cross Blue ShieldAetnaHumanaKaiser 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
Cignamajor $1,185 - $2,984 97%
+ 1 smaller / regional plan $395

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals