CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Highpoint Health-Riverview With Ascension Saint Th

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,575
about 1.3× the $1,223 Medicare rate · typically $454–$2,903
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,576
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $1,223 Fair price $1,575 This hospital $1,576 Cash price $2,032 Hospital's list price $6,234

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 $1,576

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 $1,575 (about 1.3× the $1,223 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $1,576, or about $2,032 in cash — about the fair price. Located in Carthage, 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 $2,089 171%
Blue Cross Blue Shieldmajor $1,491 - $1,576 122%

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Facility Profile & Credentials

  • Address: 158 Hospital Drive, Carthage, TN 37030
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals