CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Parkland Health & Hospital System

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $2,728
Cash Discount Price: $3,956
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Parkland Health & Hospital System is $2,728. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,956. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 2.23x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$3,956

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,728

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $3,956 (324%)

Insurance Median: $2,728 (223%)

Cash: $3,956 (324% of Medicare)

Ins. Median: $2,728 (223% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cook Children Health Plan [1380]	$451 - $2,122	37%
Wellpoint [1007]	$452 - $9,822	37%
Aetna	$474 - $19,701	39%
Parkland Community Health Plan [1056]	$474 - $10,313	39%
Superior Health Plan [1402]	$474	39%
Molina [1382]	$497 - $10,804	41%
Point Comfort Underwriters [1801]	$497 - $2,223	41%
Care Improvement Plus [1104]	$950 - $6,863	78%
Procare Advantage [2104]	$964 - $6,961	79%
Medicare (plans)	$1,470 - $7,240	120%
UnitedHealthcare	$1,477 - $21,901	121%
Wellcare Of Texas [1330]	$1,477 - $6,896	121%
Blue Cross Blue Shield	$1,526 - $23,642	125%
Superior Healthplan [1383]	$1,677 - $7,894	137%
Molina Aca [1337]	$2,110 - $9,851	173%
Cigna	$2,137 - $19,701	175%
Great West Healthcare [1037]	$2,728 - $19,701	223%
Triwest Healthcare Alliance [1409]	$5,274 - $24,627	431%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,956.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Health & Hospital System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.