CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Nacogdoches Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$713
about 0.6× the $1,223 Medicare rate · typically $393–$2,152
modeled estimate · not a bill or quote
What this hospital charges insurers
$682
About the fair price
about $31 under the fair price · 0.6× Medicare
Medicare pays $1,223 Fair price $713 This hospital $682 Cash price $256 Hospital's list price $853

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $174 Priciest $682

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

A fair price for a Colonoscopy with biopsy is about $713 (about 0.6× the $1,223 Medicare rate). Nacogdoches Memorial Hospital charges insurers about $682, or about $256 in cash — about the fair price. Located in Nacogdoches, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $469 - $682 38%
Aetnamajor $682 56%
Humanamajor $1,094 89%
Cigna HealthSpring $1,148 94%
Health Net $682 56%
Molina $1,148 94%
WellMed $1,094 89%
+ 1 smaller / regional plan $853
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1204 Mound St, Nacogdoches, TX 75961
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals