CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Spotsylvania Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,133
about 2.6× the $1,223 Medicare rate · typically $1,321–$4,050
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,060
About the fair price
about $73 under the fair price · 2.5× Medicare
Medicare pays $1,223 Fair price $3,133 This hospital $3,060

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $1,073 Priciest $3,060

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

A fair price for a Colonoscopy with biopsy is about $3,133 (about 2.6× the $1,223 Medicare rate). Spotsylvania Regional Medical Center charges insurers about $3,060 — about the fair price. Located in Fredericksburg, VA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $3,540 290%
Blue Cross Blue Shieldmajor $2,225 - $3,060 182%
Cignamajor $2,217 - $3,273 181%
Bright Health $2,377 194%
Sentara $4,845 396%
+ 1 smaller / regional plan $2,550

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Facility Profile & Credentials

  • Address: 4600 Spotsylvania Parkway, Fredericksburg, VA 22408
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals