CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$713

about 0.6× the $1,223 Medicare rate · typically $152–$1,313

modeled estimate · not a bill or quote

What this hospital charges insurers

$149

Below the fair price — a good deal

about $564 under the fair price · 0.1× Medicare

Medicare pays $1,223 Fair price $713 This hospital $149 Cash price $3,269 Hospital's list price $3,269

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Lowest price of the 9 WV hospitals we have prices for — a strong deal.

Cheapest $149 Priciest $684

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $713 (about 0.6× the $1,223 Medicare rate). Camc Greenbrier Valley Medical Center, Inc charges insurers about $149, or about $3,269 in cash — below the fair price — a good deal. Located in Ronceverte, WV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$143 - $4,685	12%
Blue Cross Blue Shieldmajor	$135 - $5,417	11%
Aetnamajor	$135 - $5,739	11%
Humanamajor	$143 - $5,270	12%
CareSource	$135 - $4,685	11%
UniCare	$135 - $156	11%
+ 7 smaller / regional plans	$135 - $5,270

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,269), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Camc Greenbrier Valley Medical Center, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Camc Greenbrier Valley Medical Center, Inc

Compare: Colonoscopy with biopsy at other WV hospitals

Insurance negotiated median for the same procedure, sorted lowest first.