CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Weirton Medical Center, Inc

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$677

about 0.6× the $1,223 Medicare rate · typically $343–$966

modeled estimate · not a bill or quote

What this hospital charges insurers

$713

About the fair price

about $36 over the fair price · 0.6× Medicare

Medicare pays $1,223 Fair price $677 This hospital $713 Cash price $2,364 Hospital's list price $4,728

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $149 Priciest $713

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 $677 (about 0.6× the $1,223 Medicare rate). Weirton Medical Center, Inc charges insurers about $713, or about $2,364 in cash — about the fair price. Located in Weirton, 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	$1,245	102%
Blue Cross Blue Shieldmajor	$206 - $1,177	17%
Aetnamajor	$210 - $1,199	17%
Humanamajor	$1,199	98%
AmeriHealth	$225	18%
HealthPartners	$284	23%
+ 3 smaller / regional plans	$209 - $1,142

Government programs also on file: Medicare, Medicaid.

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 2,364), 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 Weirton 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 Weirton Medical Center, Inc

Compare: Colonoscopy with biopsy at other WV hospitals

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