CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Cheyenne Regional Medical Center

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,945
Cash Discount Price: $3,933
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Cheyenne Regional Medical Center is $1,945. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,933. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.59x the Medicare baseline. Located in 214 East 23Rd Street, Cheyenne, WY.

Cash / Self-Pay

$3,933

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,945

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: $3,933 (322%)

Insurance Median: $1,945 (159%)

Cash: $3,933 (322% of Medicare)

Ins. Median: $1,945 (159% 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.

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
UnitedHealthcare	$178 - $4,579	15%
Humana	$183 - $1,284	15%
Cigna	$478 - $4,674	39%
Blue Cross Blue Shield	$752 - $4,213	62%
Aetna	$1,030 - $4,944	84%
First Choice Health	$1,030 - $4,944	84%
Meritain Health	$1,030 - $4,944	84%
Provider Network Of America	$1,030 - $4,944	84%
Imagine Health	$1,053 - $5,056	86%
Coventry Health Care	$1,124 - $5,393	92%

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 $3,933.
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 Cheyenne Regional Medical Center 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.