Colonoscopy with tissue sampling at Children's National Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

3M $ COLONOSCPY FLEX W/BX SGL/MULT

Washington, DC

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Pricing by billing methodology

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How this price compares nationally

Children's National Hospital’s median price of $281 is 80% below the median hospital's median price ($1.4k), higher than 4% of the 2,393 hospitals reporting CPT 45380. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 45380 at Children's National Hospital

Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Anthem medicaid professional · fee schedule · both	$173	$173	—	—	—	$173 – $173
2	UnitedHealthcare managed medicaid professional · fee schedule · both	$185	$185	$11	6%	—	$175 – $196
3	Kaiser managed medicaid professional · fee schedule · both	$186	$186	—	—	—	$186 – $186
4	Aetna Better Health managed medicaid professional · fee schedule · both	$191	$191	$4	2%	—	$187 – $195
5	Molina managed medicaid (ccc plus) professional · fee schedule · both	$212	$212	—	—	—	$212 – $212
6	Molina managed medicaid (medallion) professional · fee schedule · both	$212	$212	—	—	—	$212 – $212
7	Carefirst managed medicaid professional · fee schedule · both	$224	$224	—	—	—	$224 – $224
8	Aetna commercial professional · fee schedule · both	$229	$229	—	—	—	$229 – $229
9	Carefirst hmo professional · fee schedule · both	$253	$253	—	—	—	$253 – $253
10	Carefirst rpn professional · fee schedule · both	$281	$281	—	—	—	$281 – $281
11	Anthem hmx professional · fee schedule · both	$295	$295	—	—	—	$295 – $295
12	Anthem hmo professional · fee schedule · both	$321	$321	—	—	—	$321 – $321
13	Anthem ppo/par professional · fee schedule · both	$402	$402	—	—	—	$402 – $402
14	Anthem hmo facility · fee schedule · outpatient	$478	$478	—	—	—	$478 – $478
15	Anthem hmx facility · fee schedule · outpatient	$478	$478	—	—	—	$478 – $478
16	Anthem ppo/par facility · fee schedule · outpatient	$478	$478	—	—	—	$478 – $478
17	Cigna oap professional · percent of total billed charges · bothfrom % of charges	$781	$781	—	—	—	$781 – $781
18	Cigna ppo professional · percent of total billed charges · bothfrom % of charges	$781	$781	—	—	—	$781 – $781
19	Kaiser commercial professional · percent of total billed charges · bothfrom % of charges	$937	$937	—	—	—	$937 – $937
20	Carefirst hmo facility · fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
21	Carefirst rpn facility · fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
22	Aetna commercial facility · fee schedule · outpatient	$4.6k	$4.6k	—	—	—	$4.6k – $4.6k
23	Cigna oap facility · fee schedule · outpatient	$6.3k	$6.3k	—	—	—	$6.3k – $6.3k
24	UnitedHealthcare all payer facility · fee schedule · outpatient	$6.3k	$6.3k	—	—	—	$6.3k – $6.3k
25	UnitedHealthcare options ppo facility · fee schedule · outpatient	$6.9k	$6.9k	—	—	—	$6.9k – $6.9k

Last updated: Apr 2, 2026

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