CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: St. Mary's Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$997
about 1.0× the $950 Medicare rate · typically $623–$1,282
modeled estimate · not a bill or quote
What this hospital charges insurers
$410
Below the fair price — a good deal
about $587 under the fair price · 0.4× Medicare
Medicare pays $950 Fair price $997 This hospital $410

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

On the higher side — 7 of 8 other AZ hospitals charge less.

Cheapest $167 Priciest $575

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

A fair price for a Colonoscopy (diagnostic) is about $997 (about 1.0× the $950 Medicare rate). St. Mary's Hospital charges insurers about $410 — below the fair price — a good deal. Located in Tucson, AZ.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $166 17%
Aetnamajor $2,022 213%
Cignamajor $2,621 - $3,331 276%
Humanamajor $664 - $5,059 70%
Ambetter (Centene) $2,182 230%
Molina $166 17%
Oscar Health $410 43%

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Facility Profile & Credentials

  • Address: 1601 West St Mary's Road, Tucson, AZ 85745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals