CMS Price Transparency Data

Colonoscopy with biopsy

Facility: St. Mary's Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,281
about 1.0× the $1,223 Medicare rate · typically $726–$1,639
modeled estimate · not a bill or quote
What this hospital charges insurers
$519
Below the fair price — a good deal
about $762 under the fair price · 0.4× Medicare
Medicare pays $1,223 Fair price $1,281 This hospital $519

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 $182 Priciest $752

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

A fair price for a Colonoscopy with biopsy is about $1,281 (about 1.0× the $1,223 Medicare rate). St. Mary's Hospital charges insurers about $519 — 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 $246 20%
Aetnamajor $2,022 165%
Cignamajor $2,621 - $3,331 214%
Humanamajor $721 - $5,059 59%
Ambetter (Centene) $2,182 178%
Molina $246 20%
Oscar Health $519 42%

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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