CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Yavapai Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$688

about 0.6× the $1,223 Medicare rate · typically $420–$1,514

modeled estimate · not a bill or quote

What this hospital charges insurers

$434

Below the fair price — a good deal

about $254 under the fair price · 0.4× Medicare

Medicare pays $1,223 Fair price $688 This hospital $434 Cash price $2,512 Hospital's list price $3,386

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 4 charge more and 4 charge less, among the 9 AZ hospitals compared.

Cheapest $182 Priciest $752

Black dot = this hospital, among the 9 AZ 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 $688 (about 0.6× the $1,223 Medicare rate). Yavapai Regional Medical Center charges insurers about $434, or about $2,512 in cash — below the fair price — a good deal. Located in Prescott, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$208 - $2,946	17%
Blue Cross Blue Shieldmajor	$351 - $2,881	29%
Aetnamajor	$372 - $3,047	30%
Cignamajor	$351 - $2,956	29%
Humanamajor	$208 - $1,257	17%
Banner Health	$208 - $1,257	17%
Devoted Health	$438 - $1,332	36%
Health Net	$208 - $3,284	17%
WellCare	$413 - $1,320	34%
+ 11 smaller / regional plans	$208 - $1,320

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 2,512), 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 Yavapai Regional Medical Center 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 Yavapai Regional Medical Center

Compare: Colonoscopy with biopsy at other AZ hospitals

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