CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Abrazo Scottsdale Campus

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,322

about 1.1× the $1,223 Medicare rate · typically $786–$1,655

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,189

Below the fair price — a good deal

about $133 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,322 This hospital $1,189

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $182 Priciest $1,189

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 $1,322 (about 1.1× the $1,223 Medicare rate). Abrazo Scottsdale Campus charges insurers about $1,189 — below the fair price — a good deal. Located in Phoenix, 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	$1,094 - $2,863	89%
Cignamajor	$1,189 - $3,905	97%
Humanamajor	$667 - $4,160	55%
Ambetter (Centene)	$1,549	127%
Molina	$246	20%
Oscar Health	$604	49%

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, 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 Abrazo Scottsdale Campus 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 Abrazo Scottsdale Campus

Compare: Colonoscopy with biopsy at other AZ hospitals

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