CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 45380 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45380
- Insurance Median: $2,258
- Cash Discount Price: $5,157
- vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $2,258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,157. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.85x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$5,157
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,258
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$1,222.56
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $1,222.56 (100%)
Cash / Self-Pay: $5,157 (422%)
Insurance Median: $2,258 (185%)
Cash: $5,157 (422% of Medicare)
Ins. Median: $2,258 (185% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Alameda Alliance For Health [2027] | $474 | 39% |
| Alignment Health Plan [2020] | $474 | 39% |
| Alternate Medi-Cal [2001] | $474 | 39% |
| Blue Cross Blue Shield | $474 - $8,518 | 39% |
| Brand New Day [1089] | $474 | 39% |
| California Department Of Public Health [1237] | $474 | 39% |
| California Health & Wellness Medi-Cal [1122] | $474 | 39% |
| Caremore [2028] | $474 | 39% |
| Cms - County Medical Services [1025] | $474 - $9,442 | 39% |
| Community Care Ipa [1131] | $474 | 39% |
| Community Eldercare [1027] | $474 | 39% |
| Federal Prison [1031] | $474 | 39% |
| Gold Coast Health Plan [2031] | $474 | 39% |
| Health Plan Of San Joaquin [2032] | $474 | 39% |
| Hemet Community Med Grp - Promisecare [1040] | $474 | 39% |
| Imperial Health Holdings [1132] | $474 | 39% |
| Kern Health Systems [2033] | $474 | 39% |
| La Care Health Plan [2025] | $474 | 39% |
| Medi-Cal [1048] | $474 | 39% |
| Medicaid / KanCare | $474 | 39% |
| Regal Mg 'Heritage Provider Network' [2019] | $474 | 39% |
| San Diego County [1071] | $474 - $7,263 | 39% |
| Sd Physicians Med Grp [1076] | $474 - $9,442 | 39% |
| State Of California [1082] | $474 | 39% |
| UnitedHealthcare | $474 - $10,168 | 39% |
| Unlisted Mcal Hmo Non-Contract [1049] | $474 | 39% |
| Vantage [1092] | $474 - $8,715 | 39% |
| Ximed [2016] | $474 | 39% |
| Aetna | $507 - $7,350 | 41% |
| Champva [1020] | $507 | 41% |
| Cigna | $507 - $8,715 | 41% |
| Humana | $507 - $12,347 | 41% |
| Mc Blue Shield Generic Payor [164016] | $507 - $1,743 | 41% |
| Mc Blue Shield Hmo [164015] | $507 - $1,743 | 41% |
| Mc Brand New Day Generic Payor [164031] | $507 - $1,743 | 41% |
| Mc Brand New Day Hmo [164030] | $507 - $1,743 | 41% |
| Mc Healthnet Generic Payor [164010] | $507 - $1,743 | 41% |
| Mc Healthnet Hmo [164004] | $507 - $1,743 | 41% |
| Mc Hnet Blue&Gold Aco [164017] | $507 - $1,743 | 41% |
| Mc Scan Generic Payor [164034] | $507 - $1,743 | 41% |
| Mc Scan Hmo [164035] | $507 - $1,743 | 41% |
| Mid County Physicians Med Grp [1054] | $507 | 41% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $507 - $1,743 | 41% |
| Blue Shield Promise [1017] | $545 | 45% |
| Alternate Molina [1240] | $597 | 49% |
| Molina [1055] | $597 - $1,498 | 49% |
| Community Health Group [1022] | $611 | 50% |
| Health Net [1039] | $639 - $11,883 | 52% |
| Inland Empire Health Plan Transplant [1126] | $663 | 54% |
| Inland Empire Health Plan [1121] | $663 | 54% |
| Padres Workers Compensation [2013] | $681 - $2,339 | 56% |
| Padres [2014] | $681 - $2,339 | 56% |
| Cal Optima [1016] | $687 | 56% |
| Ucr Prompt Pay Payor [8240] | $980 | 80% |
| Alternate Healthnet [1007] | $1,467 - $7,045 | 120% |
| Alternate Scan Health [2088] | $1,498 - $1,692 | 123% |
| Scan Health [1072] | $1,498 - $1,692 | 123% |
| Multicultural Med Grp [1057] | $1,535 - $5,273 | 126% |
| Elizabeth Hospice [2018] | $1,692 - $5,810 | 138% |
| Scripps Clinic [1073] | $1,692 - $8,715 | 138% |
| Blue Shield [1014] | $1,794 - $10,382 | 147% |
| Alternate Health Net Bh [2059] | $2,051 - $7,045 | 168% |
| Healthnet Transplants [1114] | $2,051 - $7,045 | 168% |
| Usoc - Us Olympic Committee [1123] | $2,089 - $7,176 | 171% |
| Global Excel [1036] | $2,114 - $7,263 | 173% |
| Sharp Health Plan [1079] | $2,114 - $7,335 | 173% |
| Graybill Med Grp [1037] | $2,136 - $7,335 | 175% |
| Sharp Community Med Grp [1078] | $2,136 - $7,335 | 175% |
| Sharp Rees Stealy [1080] | $2,136 - $7,335 | 175% |
| Olympus Managed Healthcare Inc [1102] | $2,140 - $7,350 | 175% |
| Scripps Health Plan Services [1075] | $2,537 - $8,715 | 208% |
| Alternate Sheriff Custody [1106] | $2,749 - $9,442 | 225% |
| Arch Health Partners [2000] | $2,749 - $9,442 | 225% |
| Axa Assistance [1098] | $2,749 - $9,442 | 225% |
| Cassidy Med Grp [1019] | $2,749 - $9,442 | 225% |
| Cmn - Canadian Medical Network [1024] | $2,749 - $9,442 | 225% |
| Ets - Lifetrac Network [1103] | $2,749 - $9,442 | 225% |
| Health Net Bh (Mhn) [1038] | $2,749 - $9,442 | 225% |
| Health Net Bh (Mhn) [2010] | $2,749 - $9,442 | 225% |
| Interlink Health Services Transplant [1124] | $2,749 - $9,442 | 225% |
| Interlink Health Transplant [2085] | $2,749 - $9,442 | 225% |
| Mgm Resorts [1053] | $2,749 - $9,442 | 225% |
| National Healthcare Solutions Inc [1100] | $2,749 - $9,442 | 225% |
| Quality Health [1069] | $2,749 - $9,442 | 225% |
| San Diego County Sheriff Custody [2012] | $2,749 - $9,442 | 225% |
| Scripps Coastal Med Grp [1074] | $2,749 - $9,442 | 225% |
| Tri-City [1085] | $2,749 - $9,442 | 225% |
| Kaiser [1046] | $2,833 - $9,732 | 232% |
| Embassy Sponsored [1101] | $2,876 - $10,168 | 235% |
| Interplan [1045] | $2,960 - $10,168 | 242% |
| Mercy Physicians Med Grp [1052] | $2,960 - $10,168 | 242% |
| Pacific Foundation [1063] | $2,960 - $10,168 | 242% |
| Beech Street [1012] | $3,172 - $10,894 | 259% |
| First Health [1032] | $3,172 - $10,894 | 259% |
| Admar [1001] | $3,256 - $11,185 | 266% |
| Bps - Benefit Plan Services [1015] | $3,256 - $11,185 | 266% |
| Multiplan [1058] | $3,256 - $11,185 | 266% |
| Private Healthcare Systems [1067] | $3,256 - $14,525 | 266% |
| Carnival Cruises [1018] | $3,383 - $11,620 | 277% |
| Alternate Kaiser Rad Onc [2089] | $4,229 - $14,525 | 346% |
| Chargers Football Company [1109] | $4,229 | 346% |
| Palomar Health [1128] | $5,075 | 415% |
| Easy Choice [1029] | $5,286 | 432% |
| Sharp Healthcare Transplant [1119] | $5,709 - $19,609 | 467% |
| Alternate Blue Shield [2002] | $10,382 | 849% |
| Blue Shield Transplants [1113] | $10,382 | 849% |