CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Grossmont Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,468
about 1.2× the $1,223 Medicare rate · typically $1,085–$1,865
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,468 Cash price $2,756 Hospital's list price $3,675
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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $2,572 - $3,308 | 210% |
| Blue Cross Blue Shieldmajor | $1,250 - $2,940 | 102% |
| Aetnamajor | $375 - $2,536 | 31% |
| Cignamajor | $1,029 - $2,756 | 84% |
| Health Net | $514 - $2,940 | 42% |
| Molina | $375 - $2,756 | 31% |
| + 5 smaller / regional plans | $2,047 - $2,940 |
Government programs also on file: Medicare, Medicaid.
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
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Grossmont Hospital
Compare: Colonoscopy with biopsy at other CA hospitals
- Saint Agnes Medical Center · Fresno $165
- Adventist Health Sonora · Sonora $178
- Kern Valley Healthcare District · Lake Isabella $179
- Mayers Memorial Hospital · Fall River Mills $182
- Natividad Medical Center · Salinas $219
- Adventist Health Tulare · Tulare $227
- Adventist Health Tehachapi Valley · Tehachapi $241
- Glendale Adventist Medical Center · Glendale $242
Insurance negotiated median for the same procedure, sorted lowest first.