CMS Price Transparency Data

Colonoscopy with biopsy

Facility: St Joseph's Medical Center of Stockton

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,460

about 1.2× the $1,223 Medicare rate · typically $439–$1,698

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,673

About the fair price

about $213 over the fair price · 1.4× Medicare

Medicare pays $1,223 Fair price $1,460 This hospital $1,673

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $165 Priciest $1,673

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

A fair price for a Colonoscopy with biopsy is about $1,460 (about 1.2× the $1,223 Medicare rate). St Joseph's Medical Center of Stockton charges insurers about $1,673 — about the fair price. Located in Stockton, CA.

What each insurance company pays

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

6 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	$1,673	137%
Blue Cross Blue Shieldmajor	$379 - $6,009	31%
Aetnamajor	$1,673 - $4,209	137%
Cignamajor	$1,673	137%
Humanamajor	$1,673	137%
Kaiser Permanentemajor	$379 - $1,673	31%
Health Net	$1,475 - $6,897	121%
Molina	$1,673	137%
+ 5 smaller / regional plans	$474 - $1,673

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 St Joseph's Medical Center of Stockton 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 (%)

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Other Procedures at St Joseph's Medical Center of Stockton

Compare: Colonoscopy with biopsy at other CA hospitals

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