CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint Agnes Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$139
about 0.1× the $1,223 Medicare rate · typically $94–$595
modeled estimate · not a bill or quote
What this hospital charges insurers
$165
Above the fair price
about $26 over the fair price · 0.1× Medicare
Medicare pays $1,223 Fair price $139 This hospital $165 Hospital's list price $685

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $165 Priciest $247

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 $139 (about 0.1× the $1,223 Medicare rate). Saint Agnes Medical Center charges insurers about $165 — above the fair price. Located in Fresno, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $139. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $87 - $4,822 7%
Blue Cross Blue Shieldmajor $83 - $5,118 7%
Aetnamajor $87 - $2,419 7%
Cignamajor $87 - $165 7%
Humanamajor $87 - $2,542 7%
Kaiser Permanentemajor $173 - $4,319 14%
Ambetter (Centene) $165 13%
Clover Health $87 7%
GEHA $116 - $4,822 9%
Health Net $104 - $165 9%
HealthPartners $165 13%
Meridian $87 - $165 7%
Molina $165 13%
Paramount $165 13%
Presbyterian $87 - $165 7%
Tufts Health Plan $165 13%
WellMed $87 7%
WellSense $165 13%
+ 336 smaller / regional plans $87 - $5,118
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (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.

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals