Colonoscopy with biopsy
Facility: Saint Agnes Medical Center
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $165 compared to the $171 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.96× fair market pricing.
Lowest price of the 9 CA hospitals we have prices for — a strong deal.
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 $171 (about 0.1× the $1,223 Medicare rate). Saint Agnes Medical Center charges insurers about $165 — about the fair price. Located in Fresno, 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
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 |
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.
Other Procedures at Saint Agnes Medical Center
Compare: Colonoscopy with biopsy at other CA hospitals
- Adventist Health Sonora · Sonora $178
- Kern Valley Healthcare District · Lake Isabella $179
- Mayers Memorial Hospital · Fall River Mills $182
- Plumas District Hospital · Quincy $185
- Natividad Medical Center · Salinas $219
- Glendale Adventist Medical Center · Glendale $224
- Adventist Health Tulare · Tulare $227
- Adventist Health Bakersfield · Bakersfield $240
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Agnes Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $249
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $249).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Saint Agnes Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $171 Fair BaseRate ($1,223 Medicare)
Your bill ($685) is $514 above the denoised Fair BaseRate ($171) and 0.6× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.