CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Adventist Health White Memorial
Billing Code: 45380 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45380
- Insurance Median: $357
- Cash Discount Price: $129
- vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Adventist Health White Memorial is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.29x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$129
Average discount available for prompt cash payment at this facility.
Insurance Median
$357
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: $129 (11%)
Insurance Median: $357 (29%)
Cash: $129 (11% of Medicare)
Ins. Median: $357 (29% 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 |
|---|---|---|
| Access Group | $158 - $1,308 | 13% |
| Lasalle Mg Commercial - All Other Plans | $158 - $1,308 | 13% |
| Access Senior - All Other Plans | $186 - $1,539 | 15% |
| Ahp - All Other Plans | $186 - $1,308 | 15% |
| Ahp Senior | $186 - $1,539 | 15% |
| Altamed Connect | $186 - $1,539 | 15% |
| Avanti Mcr Adv - All Other Plans | $186 - $1,539 | 15% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $186 - $646 | 15% |
| Blue Cross Blue Shield | $186 - $4,037 | 15% |
| Brand New Day Mcare - All Plans | $186 - $1,539 | 15% |
| Bs Va Mcare | $186 - $1,539 | 15% |
| Care First Mcare - All Other Plans | $186 - $1,539 | 15% |
| Caremore Mcare - All Plans | $186 - $359 | 15% |
| Clever Care - All Plans | $186 - $1,539 | 15% |
| El Proyecto Comm Profee Only - All Other Plans | $186 | 15% |
| El Proyecto Mcr Profee Only | $186 | 15% |
| Fcs Ipa Mcr Advan Op/Profee Only | $186 - $1,539 | 15% |
| Global Care Comm Profee Only - All Other Plans | $186 | 15% |
| Global Care Mcr Profee Only | $186 | 15% |
| Hcla Comm Profee Only - All Other Plans | $186 | 15% |
| Hcla Mcr Profee Only | $186 | 15% |
| Humana | $186 - $1,539 | 15% |
| La Care Mcr Adv - All Plans | $186 - $395 | 15% |
| Lasalle Mg Senior | $186 - $1,539 | 15% |
| Medicare (plans) | $186 - $2,001 | 15% |
| Pacific Alliance Mcare - All Other Plans | $186 - $1,539 | 15% |
| Preferred Senior | $186 - $1,539 | 15% |
| Scan Health Mcare - All Plans | $186 - $467 | 15% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $186 - $1,539 | 15% |
| Tricare | $186 - $1,539 | 15% |
| UnitedHealthcare | $186 - $3,919 | 15% |
| Fcs Ipa Op/Profee Only - All Other Plans | $196 - $1,616 | 16% |
| Ah Employee Health Plan - All Plans | $205 - $2,770 | 17% |
| Molina Benefit Exchange - All Other Plans | $214 - $2,078 | 18% |
| Molina Mcare | $214 - $1,539 | 18% |
| Prospect Mg Com/Pos Profee Only-All Other Plan | $215 | 18% |
| Prospect Mg Mcal Profee Only | $215 | 18% |
| Prospect Mg Mcr Adv Profee Only | $215 | 18% |
| Preferred Commercial - All Other Plans | $224 - $1,847 | 18% |
| Cigna | $239 - $304 | 20% |
| Intergrated Medical - All Plans | $242 - $2,001 | 20% |
| Western Growers/Pinnacle - All Plans | $259 - $8,884 | 21% |
| Aetna | $269 - $5,823 | 22% |
| Healthnet - All Other Plans | $272 - $339 | 22% |
| Healthnet Comm Care | $272 - $349 | 22% |
| Pacific Ipa - All Other Plans | $273 | 22% |
| Centivo - All Plans | $280 - $3,463 | 23% |
| Blue Shield Mcr Adv | $283 - $1,016 | 23% |
| Healthnet Mcr Adv | $285 - $1,099 | 23% |
| Kaiser- All Plans | $294 | 24% |
| Access Medi-Cal | $330 | 27% |
| Ahp Medi-Cal | $330 - $462 | 27% |
| Alta Los Angeles Mcal 1/1/19 | $330 | 27% |
| Altamed Medi-Cal - All Other Plans | $330 - $380 | 27% |
| Bc Medi-Cal | $330 - $615 | 27% |
| Bella Vista Medi-Cal Op/Profee Only | $330 - $462 | 27% |
| Blue Shield Medi-Cal | $330 - $1,100 | 27% |
| Care First Medi-Cal | $330 - $1,100 | 27% |
| Healthcare Inc Medi-Cal | $330 | 27% |
| Lasalle Mg Medi-Cal | $330 | 27% |
| Medi-Cal | $330 | 27% |
| Molina Medi-Cal | $330 - $528 | 27% |
| Pacific Alliance Medi-Cal | $330 | 27% |
| Pacific Ipa Medi-Cal | $330 | 27% |
| Preferred Ipa La Care Mcal Cap | $330 | 27% |
| Preferred Medi-Cal | $330 | 27% |
| Healthcare Inc - All Other Plans | $337 | 28% |
| Hcpamg - All Plans | $355 | 29% |
| Healthnet Mcal | $393 | 32% |
| Fcs Ipa Medi-Cal Op/Profee Only | $396 | 32% |
| Preferred Healthy | $413 | 34% |
| First Heatlh Ppo - All Plans | $416 | 34% |
| Assoc Hispanic Physcns Mcal | $462 | 38% |
| El Proyecto Mcal Profee Only | $462 | 38% |
| Global Care Mcal Profee Only | $462 | 38% |
| Hcla Mcal Profee Only | $462 | 38% |
| Phcs Ppo - All Plans | $467 | 38% |
| Ahf - All Plans | $538 | 44% |
| Beech Street - All Plans | $538 | 44% |
| Interplan Ppo - All Plans | $538 | 44% |
| Corvel Corp - All Plans | $574 | 47% |
| Multiplan Ppo - All Plans | $596 | 49% |
| Healthmannet - All Plans | $610 | 50% |
| Next Inc Ppo - All Plans | $610 | 50% |
| Trpn - All Plans | $610 | 50% |
| Fpn Ppo - All Plans | $646 | 53% |
| Blue Shield Epn | $748 - $5,291 | 61% |
| Blue Shield - All Other Plans | $791 - $6,104 | 65% |
| Avanti Mcal | $1,077 | 88% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $1,539 | 126% |
| Bright Health - All Plans | $1,770 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $1,847 | 151% |
| Php-Prospect Health Plan Cap - All Plans | $2,309 | 189% |