CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Adventist Health Sonora

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$265
about 0.2× the $1,223 Medicare rate · typically $190–$1,234
modeled estimate · not a bill or quote
What this hospital charges insurers
$178
Below the fair price — a good deal
about $87 under the fair price · 0.1× Medicare
Medicare pays $1,223 Fair price $265 This hospital $178 Cash price $115 Hospital's list price $677

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

One of the lower prices — 7 of 8 other CA hospitals charge more for the same procedure.

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 $265 (about 0.2× the $1,223 Medicare rate). Adventist Health Sonora charges insurers about $178, or about $115 in cash — below the fair price — a good deal. Located in Sonora, CA.

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 $178 - $583 15%
Blue Cross Blue Shieldmajor $178 - $743 15%
Aetnamajor $426 35%
Cignamajor $219 18%
Health Net $178 - $259 15%
+ 5 smaller / regional plans $178 - $828
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals