CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Northbay Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,552
about 1.3× the $1,223 Medicare rate · typically $794–$1,552
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,358
Below the fair price — a good deal
about $194 under the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,552 This hospital $1,358 Cash price $1,973 Hospital's list price $1,973

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 $1,358

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 $1,552 (about 1.3× the $1,223 Medicare rate). Northbay Medical Center charges insurers about $1,358, or about $1,973 in cash — below the fair price — a good deal. Located in Fairfield, CA.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $905 74%
Blue Cross Blue Shieldmajor $1,173 - $1,758 96%

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Facility Profile & Credentials

  • Address: 1200 B Gale Wilson Blvd, Fairfield, CA 94533
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals