CMS Price Transparency Data

Colonoscopy with biopsy

Facility: UCSF Health St. Mary's Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,741
about 1.4× the $1,223 Medicare rate · typically $1,424–$2,347
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,731
About the fair price
about $10 under the fair price · 1.4× Medicare
Medicare pays $1,223 Fair price $1,741 This hospital $1,731

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 $1,731

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 $1,741 (about 1.4× the $1,223 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $1,731 — about the fair price. Located in San Francisco, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $1,731 142%
Blue Cross Blue Shieldmajor $587 - $7,863 48%
Aetnamajor $1,731 142%
Humanamajor $1,731 142%
Kaiser Permanentemajor $379 - $1,731 31%
Health Net $459 - $10,635 38%
Oscar Health $5,679 465%
+ 7 smaller / regional plans $379 - $5,021

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Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals