Colonoscopy with biopsy
Facility: Mercy San Juan Medical Center
Billing Code: 45380 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
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 $1,839 (about 1.5× the $1,223 Medicare rate). Mercy San Juan Medical Center charges insurers about $1,704 — about the fair price. Located in Carmichael, 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
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 | $379 - $1,549 | 31% |
| Blue Cross Blue Shieldmajor | $900 - $9,068 | 74% |
| Aetnamajor | $1,549 - $7,251 | 127% |
| Humanamajor | $1,549 | 127% |
| Kaiser Permanentemajor | $1,549 | 127% |
| Health Net | $1,368 - $8,609 | 112% |
| Molina | $621 - $1,549 | 51% |
| + 6 smaller / regional plans | $200 - $2,324 |
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 Mercy San Juan Medical Center
Compare: Colonoscopy with biopsy at other CA hospitals
- Saint Agnes Medical Center · Fresno $165
- Adventist Health Sonora · Sonora $178
- Kern Valley Healthcare District · Lake Isabella $179
- Mayers Memorial Hospital · Fall River Mills $182
- Natividad Medical Center · Salinas $219
- Adventist Health Tulare · Tulare $227
- Adventist Health Tehachapi Valley · Tehachapi $241
- Glendale Adventist Medical Center · Glendale $242
Insurance negotiated median for the same procedure, sorted lowest first.