CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Menifee Global Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,610

about 1.3× the $1,223 Medicare rate · typically $770–$2,222

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,715

About the fair price

about $105 over the fair price · 1.4× Medicare

Medicare pays $1,223 Fair price $1,610 This hospital $1,715 Cash price $5,364 Hospital's list price $5,364

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 $1,715

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $1,610 (about 1.3× the $1,223 Medicare rate). Menifee Global Medical Center charges insurers about $1,715, or about $5,364 in cash — about the fair price. Located in Sun City, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$1,532 - $2,212	125%
Blue Cross Blue Shieldmajor	$497 - $5,069	41%
Aetnamajor	$1,532 - $3,224	125%
Cignamajor	$1,699 - $4,291	139%
Humanamajor	$1,532	125%
Kaiser Permanentemajor	$1,532 - $5,364	125%
Health Net	$1,532 - $5,364	125%
Molina	$1,510 - $4,626	124%
+ 37 smaller / regional plans	$390 - $15,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 5,364), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Menifee Global Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Menifee Global Medical Center

Compare: Colonoscopy with biopsy at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.