CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,843
Cash Discount Price: $1,931
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Loma Linda University Medical Center-Murrieta is $1,843. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,931. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.51x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$1,931

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,843

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $1,931 (158%)

Insurance Median: $1,843 (151%)

Cash: $1,931 (158% of Medicare)

Ins. Median: $1,843 (151% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Trivalley Medical Group	$425	35%
Inland Empire Health Plan (Iehp)	$535 - $1,498	44%
Kaiser Foundation Hospitals	$703 - $1,852	58%
Adventist Health	$776 - $940	63%
Lluh Dept Of Risk Management	$970 - $1,175	79%
Alpha Care Medical Group	$1,498 - $2,247	123%
Dignity Health	$1,498 - $2,247	123%
Epic Health Plan	$1,498 - $9,616	123%
Vantage Medical Group	$1,498 - $2,247	123%
Heritage Provider Network	$1,843 - $3,182	151%
Molina Healthcare Of Ca	$1,888	154%
Cigna	$2,523	206%
Aetna	$2,667	218%
Multiplan	$2,912 - $3,525	238%
UnitedHealthcare	$2,984 - $3,544	244%
Blue Cross Blue Shield	$3,531	289%
Blue Shield Of California	$7,178 - $8,962	587%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,931.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Medical Center-Murrieta is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.