CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Montrose Regional Health

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$290

about 0.2× the $1,223 Medicare rate · typically $226–$1,043

modeled estimate · not a bill or quote

What this hospital charges insurers

$299

About the fair price

about $9 over the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $290 This hospital $299 Cash price $892 Hospital's list price $1,190

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $179 Priciest $299

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

A fair price for a Colonoscopy with biopsy is about $290 (about 0.2× the $1,223 Medicare rate). Montrose Regional Health charges insurers about $299, or about $892 in cash — about the fair price. Located in Montrose, CO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$295 - $1,752	24%
Blue Cross Blue Shieldmajor	$179 - $1,647	15%
Cignamajor	$596 - $1,664	49%
Humanamajor	$179 - $1,489	15%
+ 3 smaller / regional plans	$564 - $1,664

Government programs also on file: Medicare.

Excludes 2 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 892), 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 Montrose Regional Health 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 Montrose Regional Health

Compare: Colonoscopy with biopsy at other CO hospitals

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