CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Poudre Valley Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,234

about 1.0× the $1,223 Medicare rate · typically $844–$2,691

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,185

About the fair price

about $49 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,234 This hospital $1,185 Cash price $3,347 Hospital's list price $4,782

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 $1,185

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 $1,234 (about 1.0× the $1,223 Medicare rate). Poudre Valley Hospital charges insurers about $1,185, or about $3,347 in cash — about the fair price. Located in Fort Collins, CO.

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	$1,185 - $3,955	97%
Blue Cross Blue Shieldmajor	$892 - $16,171	73%
Aetnamajor	$1,185 - $3,955	97%
Cignamajor	$1,185 - $8,098	97%
Humanamajor	$1,185	97%
Kaiser Permanentemajor	$1,185	97%
Devoted Health	$1,185	97%
SelectHealth	$964 - $2,037	79%
+ 4 smaller / regional plans	$1,808 - $4,639

Excludes 4 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 3,347), 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 Poudre Valley Hospital 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 Poudre Valley Hospital

Compare: Colonoscopy with biopsy at other CO hospitals

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