CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Uch-Memorial Health System

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,631
Cash Discount Price: $1,814
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Uch-Memorial Health System is $1,631. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,814. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.33x the Medicare baseline. Located in 1400 E Boulder St, Colorado Springs, CO.

Cash / Self-Pay

$1,814

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,631

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: $1,814 (148%)

Insurance Median: $1,631 (133%)

Cash: $1,814 (148% of Medicare)

Ins. Median: $1,631 (133% 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
Kaiser Public Option	$938	77%
Blue Cross Blue Shield	$1,055 - $6,907	86%
Aetna	$1,185 - $6,680	97%
Cigna	$1,185 - $1,992	97%
Cms	$1,185	97%
Devoted Health	$1,185	97%
Humana	$1,185	97%
Kaiser	$1,185 - $1,370	97%
Select Health	$1,185 - $2,348	97%
UnitedHealthcare	$1,185 - $4,872	97%
Kaiser Kp Select	$1,234	101%
Simplified Benefits Administration	$1,294 - $1,572	106%
Denver Health Medical Plan	$2,016	165%
Rocky Mountain Health Plan	$2,177	178%
First Health	$2,378	195%
Multiplan	$2,862	234%
Phcs	$2,862	234%

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 $1,814.
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 Uch-Memorial Health System 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.