CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Heart of the Rockies Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$351

about 0.3× the $1,223 Medicare rate · typically $187–$2,132

modeled estimate · not a bill or quote

What this hospital charges insurers

$179

Below the fair price — a good deal

about $172 under the fair price · 0.1× Medicare

Medicare pays $1,223 Fair price $351 This hospital $179 Cash price $455 Hospital's list price $535

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Lowest price of the 9 CO hospitals we have prices for — a strong deal.

Cheapest $179 Priciest $190

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 $351 (about 0.3× the $1,223 Medicare rate). Heart of the Rockies Regional Medical Center charges insurers about $179, or about $455 in cash — below the fair price — a good deal. Located in Salida, 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	$179 - $514	15%
Blue Cross Blue Shieldmajor	$508	42%
Aetnamajor	$508	42%
Cignamajor	$508	42%
Humanamajor	$177	14%
Kaiser Permanentemajor	$295	24%
Friday Health	$482	39%
+ 2 smaller / regional plans	$179 - $508

Government programs also on file: Medicare.

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 455), 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 Heart of the Rockies Regional 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 Heart of the Rockies Regional Medical Center

Compare: Colonoscopy with biopsy at other CO hospitals

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