CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Aspen Valley Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$437

about 0.4× the $1,223 Medicare rate · typically $292–$1,534

modeled estimate · not a bill or quote

Medicare pays $1,223 Fair price $437 Cash price $2,112 Hospital's list price $2,112

How we calculate the fair BaseRate →

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	$1,140 - $2,112	93%
Blue Cross Blue Shieldmajor	$1,658 - $1,954	136%
Aetnamajor	$1,140 - $2,112	93%
Cignamajor	$1,478 - $2,112	121%
Humanamajor	$1,140 - $2,006	93%
Kaiser Permanentemajor	$2,112	173%
GEHA	$2,006	164%
Harvard Pilgrim	$2,112	173%
Health Net	$2,112	173%
Tufts Health Plan	$2,112	173%
+ 38 smaller / regional plans	$2,006 - $2,112

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 8 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 2,112), 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 Aspen 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 Aspen Valley Hospital

Compare: Colonoscopy with biopsy at other CO hospitals

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