CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,187

about 1.0× the $1,223 Medicare rate · typically $717–$1,187

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,150

About the fair price

about $37 under the fair price · 0.9× Medicare

Medicare pays $1,223 Fair price $1,187 This hospital $1,150 Cash price $2,665 Hospital's list price $3,807

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $165 Priciest $1,150

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

A fair price for a Colonoscopy with biopsy is about $1,187 (about 1.0× the $1,223 Medicare rate). University of Iowa Health Care Medical Center Down charges insurers about $1,150, or about $2,665 in cash — about the fair price. Located in Iowa City, IA.

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✓ Aetna✓ Humana CignaKaiser 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 - $6,174	15%
Blue Cross Blue Shieldmajor	$167 - $2,386	14%
Aetnamajor	$165 - $3,089	13%
Humanamajor	$1,143	93%
HealthPartners	$168 - $4,224	14%
Molina	$165 - $1,988	13%
Oscar Health	$1,666 - $3,131	136%
Sanford Health Plan	$2,247 - $4,224	184%
+ 10 smaller / regional plans	$165 - $4,473

Excludes 5 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 2,665), 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 University of Iowa Health Care Medical Center Down 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 University of Iowa Health Care Medical Center Down

Compare: Colonoscopy with biopsy at other IA hospitals

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