CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$349
about 0.3× the $1,223 Medicare rate · typically $205–$1,374
modeled estimate · not a bill or quote
What this hospital charges insurers
$309
Below the fair price — a good deal
about $40 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $349 This hospital $309 Cash price $361 Hospital's list price $481

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 5 of 8 other ID hospitals charge more for the same procedure.

Cheapest $169 Priciest $1,035

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

A fair price for a Colonoscopy with biopsy is about $349 (about 0.3× the $1,223 Medicare rate). Clearwater Valley Hospital & Clinics charges insurers about $309, or about $361 in cash — below the fair price — a good deal. Located in Orofino, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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 $450 37%
Blue Cross Blue Shieldmajor $166 - $329 14%
Aetnamajor $266 22%
Cignamajor $375 31%
Humanamajor $166 - $284 14%
GEHA $467 38%
+ 5 smaller / regional plans $166 - $471
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 301 Cedar Street, Orofino, ID 83544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals