CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University of Michigan Health - West

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$993

about 0.8× the $1,223 Medicare rate · typically $510–$1,429

modeled estimate · not a bill or quote

What this hospital charges insurers

$501

Below the fair price — a good deal

about $492 under the fair price · 0.4× Medicare

Medicare pays $1,223 Fair price $993 This hospital $501 Cash price $240 Hospital's list price $600

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $150 Priciest $501

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

A fair price for a Colonoscopy with biopsy is about $993 (about 0.8× the $1,223 Medicare rate). University of Michigan Health - West charges insurers about $501, or about $240 in cash — below the fair price — a good deal. Located in Wyoming, MI.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$433	35%
Aetnamajor	$402	33%
Humanamajor	$450 - $1,223	37%
HealthPartners	$501	41%
Medica	$433	35%
Molina	$655 - $1,223	54%
Priority Health	$264	22%
+ 10 smaller / regional plans	$402 - $1,223

Government programs also on file: Medicare, Medicaid.

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 240), 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 Michigan Health - West 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 Michigan Health - West

Compare: Colonoscopy with biopsy at other MI hospitals

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