CMS Price Transparency Data

Colonoscopy with biopsy

Facility: UNM Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,269
about 1.0× the $1,223 Medicare rate · typically $1,110–$1,604
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,179
About the fair price
about $90 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,269 This hospital $1,179 Cash price $1,301 Hospital's list price $2,366

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 7 of 8 other NM hospitals charge more for the same procedure.

Cheapest $1,024 Priciest $4,030

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

A fair price for a Colonoscopy with biopsy is about $1,269 (about 1.0× the $1,223 Medicare rate). UNM Hospital charges insurers about $1,179, or about $1,301 in cash — about the fair price. Located in Albuquerque, NM.

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 $1,179 96%
Blue Cross Blue Shieldmajor $413 - $1,179 34%
Aetnamajor $1,179 96%
Humanamajor $1,061 87%
Devoted Health $1,415 116%
Molina $2,888 236%
Presbyterian $2,358 193%
+ 10 smaller / regional plans $1,179 - $2,888

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals