CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Presbyterian Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,924
about 1.6× the $1,223 Medicare rate · typically $1,406–$2,121
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,073
About the fair price
about $149 over the fair price · 1.7× Medicare
Medicare pays $1,223 Fair price $1,924 This hospital $2,073 Cash price $2,920 Hospital's list price $4,172

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

On the higher side — 7 of 8 other NM hospitals charge less.

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 $1,924 (about 1.6× the $1,223 Medicare rate). Presbyterian Hospital charges insurers about $2,073, or about $2,920 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $5,256 430%
Blue Cross Blue Shieldmajor $1,232 - $2,073 101%
Aetnamajor $1,244 102%
Presbyterian $1,185 - $2,836 97%

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Facility Profile & Credentials

  • Address: 1100 Central Avenue Se, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals