CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Mountain View Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,227

about 1.0× the $1,223 Medicare rate · typically $1,178–$1,458

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,224

About the fair price

about $3 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,227 This hospital $1,224 Cash price $2,994 Hospital's list price $11,088

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 5 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 $1,227 (about 1.0× the $1,223 Medicare rate). Mountain View Regional Medical Center charges insurers about $1,224, or about $2,994 in cash — about the fair price. Located in Las Cruces, NM.

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	$820 - $5,699	67%
Blue Cross Blue Shieldmajor	$744 - $8,316	61%
Aetnamajor	$1,224 - $8,871	100%
Cignamajor	$5,222	427%
Humanamajor	$1,224	100%
Amerigroup	$1,224	100%
Devoted Health	$1,224	100%
Molina	$781 - $2,203	64%
Presbyterian	$744 - $8,871	61%
+ 3 smaller / regional plans	$1,224 - $1,481

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 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 2,994), 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 Mountain View Regional Medical Center 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 Mountain View Regional Medical Center

Compare: Colonoscopy with biopsy at other NM hospitals

Gila Regional Medical Center · Silver City $1,024
UNM Hospital · Albuquerque $1,179
Eastern New Mexico Medical Center · Roswell $1,224
Covenant Health Hobbs Hospital · Hobbs $1,246
Dr Dan C Trigg Memorial Hospital · Tucumcari $1,369
Carlsbad Medical Center · Carlsbad $1,448
Presbyterian Hospital · Albuquerque $2,073
Lincoln County Medical Center · Ruidoso $4,030

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