CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Dr Dan C Trigg Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$809
about 0.7× the $1,223 Medicare rate · typically $322–$1,524
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,369
Above the fair price
about $560 over the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $809 This hospital $1,369

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NM hospitals compared.

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 $809 (about 0.7× the $1,223 Medicare rate). Dr Dan C Trigg Memorial Hospital charges insurers about $1,369 — above the fair price. Located in Tucumcari, NM.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $809. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $1,288 105%
Blue Cross Blue Shieldmajor $1,300 - $2,188 106%
Aetnamajor $1,313 107%
Humanamajor $1,363 111%
Molina $1,338 109%
Presbyterian $1,250 - $4,030 102%
+ 1 smaller / regional plan $1,375

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 301 East Miel De Luna Avenue, Tucumcari, NM 88401
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals