CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Saint Mary's Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,855

about 1.5× the $1,223 Medicare rate · typically $761–$1,892

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,722

About the fair price

about $133 under the fair price · 1.4× Medicare

Medicare pays $1,223 Fair price $1,855 This hospital $1,722 Cash price $1,301 Hospital's list price $6,144

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $247 Priciest $1,722

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

A fair price for a Colonoscopy with biopsy is about $1,855 (about 1.5× the $1,223 Medicare rate). Saint Mary's Regional Medical Center charges insurers about $1,722, or about $1,301 in cash — about the fair price. Located in Reno, NV.

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	$1,341 - $2,578	110%
Blue Cross Blue Shieldmajor	$333 - $2,510	27%
Aetnamajor	$1,302 - $2,444	106%
HealthPartners	$2,418	198%
Molina	$250 - $1,302	20%
+ 16 smaller / regional plans	$283 - $2,955

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

Excludes 2 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 1,301), 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 Saint Mary's 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 Saint Mary's Regional Medical Center

Compare: Colonoscopy with biopsy at other NV hospitals

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