CMS Price Transparency Data

Colonoscopy with biopsy

Facility: OHSU Hospital and Clinics

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,314

about 1.1× the $1,223 Medicare rate · typically $1,003–$3,698

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,142

Below the fair price — a good deal

about $172 under the fair price · 0.9× Medicare

Medicare pays $1,223 Fair price $1,314 This hospital $1,142 Cash price $2,958 Hospital's list price $4,551

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $168 Priciest $1,142

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

A fair price for a Colonoscopy with biopsy is about $1,314 (about 1.1× the $1,223 Medicare rate). OHSU Hospital and Clinics charges insurers about $1,142, or about $2,958 in cash — below the fair price — a good deal. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$712 - $4,551	58%
Blue Cross Blue Shieldmajor	$1,850 - $3,700	151%
Aetnamajor	$726 - $3,550	59%
Cignamajor	$2,080 - $4,160	170%
Humanamajor	$672 - $1,424	55%
Kaiser Permanentemajor	$538 - $3,124	44%
Health Net	$538 - $3,525	44%
Moda Health	$705 - $4,551	58%
Molina	$4,551	372%
Providence Health Plan	$806 - $4,551	66%
+ 7 smaller / regional plans	$538 - $3,541

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 2,958), 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 OHSU Hospital and Clinics 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 OHSU Hospital and Clinics

Compare: Colonoscopy with biopsy at other OR hospitals

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