Colonoscopy with biopsy
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 45380 (CPT)
One of the lower prices — 6 of 8 other OR hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Colonoscopy with biopsy is about $179 (about 0.1× the $1,223 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $233, or about $802 in cash — above the fair price. Located in Ontario, OR.
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 $179. 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.
6 of 6 major insurers have a published price at this hospital
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 | $78 - $449 | 6% |
| Blue Cross Blue Shieldmajor | $78 - $464 | 6% |
| Aetnamajor | $78 - $579 | 6% |
| Cignamajor | $78 - $372 | 6% |
| Humanamajor | $78 - $693 | 6% |
| Kaiser Permanentemajor | $203 - $458 | 17% |
| Ambetter (Centene) | $78 - $340 | 6% |
| Clover Health | $85 - $233 | 7% |
| Dean Health Plan | $246 - $486 | 20% |
| GEHA | $214 - $449 | 18% |
| Health Net | $78 - $579 | 6% |
| HealthPartners | $78 - $340 | 6% |
| Meridian | $78 - $340 | 6% |
| Moda Health | $192 - $416 | 16% |
| Molina | $78 - $463 | 6% |
| PacificSource | $191 - $463 | 16% |
| Paramount | $78 - $486 | 6% |
| Presbyterian | $78 - $340 | 6% |
| SelectHealth | $192 - $512 | 16% |
| Tufts Health Plan | $78 - $340 | 6% |
| WellMed | $85 - $233 | 7% |
| WellSense | $78 - $340 | 6% |
| + 351 smaller / regional plans | $78 - $579 |
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.
Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Colonoscopy with biopsy at other OR hospitals
- Wallowa Memorial Hospital · Enterprise $168
- Adventist Health Tillamook · Tillamook $205
- Lower Umpqua Hospital District · Reedsport $329
- Mid-Columbia Medical Center · The Dalles $382
- Samaritan North Lincoln Hospital · Lincoln City $446
- Samaritan Pacific Community Hospital · Newport $446
- Samaritan Lebanon Community Hospital · Lebanon $446
- Samaritan Albany General Hospital · Albany $448
Insurance negotiated median for the same procedure, sorted lowest first.