CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Adventist Health Tillamook

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$394
about 0.3× the $1,223 Medicare rate · typically $187–$1,817
modeled estimate · not a bill or quote
What this hospital charges insurers
$205
Below the fair price — a good deal
about $189 under the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $394 This hospital $205 Cash price $527 Hospital's list price $976

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 7 of 8 other OR hospitals charge more for the same procedure.

Cheapest $168 Priciest $448

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 $394 (about 0.3× the $1,223 Medicare rate). Adventist Health Tillamook charges insurers about $205, or about $527 in cash — below the fair price — a good deal. Located in Tillamook, OR.

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 $367 30%
Blue Cross Blue Shieldmajor $199 - $849 16%
Aetnamajor $173 - $403 14%
Devoted Health $187 15%
Health Net $917 75%
Moda Health $177 14%
PacificSource $500 41%
+ 7 smaller / regional plans $180 - $956
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Third Street, Tillamook, OR 97141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals