CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Bella Vista Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$575
about 0.5× the $1,223 Medicare rate · typically $217–$1,122
modeled estimate · not a bill or quote
What this hospital charges insurers
$153
Below the fair price — a good deal
about $422 under the fair price · 0.1× Medicare
Medicare pays $1,223 Fair price $575 This hospital $153 Cash price $539 Hospital's list price $539

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

On the higher side — 3 of 4 other PR hospitals charge less.

Cheapest $123 Priciest $166

Black dot = this hospital, among the 5 PR 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 $575 (about 0.5× the $1,223 Medicare rate). Bella Vista Hospital charges insurers about $153, or about $539 in cash — below the fair price — a good deal. Located in Mayaguez, PR.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $876 72%
+ 11 smaller / regional plans $127 - $876
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals