CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Titus Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$279
about 0.2× the $1,223 Medicare rate · typically $235–$783
modeled estimate · not a bill or quote
What this hospital charges insurers
$280
About the fair price
about $1 over the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $279 This hospital $280 Cash price $820 Hospital's list price $1,366

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 3 charge more and 5 charge less, among the 9 TX hospitals compared.

Cheapest $174 Priciest $366

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

A fair price for a Colonoscopy with biopsy is about $279 (about 0.2× the $1,223 Medicare rate). Titus Regional Medical Center charges insurers about $280, or about $820 in cash — about the fair price. Located in Mount Pleasant, TX.

What each insurance company pays

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

5 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 $139 - $1,072 11%
Blue Cross Blue Shieldmajor $195 - $1,366 16%
Aetnamajor $300 - $392 25%
Cignamajor $1,093 89%
Humanamajor $139 - $956 11%
Healthcare Highways $260 21%
+ 5 smaller / regional plans $139 - $477
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals