CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Christus Santa Rosa Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,203

about 1.0× the $1,223 Medicare rate · typically $1,106–$1,542

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,107

About the fair price

about $96 under the fair price · 0.9× Medicare

Medicare pays $1,223 Fair price $1,203 This hospital $1,107 Cash price $1,289 Hospital's list price $3,905

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $174 Priciest $1,107

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 $1,203 (about 1.0× the $1,223 Medicare rate). Christus Santa Rosa Medical Center charges insurers about $1,107, or about $1,289 in cash — about the fair price. Located in San Antonio, 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	$363 - $3,326	30%
Blue Cross Blue Shieldmajor	$429 - $1,376	35%
Aetnamajor	$429 - $2,594	35%
Cignamajor	$4,549 - $5,774	372%
Humanamajor	$1,107 - $1,737	91%
Amerigroup	$338 - $1,196	28%
Cigna HealthSpring	$1,107	91%
Devoted Health	$1,196	98%
Healthcare Highways	$4,115	337%
Molina	$429 - $1,107	35%
WellCare	$1,107	91%
+ 22 smaller / regional plans	$338 - $4,745

Government programs also on file: Medicare, Military & VA.

Excludes 7 rental-network / third-party entries (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 1,289), 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 Christus Santa Rosa Medical Center 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 Christus Santa Rosa Medical Center

Compare: Colonoscopy with biopsy at other TX hospitals

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