CMS Price Transparency Data

Colonoscopy with biopsy

Facility: HCA Houston Healthcare Clear Lake

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,136

about 1.7× the $1,223 Medicare rate · typically $1,314–$2,483

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,123

About the fair price

about $13 under the fair price · 1.7× Medicare

Medicare pays $1,223 Fair price $2,136 This hospital $2,123

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 $2,123

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 $2,136 (about 1.7× the $1,223 Medicare rate). HCA Houston Healthcare Clear Lake charges insurers about $2,123 — about the fair price. Located in Webster, 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	$461 - $2,900	38%
Blue Cross Blue Shieldmajor	$1,607 - $2,079	131%
Aetnamajor	$542 - $3,106	44%
Cignamajor	$2,915 - $3,755	238%
Humanamajor	$537 - $4,690	44%
Amerigroup	$451	37%
Fidelis Care	$2,115	173%
Health Net	$421	34%
Healthcare Highways	$2,434	199%
Molina	$472	39%
Oscar Health	$2,979	244%
+ 5 smaller / regional plans	$429 - $4,255

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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, 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 HCA Houston Healthcare Clear Lake 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 HCA Houston Healthcare Clear Lake

Compare: Colonoscopy with biopsy at other TX hospitals

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