CMS Price Transparency Data

Colonoscopy with biopsy

Facility: HCA Houston Healthcare West

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,875
about 1.5× the $1,223 Medicare rate · typically $1,041–$2,338
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,130
About the fair price
about $255 over the fair price · 1.7× Medicare
Medicare pays $1,223 Fair price $1,875 This hospital $2,130

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 $2,130

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 $1,875 (about 1.5× the $1,223 Medicare rate). HCA Houston Healthcare West charges insurers about $2,130 — about the fair price. Located in Houston, 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 $1,747 - $2,490 143%
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%
WellMed $1,208 99%
+ 3 smaller / regional plans $481 - $2,613
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals