CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Baylor Scott & White Texas Spine & Joint Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,891
about 1.5× the $1,223 Medicare rate · typically $1,214–$2,021
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,022
About the fair price
about $131 over the fair price · 1.7× Medicare
Medicare pays $1,223 Fair price $1,891 This hospital $2,022

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 $2,022

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 $1,891 (about 1.5× the $1,223 Medicare rate). Baylor Scott & White Texas Spine & Joint Hospital charges insurers about $2,022 — about the fair price. Located in Tyler, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $1,065 - $1,566 87%
Blue Cross Blue Shieldmajor $1,075 - $3,538 88%
+ 1 smaller / regional plan $1,065

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Facility Profile & Credentials

  • Address: 1814 Roseland Boulevard, Tyler, TX 75701
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals