CMS Price Transparency Data
Colonoscopy with biopsy
Facility: TMC- Bonham Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$770
about 0.6× the $1,223 Medicare rate · typically $202–$1,829
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $770 Cash price $750 Hospital's list price $2,499
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $1,011 | 83% |
| Blue Cross Blue Shieldmajor | $1,477 | 121% |
| Aetnamajor | $1,647 - $1,772 | 135% |
| Cignamajor | $1,104 | 90% |
| + 1 smaller / regional plan | $3,067 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at TMC- Bonham Hospital
Compare: Colonoscopy with biopsy at other TX hospitals
- Comanche County Medical Center · Comanche $174
- Sweeny Community Hospital · Sweeny $177
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $192
- PAM Specialty Hospital of Texarkana North · Texarkana $204
- Doctors Hospital of Laredo · Laredo $266
- Titus Regional Medical Center · Mount Pleasant $280
- Burleson St Joseph Health Center · Caldwell $361
- Palacios Community Medical Center · Palacios $365
Insurance negotiated median for the same procedure, sorted lowest first.