CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Texas Health Hospital Mansfield

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,528

about 1.2× the $1,223 Medicare rate · typically $1,207–$2,857

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,181

Below the fair price — a good deal

about $347 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,528 This hospital $1,181 Cash price $4,277 Hospital's list price $8,554

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 $1,181

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $1,528 (about 1.2× the $1,223 Medicare rate). Texas Health Hospital Mansfield charges insurers about $1,181, or about $4,277 in cash — below the fair price — a good deal. Located in Mansfield, TX.

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	$1,181 - $3,607	97%
Blue Cross Blue Shieldmajor	$1,181 - $7,245	97%
Aetnamajor	$4,599	376%
Cignamajor	$1,147 - $6,035	94%
Amerigroup	$1,124	92%
Molina	$1,181	97%
WellCare	$1,237	101%

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 4,277), 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 Texas Health Hospital Mansfield 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 Texas Health Hospital Mansfield

Compare: Colonoscopy with biopsy at other TX hospitals

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