CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Primary Children's Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$375
about 0.3× the $1,223 Medicare rate · typically $213–$1,361
modeled estimate · not a bill or quote
What this hospital charges insurers
$417
About the fair price
about $42 over the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $375 This hospital $417

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 5 of 8 other UT hospitals charge more for the same procedure.

Cheapest $320 Priciest $1,210

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

A fair price for a Colonoscopy with biopsy is about $375 (about 0.3× the $1,223 Medicare rate). Primary Children's Hospital charges insurers about $417 — about the fair price. Located in Salt Lake City, UT.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $193 - $1,130 16%
Molina $193 - $757 16%
SelectHealth $193 - $701 16%
+ 4 smaller / regional plans $193 - $1,074
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens