CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Astria Toppenish Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,113
about 0.9× the $1,223 Medicare rate · typically $670–$1,276
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,204
About the fair price
about $91 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,113 This hospital $1,204 Cash price $1,674 Hospital's list price $2,576

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $187 Priciest $1,204

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

A fair price for a Colonoscopy with biopsy is about $1,113 (about 0.9× the $1,223 Medicare rate). Astria Toppenish Hospital charges insurers about $1,204, or about $1,674 in cash — about the fair price. Located in Toppenish, WA.

What each insurance company pays

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

6 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 $875 - $3,250 72%
Blue Cross Blue Shieldmajor $458 - $1,484 37%
Aetnamajor $1,070 - $3,463 88%
Cignamajor $1,204 98%
Humanamajor $1,204 - $3,935 98%
Kaiser Permanentemajor $4,213 345%
Ambetter (Centene) $875 72%
Molina $892 - $1,137 73%
+ 6 smaller / regional plans $766 - $3,935
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals