CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Tacoma General Allenmore Hospital

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $2,055
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Tacoma General Allenmore Hospital is $2,055. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.68x the Medicare baseline. Located in 315 S Mlk Jr Way, Tacoma, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,055

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Insurance Median: $2,055 (168%)

Ins. Median: $2,055 (168% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Molina	$689 - $2,423	56%
Community Health Plan Of Washington	$745 - $2,208	61%
Coordinated Care	$745	61%
UnitedHealthcare	$745 - $1,362	61%
Wellpoint	$745	61%
Aetna	$1,349 - $5,501	110%
Regence	$1,349	110%
Wellcare	$1,375	112%
Premera	$1,902 - $5,418	156%
Ambetter / Centene	$2,619	214%
First Choice	$3,513 - $6,387	287%
Kaiser	$4,422	362%
Cigna	$7,058	577%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tacoma General Allenmore Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.