CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Arbor Health Morton Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$295

about 0.2× the $1,223 Medicare rate · typically $185–$1,789

modeled estimate · not a bill or quote

What this hospital charges insurers

$187

Below the fair price — a good deal

about $108 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $295 This hospital $187 Cash price $727 Hospital's list price $1,172

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Lowest price of the 9 WA hospitals we have prices for — a strong deal.

Cheapest $187 Priciest $375

Black dot = this hospital, among the 9 WA 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 $295 (about 0.2× the $1,223 Medicare rate). Arbor Health Morton Hospital charges insurers about $187, or about $727 in cash — below the fair price — a good deal. Located in Morton, 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	$178 - $938	15%
Blue Cross Blue Shieldmajor	$178 - $1,055	15%
Aetnamajor	$178 - $657	15%
Cignamajor	$1,090	89%
Humanamajor	$178	15%
Kaiser Permanentemajor	$254 - $278	21%
Amerigroup	$178 - $254	15%
Health Net	$178	15%
Molina	$187 - $703	15%
WellCare	$187	15%
+ 7 smaller / regional plans	$178 - $457

Government programs also on file: Medicare.

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 727), 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 Arbor Health Morton Hospital 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 Arbor Health Morton Hospital

Compare: Colonoscopy with biopsy at other WA hospitals

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