CMS Price Transparency Data
Colonoscopy with biopsy
Facility: University Medical Center
Billing Code: 45380 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45380
- Insurance Median: $439
- Cash Discount Price: $537
- vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at University Medical Center is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $537. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.36x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$537
Average discount available for prompt cash payment at this facility.
Insurance Median
$439
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%)
Cash / Self-Pay: $537 (44%)
Insurance Median: $439 (36%)
Cash: $537 (44% of Medicare)
Ins. Median: $439 (36% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $170 - $2,738 | 14% |
| Advantra Freedom | $170 - $1,303 | 14% |
| Rebel Oil Company | $190 - $1,686 | 16% |
| Stations Casinos | $190 - $1,686 | 16% |
| Las Vegas Sand Corps | $190 - $1,516 | 16% |
| Mirage Las Vegas | $190 - $3,010 | 16% |
| Mgm Grand | $190 - $3,010 | 16% |
| Golden Nugget Hotel & Casino | $190 - $1,686 | 16% |
| Teacher's Health Trust | $190 - $1,686 | 16% |
| Golden Entertainment | $190 - $1,686 | 16% |
| Venetian/Palazzo | $190 - $1,686 | 16% |
| Selecthealth | $190 - $1,929 | 16% |
| Dignity Health | $190 - $1,686 | 16% |
| P3 Health Partners | $190 - $1,686 | 16% |
| State of Nevada | $190 - $1,686 | 16% |
| Resorts World Las Vegas | $190 - $3,010 | 16% |
| Arroweye Solutions | $190 - $1,686 | 16% |
| Clark County Self Funded | $190 - $3,010 | 16% |
| Caesar's Entertainment | $190 - $3,010 | 16% |
| Truline Corporation | $190 - $1,686 | 16% |
| Healthcare Partners of Nevada | $190 - $1,303 | 16% |
| Operating Engineers | $190 - $3,010 | 16% |
| Wynn Resorts | $190 - $3,010 | 16% |
| City of Henderson | $190 - $3,010 | 16% |
| Molina | $190 - $1,929 | 16% |
| Clark County EPO | $190 - $3,010 | 16% |
| City of North Las Vegas | $190 - $3,010 | 16% |
| Allwell | $190 - $1,303 | 16% |
| Pli Las Vegas | $190 - $1,686 | 16% |
| Marshall Retail Group | $190 - $1,686 | 16% |
| VA Pc3 (VA Choice) | $190 - $1,303 | 16% |
| Blue Cross Blue Shield | $190 - $1,505 | 16% |
| UnitedHealthcare | $190 - $1,516 | 16% |
| P3 Health Partners Nevada | $190 - $1,303 | 16% |
| Sierra Health and Life | $190 - $1,686 | 16% |
| Las Vegas Metro Police Dept | $190 - $3,010 | 16% |
| Scan | $200 - $1,303 | 16% |
| Alignment Health | $200 - $1,303 | 16% |
| Beech Street | $207 - $2,214 | 17% |
| Aig | $207 - $2,214 | 17% |
| Cement Masons & Plasters H&W | $207 - $3,010 | 17% |
| Geha | $211 - $618 | 17% |
| Clark County Firefighters 1908 | $211 - $3,010 | 17% |
| Coventry | $211 - $2,738 | 17% |
| Nevada Energy | $211 - $2,738 | 17% |
| Mail Handlers Benefit Plan | $211 - $2,738 | 17% |
| Employee Painters Trust | $211 - $3,010 | 17% |
| Three Rivers Provider Network | $213 - $3,513 | 17% |
| First Health | $213 - $3,513 | 17% |
| Health Net | $213 - $3,877 | 17% |
| Boyd Group | $224 - $3,010 | 18% |
| Southwest Carpenters H&W | $224 - $1,505 | 18% |
| Teamsters Local 986 | $224 - $3,010 | 18% |
| Ufcw Local 711 Retail Clerks | $224 - $3,010 | 18% |
| Sheet Metal Workers | $224 - $1,505 | 18% |
| Electrical Workers | $224 - $3,010 | 18% |
| Plumbers & Pipefitters Loc 525 | $224 - $3,010 | 18% |
| Teamsters Local 14 | $224 - $3,010 | 18% |
| Teamsters Local 631 | $224 - $3,010 | 18% |
| Laborers Health and Welfare | $224 - $3,010 | 18% |
| California Ironwork Field Welfare | $224 - $1,505 | 18% |
| So Ca Pipe Trades H&W | $224 - $1,505 | 18% |
| Bricklayers Local 13 | $224 - $3,010 | 18% |
| Culinary Workers Hwf | $234 - $3,010 | 19% |
| Ambetter / Centene | $245 - $2,020 | 20% |
| Laughlin Coalition | $266 - $1,779 | 22% |
| Nevada Preferred Professionals | $286 - $2,606 | 23% |
| Jw Marriott | $286 - $2,606 | 23% |
| Universal Health Network (Uhn) | $286 - $2,606 | 23% |
| Hometown Health Plan Nevada | $286 - $618 | 23% |
| One Health Plan | $286 - $2,059 | 23% |
| Prominence Health Plan | $286 - $2,606 | 23% |
| Health Direct Partners | $314 - $2,098 | 26% |
| Zuffa | $409 - $2,737 | 33% |
| Cirque De Soleil | $427 - $2,590 | 35% |
| National Security Technologies | $427 - $2,590 | 35% |
| Great West Healthcare | $427 - $2,590 | 35% |
| Cigna | $427 - $2,590 | 35% |
| Kaiser | $427 - $2,590 | 35% |
| Switch | $439 - $3,010 | 36% |
| Las Vegas Firefighters 1285 | $439 - $3,010 | 36% |
| American Postal Workers Health Plan | $439 - $1,516 | 36% |
| Surest | $439 - $1,516 | 36% |
| Clark County Detention Center | $1,368 | 112% |
| Hometown Health Plan of Nevada | $2,059 | 168% |
| Nevada Hand | $3,010 | 246% |