Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 45385 · DOWNEY, CA

45385 — Colonoscopy W/lesion Removal

What each payer pays PIH HEALTH DOWNEY HOSPITAL (CCN 050393) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$1,261 All-payer median here
$1,106 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 45385 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
UnitedHealthcare $6,005 376.1% 1
Blue Shield of California $4,847 284.3% 1
Anthem Blue Cross CA $2,525 100.2% 2
Blue Cross National $2,329 84.7% 1
Blue Cross Blue Shield Association $2,310 83.2% 1
Kaiser Healthpledge Sr $1,276 1.2% 1
Anthem (Elevance Health) $1,247 -1.2% 1
Medicare Part B $1,000 -20.7% 1
Medi-Cal $842 -33.2% 1
Medicare Parts A And B $738 -41.5% 1
Health Net $32 -97.4% 2
Local Initiative Health Authority for LA County $30 -97.6% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.