How much does colonoscopy with biopsy cost in California?
CPT 45380 — the fair price, every hospital's price, and the Medicare benchmark for California.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
45380 Colonoscopy with biopsy
Ask to pay
$2,358
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
Typical
$2,296
Medicare $1,179
Ask $2,358
$102 lowboxed = typical rangehigh $15,478
What Medicare paysⓘ
$1,179
Typical price near you
$2,296
Cash / self-pay price
$2,750
Prices near you — 88 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Adventist Health Bakersfield (Bakersfield) lowest ⚠ likely error | Hospital | $102cash | 0.1× | — |
| Adventist Health Glendale (Glendale) ⚠ likely error | Hospital | $108cash | 0.1× | ★★★★★ |
| Adventist Health White Memorial (Los Angeles) ⚠ likely error | Hospital | $129cash | 0.1× | — |
| Community Regional Medical Center (Fresno) | Hospital | $509negotiated | 0.4× | — |
| Clovis Community Medical Center (Clovis) | Hospital | $509negotiated | 0.4× | — |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $675negotiated | 0.6× | ★★★★★ |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $675negotiated | 0.6× | — |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $762cash | 0.6× | ★★★★★ |
| UCSF Medical Center (San Francisco) | Hospital | $778cash | 0.7× | ★★★★★ |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $937cash | 0.8× | ★★★★★ |
| Scripps Memorial Hospital Encinitas (Encinitas) | Hospital | $972cash | 0.8× | ★★★★★ |
| Scripps Memorial Hospital La Jolla (La Jolla) | Hospital | $972cash | 0.8× | ★★★★★ |
| Scripps Green Hospital (La Jolla) | Hospital | $972cash | 0.8× | ★★★★★ |
| Scripps Mercy Hospital Chula Vista (Chula Vista) | Hospital | $972cash | 0.8× | — |
| Scripps Mercy Hospital San Diego (San Diego) | Hospital | $972cash | 0.8× | ★★★★★ |
| Sharp Memorial Hospital (San Diego) | Hospital | $1,414cash | 1.2× | ★★★★★ |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $1,498negotiated | 1.3× | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $1,498negotiated | 1.3× | — |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $1,498negotiated | 1.3× | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $1,498negotiated | 1.3× | — |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $1,498negotiated | 1.3× | ★★★★★ |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $1,498negotiated | 1.3× | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $1,498negotiated | 1.3× | — |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $1,498negotiated | 1.3× | — |
| Tri-City Medical Center (Oceanside) | Hospital | $1,539negotiated | 1.3× | — |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $1,549negotiated | 1.3× | ★★★★★ |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $1,632negotiated | 1.4× | ★★★★★ |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $1,648negotiated | 1.4× | ★★★★★ |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $1,673negotiated | 1.4× | — |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $1,704negotiated | 1.4× | — |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $1,729negotiated | 1.5× | ★★★★★ |
| Natividad Medical Center (Salinas) | Hospital | $2,076cash | 1.8× | — |
| Kaiser Permanente San Diego Zion Medical Center (San Diego) | Hospital | $2,080cash | 1.8× | ★★★★★ |
| Kaiser Permanente Fontana Medical Center (Fontana) | Hospital | $2,080cash | 1.8× | — |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $2,080cash | 1.8× | ★★★★★ |
| UC Davis Medical Center (Sacramento) | Hospital | $2,083cash | 1.8× | ★★★★★ |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $2,115cash | 1.8× | — |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $2,232negotiated | 1.9× | — |
| UCI Health – Lakewood (Lakewood) | Hospital | $2,232negotiated | 1.9× | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $2,232negotiated | 1.9× | — |
| UCI Health – Placentia Linda (Placentia) | Hospital | $2,232negotiated | 1.9× | — |
| UCI Medical Center (Orange) | Hospital | $2,232negotiated | 1.9× | ★★★★★ |
| JFK Memorial Hospital (Indio) | Hospital | $2,296negotiated | 1.9× | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $2,360negotiated | 2.0× | — |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $2,750cash | 2.3× | ★★★★★ |
| Sharp Grossmont Hospital (La Mesa) | Hospital | $2,756cash | 2.3× | ★★★★★ |
| Sharp Coronado Hospital (Coronado) | Hospital | $2,756cash | 2.3× | ★★★★★ |
| Sharp Chula Vista Medical Center (Chula Vista) | Hospital | $2,756cash | 2.3× | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $2,783negotiated | 2.4× | ★★★★★ |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $2,847negotiated | 2.4× | ★★★★★ |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) | Hospital | $2,888negotiated | 2.4× | — |
| Sutter Memorial Medical Center (Modesto) | Hospital | $2,910negotiated | 2.5× | — |
| Sutter Roseville Medical Center (Roseville) | Hospital | $2,910negotiated | 2.5× | ★★★★★ |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $2,926cash | 2.5× | — |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $2,927negotiated | 2.5× | — |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $2,971negotiated | 2.5× | — |
| Sutter Mills-Peninsula Medical Center (Burlingame) | Hospital | $2,997negotiated | 2.5× | ★★★★★ |
| Sutter CPMC Van Ness Campus (San Francisco) | Hospital | $2,997negotiated | 2.5× | — |
| Sutter Alta Bates Summit Medical Center (Oakland) | Hospital | $3,012negotiated | 2.6× | — |
| Kaweah Health Medical Center (Visalia) | Hospital | $3,039cash | 2.6× | — |
| Sutter Eden Medical Center (Castro Valley) | Hospital | $3,054negotiated | 2.6× | — |
| Sutter Medical Center Sacramento (Sacramento) | Hospital | $3,054negotiated | 2.6× | ★★★★★ |
| Providence Mission Hospital (Mission Viejo) | Hospital | $3,548negotiated | 3.0× | ★★★★★ |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $3,550cash | 3.0× | ★★★★★ |
| Kaiser Permanente Sacramento Medical Center (Sacramento) | Hospital | $3,550cash | 3.0× | ★★★★★ |
| Kaiser Permanente Fresno Medical Center (Fresno) | Hospital | $3,550cash | 3.0× | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $3,606negotiated | 3.1× | ★★★★★ |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $3,656negotiated | 3.1× | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $3,684negotiated | 3.1× | — |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $3,756negotiated | 3.2× | — |
| Providence St. Joseph Hospital (Orange) | Hospital | $3,940negotiated | 3.3× | ★★★★★ |
| Stanford Health Care Tri-Valley (Pleasanton) | Hospital | $4,170cash | 3.5× | — |
| Riverside University Health System Medical Center (Moreno Valley) | Hospital | $4,210cash | 3.6× | — |
| Keck Hospital of USC (Los Angeles) | Hospital | $4,381cash | 3.7× | ★★★★★ |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $4,737negotiated | 4.0× | — |
| Stanford Health Care (Stanford) | Hospital | $4,798cash | 4.1× | ★★★★★ |
| Good Samaritan Hospital (San Jose) | Hospital | $5,312negotiated | 4.5× | — |
| Hoag Memorial Hospital Presbyterian (Newport Beach) | Hospital | $5,487negotiated | 4.7× | ★★★★★ |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $5,844negotiated | 5.0× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $6,270cash | 5.3× | ★★★★★ |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $6,270cash | 5.3× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $6,270cash | 5.3× | — |
| Rady Children's Hospital (San Diego) gross charge | Hospital | $6,862negotiated | 5.8× | — |
| Providence Queen of the Valley Medical Center (Napa) gross charge | Hospital | $7,482negotiated | 6.3× | — |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $7,968negotiated | 6.8× | — |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) gross charge | Hospital | $7,989cash | 6.8× | — |
| John Muir Health Concord Medical Center (Concord) gross charge | Hospital | $10,247cash | 8.7× | — |
| John Muir Health Walnut Creek Medical Center (Walnut Creek) gross charge | Hospital | $15,478cash | 13.1× | ★★★★★ |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 9 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 45380 (Colonoscopy with biopsy), Medicare's benchmark rate is $1,179.08. A fair self-pay target for this line is $2,358.16. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 45380 is $2,750.40, and negotiated rates at nearby facilities run $1,498.14–$3,591.72. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See colonoscopy with biopsy prices in another area
What should 45380 cost in California?
For colonoscopy with biopsy (CPT 45380) in California, a fair self-pay price is around $2,296, with hospitals ranging from $1,498 to $3,592 across 88 facilities. Medicare's benchmark rate is $1,179, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does colonoscopy with biopsy cost in California?
A fair self-pay price for colonoscopy with biopsy (CPT 45380) in California is around $2,296, with hospital prices ranging from $1,498 to $3,592 across 88 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 45380?
Medicare pays about $1,179 for colonoscopy with biopsy (CPT 45380). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of colonoscopy with biopsy?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.