CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Central Peninsula General Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,133

about 1.2× the $950 Medicare rate · typically $691–$1,671

modeled estimate · not a bill or quote

What this hospital charges insurers

$736

Below the fair price — a good deal

about $397 under the fair price · 0.8× Medicare

Medicare pays $950 Fair price $1,133 This hospital $736 Cash price $2,601 Hospital's list price $2,601

How we calculate the fair BaseRate →

How this hospital compares to other AK hospitals

One of the lower prices — 4 of 6 other AK hospitals charge more for the same procedure.

Cheapest $669 Priciest $5,326

Black dot = this hospital, among the 7 AK 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 (diagnostic) is about $1,133 (about 1.2× the $950 Medicare rate). Central Peninsula General Hospital charges insurers about $736, or about $2,601 in cash — below the fair price — a good deal. Located in Soldotna, AK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,341	246%
Blue Cross Blue Shieldmajor	$736	77%
Aetnamajor	$2,445	257%
Cignamajor	$2,338	246%
GEHA	$2,523	266%
Moda Health	$1,561 - $2,289	164%
+ 3 smaller / regional plans	$1,561 - $2,523

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 2,601), 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: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Central Peninsula General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
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 Central Peninsula General Hospital

Compare: Colonoscopy (diagnostic) at other AK hospitals

Norton Sound Regional Hospital · Nome $669
South Peninsula Hospital · Homer $669
Fairbanks Memorial Hospital · Fairbanks $1,032
Mat-Su Regional Medical Center · Palmer $1,382
Providence St Elias Specialty Hospital · Anchorage $1,570
Alaska Regional Hospital · Anchorage $5,326

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