CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: North Alabama Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$958
about 1.0× the $950 Medicare rate · typically $859–$1,012
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,008
About the fair price
about $50 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $958 This hospital $1,008 Cash price $1,610 Hospital's list price $4,601

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $378 Priciest $1,008

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $958 (about 1.0× the $950 Medicare rate). North Alabama Medical Center charges insurers about $1,008, or about $1,610 in cash — about the fair price. Located in Florence, AL.

What each insurance company pays

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

5 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 $416 - $1,411 44%
Blue Cross Blue Shieldmajor $518 - $1,422 55%
Aetnamajor $424 - $2,585 45%
Cignamajor $1,556 - $5,197 164%
Humanamajor $437 46%
Ambetter (Centene) $541 57%
Cigna HealthSpring $835 88%
+ 7 smaller / regional plans $67 - $2,486
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1701 Veterans Drive, Florence, AL 35630
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals