CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Highlands Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$892

about 0.9× the $950 Medicare rate · typically $736–$892

modeled estimate · not a bill or quote

What this hospital charges insurers

$889

About the fair price

about $3 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $892 This hospital $889 Cash price $9,448 Hospital's list price $13,498

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 $889

Black dot = this hospital, among the 9 AL 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 $892 (about 0.9× the $950 Medicare rate). Highlands Medical Center charges insurers about $889, or about $9,448 in cash — about the fair price. Located in Scottsboro, AL.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$880	93%
Aetnamajor	$898	95%
Cignamajor	$880 - $3,333	93%
Humanamajor	$880	93%
Devoted Health	$907	95%
+ 2 smaller / regional plans	$880 - $1,500

Government programs also on file: Medicaid.

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 9,448), 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 Highlands Medical Center 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 Highlands Medical Center

Compare: Colonoscopy (diagnostic) at other AL hospitals

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