CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $505
Cash Discount Price: $441
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Medical West, An Affiliate of UAB Health System is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.53x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$441

Average discount available for prompt cash payment at this facility.

Insurance Median

$505

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)

Cash / Self-Pay: $441 (46%)

Insurance Median: $505 (53%)

Cash: $441 (46% of Medicare)

Ins. Median: $505 (53% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$144 - $885	15%
Viva	$294 - $978	31%
Phcs	$353 - $412	37%
Beech Street	$365 - $412	38%
One Health Plan	$382	40%
Aetna	$412 - $851	43%
Geha	$412	43%
Healthchoice	$412	43%
Alamed	$460	48%
Construction Claims Management	$476	50%
Multiplan	$482	51%
Corvel	$486 - $529	51%
Novanet	$491	52%
Humana	$500 - $902	53%
UnitedHealthcare	$505 - $936	53%
Department Of Labor	$512	54%
Heritage Summit Health	$512	54%
Pnoa	$529	56%
Three Rivers	$529	56%
Blue Cross Blue Shield	$842	89%
Cooper Green	$851	90%
Jefferson County Sheriff	$851	90%
Triwest	$851	90%
United Mine Workers	$851	90%
Ambetter / Centene	$1,170	123%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $441.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.