CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mercy Hospital Northwest Arkansas

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$850

about 0.9× the $950 Medicare rate · typically $589–$850

modeled estimate · not a bill or quote

What this hospital charges insurers

$820

About the fair price

about $30 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $850 This hospital $820 Cash price $1,837 Hospital's list price $2,827

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

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

Cheapest $170 Priciest $820

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

A fair price for a Colonoscopy (diagnostic) is about $850 (about 0.9× the $950 Medicare rate). Mercy Hospital Northwest Arkansas charges insurers about $820, or about $1,837 in cash — about the fair price. Located in Rogers, AR.

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	$820 - $1,189	86%
Blue Cross Blue Shieldmajor	$160 - $1,169	17%
Aetnamajor	$495 - $1,846	52%
Cignamajor	$820 - $1,030	86%
Humanamajor	$495 - $843	52%
Ambetter (Centene)	$688 - $1,171	72%
HealthLink	$1,189 - $1,288	125%
Independent Health	$820	86%
+ 49 smaller / regional plans	$160 - $1,585

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 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 1,837), 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 Mercy Hospital Northwest Arkansas 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 Mercy Hospital Northwest Arkansas

Compare: Colonoscopy (diagnostic) at other AR hospitals

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