CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Page Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $316
Cash Discount Price: $227
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Page Hospital is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.33x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $227 (24%)

Insurance Median: $316 (33%)

Cash: $227 (24% of Medicare)

Ins. Median: $316 (33% 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
Humana	$164 - $178	17%
Plotkin Health	$217	23%
Aetna	$241 - $439	25%
Arizona Physicians Ipa	$256 - $575	27%
Banner Health	$256	27%
Banner University Health Plan	$256 - $575	27%
Blue Cross Blue Shield	$256 - $381	27%
Care 1St	$256	27%
Cigna	$256 - $445	27%
Gila River Health Care Corporation	$256	27%
Health Choice Arizona, Inc.	$256 - $575	27%
Health Net	$256 - $575	27%
Kaiser Foundation Health Plan	$256	27%
Mercy Care	$256 - $575	27%
Triwest Healthcare Alliance Corp - Va Ccn	$256	27%
Upmc Health Plan	$256	27%
Wellpoint	$256	27%
Carelon	$269	28%
Arizona Priority Care	$282	30%
Devoted Health Services	$282	30%
Gold Kidney Health Plan	$282	30%
Quiktrip Corporation	$338	36%
Coconino County Sheriff'S Department	$353	37%
Oscar Health Plan	$422	44%
Provider Network Of America	$435	46%
Arizona Medical Network	$459	48%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$459	48%

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 $227.
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 Page Hospital 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.