CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Providence Queen of the Valley Medical Center
Billing Code: 45378 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$964
about 1.0× the $950 Medicare rate · typically $296–$4,625
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $964 Cash price $1,613 Hospital's list price $3,162
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $7,455 - $8,291 | 785% |
| Blue Cross Blue Shieldmajor | $6,200 - $9,116 | 653% |
| Aetnamajor | $1,320 - $9,175 | 139% |
| Health Net | $6,127 | 645% |
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Other Procedures at Providence Queen of the Valley Medical Center
Compare: Colonoscopy (diagnostic) at other CA hospitals
- Saint Agnes Medical Center · Fresno $148
- Adventist Health Sonora · Sonora $164
- Kern Valley Healthcare District · Lake Isabella $166
- Mayers Memorial Hospital · Fall River Mills $169
- Adventist Health Tulare · Tulare $199
- Natividad Medical Center · Salinas $202
- Glendale Adventist Medical Center · Glendale $207
- Adventist Health Tehachapi Valley · Tehachapi $211
Insurance negotiated median for the same procedure, sorted lowest first.