CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Adventist Health White Memorial
Billing Code: 45378 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45378
- Insurance Median: $295
- Cash Discount Price: $119
- vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Adventist Health White Memorial is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.31x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$119
Average discount available for prompt cash payment at this facility.
Insurance Median
$295
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: $119 (13%)
Insurance Median: $295 (31%)
Cash: $119 (13% of Medicare)
Ins. Median: $295 (31% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Access Medi-Cal | $50 - $295 | 5% |
| Altamed Medi-Cal - All Other Plans | $50 - $340 | 5% |
| Bc Medi-Cal | $50 - $550 | 5% |
| Blue Shield Medi-Cal | $50 - $1,100 | 5% |
| Care First Medi-Cal | $50 - $1,100 | 5% |
| Healthcare Inc Medi-Cal | $50 - $295 | 5% |
| Lasalle Mg Medi-Cal | $50 - $295 | 5% |
| Medi-Cal | $50 - $295 | 5% |
| Pacific Alliance Medi-Cal | $50 - $295 | 5% |
| Pacific Ipa Medi-Cal | $50 - $295 | 5% |
| Preferred Medi-Cal | $50 - $295 | 5% |
| Fcs Ipa Medi-Cal Op/Profee Only | $60 - $354 | 6% |
| Healthnet Mcal | $60 - $352 | 6% |
| Ahp Medi-Cal | $70 - $295 | 7% |
| Assoc Hispanic Physcns Mcal | $70 - $413 | 7% |
| Bella Vista Medi-Cal Op/Profee Only | $70 - $295 | 7% |
| El Proyecto Mcal Profee Only | $70 | 7% |
| Global Care Mcal Profee Only | $70 | 7% |
| Hcla Mcal Profee Only | $70 | 7% |
| Molina Medi-Cal | $80 - $295 | 8% |
| Access Group | $147 - $1,017 | 15% |
| Lasalle Mg Commercial - All Other Plans | $147 - $1,017 | 15% |
| Access Senior - All Other Plans | $173 - $1,196 | 18% |
| Ahp - All Other Plans | $173 - $1,017 | 18% |
| Ahp Senior | $173 - $1,196 | 18% |
| Altamed Connect | $173 - $1,196 | 18% |
| Avanti Mcr Adv - All Other Plans | $173 - $1,196 | 18% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $173 - $594 | 18% |
| Blue Cross Blue Shield | $173 - $4,037 | 18% |
| Brand New Day Mcare - All Plans | $173 - $1,196 | 18% |
| Bs Va Mcare | $173 - $1,196 | 18% |
| Care First Mcare - All Other Plans | $173 - $1,196 | 18% |
| Caremore Mcare - All Plans | $173 - $330 | 18% |
| Clever Care - All Plans | $173 - $1,196 | 18% |
| El Proyecto Comm Profee Only - All Other Plans | $173 | 18% |
| El Proyecto Mcr Profee Only | $173 | 18% |
| Fcs Ipa Mcr Advan Op/Profee Only | $173 - $1,196 | 18% |
| Global Care Comm Profee Only - All Other Plans | $173 | 18% |
| Global Care Mcr Profee Only | $173 | 18% |
| Hcla Comm Profee Only - All Other Plans | $173 | 18% |
| Hcla Mcr Profee Only | $173 | 18% |
| Humana | $173 - $1,196 | 18% |
| La Care Mcr Adv - All Plans | $173 - $363 | 18% |
| Lasalle Mg Senior | $173 - $1,196 | 18% |
| Medicare (plans) | $173 - $1,555 | 18% |
| Pacific Alliance Mcare - All Other Plans | $173 - $1,196 | 18% |
| Preferred Senior | $173 - $1,196 | 18% |
| Scan Health Mcare - All Plans | $173 - $429 | 18% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $173 - $1,196 | 18% |
| Tricare | $173 - $1,196 | 18% |
| UnitedHealthcare | $173 - $3,919 | 18% |
| Fcs Ipa Op/Profee Only - All Other Plans | $181 - $1,256 | 19% |
| Ah Employee Health Plan - All Plans | $190 - $2,153 | 20% |
| Molina Benefit Exchange - All Other Plans | $198 - $1,615 | 21% |
| Molina Mcare | $198 - $1,196 | 21% |
| Prospect Mg Com/Pos Profee Only-All Other Plan | $198 | 21% |
| Prospect Mg Mcal Profee Only | $198 | 21% |
| Prospect Mg Mcr Adv Profee Only | $198 | 21% |
| Preferred Commercial - All Other Plans | $207 - $1,435 | 22% |
| Cigna | $220 - $279 | 23% |
| Aetna | $224 - $5,823 | 24% |
| Intergrated Medical - All Plans | $224 - $1,555 | 24% |
| Blue Shield Mcr Adv | $237 - $1,016 | 25% |
| Western Growers/Pinnacle - All Plans | $240 - $8,884 | 25% |
| Healthnet - All Other Plans | $251 - $312 | 26% |
| Healthnet Comm Care | $251 - $321 | 26% |
| Pacific Ipa - All Other Plans | $251 | 26% |
| Centivo - All Plans | $259 - $2,691 | 27% |
| Healthnet Mcr Adv | $264 - $1,010 | 28% |
| Kaiser- All Plans | $271 | 29% |
| Alta Los Angeles Mcal 1/1/19 | $295 | 31% |
| Preferred Ipa La Care Mcal Cap | $295 | 31% |
| Healthcare Inc - All Other Plans | $310 | 33% |
| Hcpamg - All Plans | $326 | 34% |
| Preferred Healthy | $369 | 39% |
| First Heatlh Ppo - All Plans | $383 | 40% |
| Phcs Ppo - All Plans | $429 | 45% |
| Ahf - All Plans | $495 | 52% |
| Beech Street - All Plans | $495 | 52% |
| Interplan Ppo - All Plans | $495 | 52% |
| Corvel Corp - All Plans | $528 | 56% |
| Multiplan Ppo - All Plans | $548 | 58% |
| Healthmannet - All Plans | $561 | 59% |
| Next Inc Ppo - All Plans | $561 | 59% |
| Trpn - All Plans | $561 | 59% |
| Fpn Ppo - All Plans | $594 | 63% |
| Blue Shield Epn | $628 - $5,291 | 66% |
| Blue Shield - All Other Plans | $663 - $6,104 | 70% |
| Avanti Mcal | $990 | 104% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $1,196 | 126% |
| Bright Health - All Plans | $1,375 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $1,435 | 151% |
| Php-Prospect Health Plan Cap - All Plans | $1,794 | 189% |