CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Adventist Health White Memorial

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,004

about 1.1× the $950 Medicare rate · typically $430–$2,083

modeled estimate · not a bill or quote

What this hospital charges insurers

$295

Below the fair price — a good deal

about $709 under the fair price · 0.3× Medicare

Medicare pays $950 Fair price $1,004 This hospital $295 Cash price $119 Hospital's list price $660

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $148 Priciest $295

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

A fair price for a Colonoscopy (diagnostic) is about $1,004 (about 1.1× the $950 Medicare rate). Adventist Health White Memorial charges insurers about $295, or about $119 in cash — below the fair price — a good deal. Located in Los Angeles, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$173 - $3,919	18%
Blue Cross Blue Shieldmajor	$173 - $6,104	18%
Aetnamajor	$224 - $5,823	24%
Cignamajor	$220 - $279	23%
Humanamajor	$173 - $1,196	18%
Kaiser Permanentemajor	$271	29%
Bright Health	$1,375	145%
Health Net	$60 - $1,010	6%
Molina	$198 - $1,615	21%
+ 51 smaller / regional plans	$70 - $8,884

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

Excludes 9 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 119), 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 Adventist Health White Memorial 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 Adventist Health White Memorial

Compare: Colonoscopy (diagnostic) at other CA hospitals

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