CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: City of Hope National Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,125

about 1.2× the $950 Medicare rate · typically $304–$2,965

modeled estimate · not a bill or quote

What this hospital charges insurers

$330

Below the fair price — a good deal

about $795 under the fair price · 0.3× Medicare

Medicare pays $950 Fair price $1,125 This hospital $330 Cash price $3,423 Hospital's list price $6,846

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 $330

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $1,125 (about 1.2× the $950 Medicare rate). City of Hope National Medical Center charges insurers about $330, or about $3,423 in cash — below the fair price — a good deal. Located in Duarte, CA.

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✓ Kaiser Permanente Humana

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	$1,917 - $6,846	202%
Blue Cross Blue Shieldmajor	$1,712 - $6,846	180%
Aetnamajor	$3,765	396%
Cignamajor	$3,676	387%
Kaiser Permanentemajor	$3,081	324%
Health Net	$232 - $4,012	24%
Molina	$3,423 - $4,450	360%
Sentara	$189 - $413	20%
+ 8 smaller / regional plans	$236 - $4,450

Excludes 3 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 3,423), 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 City of Hope National Medical Center 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 City of Hope National Medical Center

Compare: Colonoscopy (diagnostic) at other CA hospitals

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