CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Adventist Health Reedley

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$688

about 0.7× the $950 Medicare rate · typically $246–$1,127

modeled estimate · not a bill or quote

What this hospital charges insurers

$244

Below the fair price — a good deal

about $444 under the fair price · 0.3× Medicare

Medicare pays $950 Fair price $688 This hospital $244 Cash price $118 Hospital's list price $623

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 $244

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 $688 (about 0.7× the $950 Medicare rate). Adventist Health Reedley charges insurers about $244, or about $118 in cash — below the fair price — a good deal. Located in Reedley, 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	$164 - $8,266	17%
Blue Cross Blue Shieldmajor	$164 - $6,903	17%
Aetnamajor	$193 - $10,039	20%
Cignamajor	$216 - $405	23%
Kaiser Permanentemajor	$222 - $1,196	23%
Bright Health	$1,878	198%
Health Net	$240 - $1,196	25%
+ 15 smaller / regional plans	$40 - $10,215

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

Excludes 1 rental-network / third-party entry (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 118), 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 Reedley 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 Reedley

Compare: Colonoscopy (diagnostic) at other CA hospitals

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