CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Providence Saint Joseph Medical Ctr
Billing Code: 45378 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,499
about 1.6× the $950 Medicare rate · typically $1,122–$2,543
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,499 Cash price $511 Hospital's list price $1,460
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✓ 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 | $2,654 - $3,006 | 279% |
| Blue Cross Blue Shieldmajor | $1,253 - $4,184 | 132% |
| Aetnamajor | $1,196 | 126% |
| Cignamajor | $3,452 | 363% |
| Humanamajor | $1,220 | 128% |
| Health Net | $2,213 - $4,385 | 233% |
| + 2 smaller / regional plans | $1,316 - $1,555 |
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Other Procedures at Providence Saint Joseph Medical Ctr
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.