CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Providence Holy Cross Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,507

about 1.6× the $950 Medicare rate · typically $1,126–$2,620

modeled estimate · not a bill or quote

Medicare pays $950 Fair price $1,507 Cash price $611 Hospital's list price $1,745

How we calculate the fair BaseRate →

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	$3,094 - $3,518	326%
Blue Cross Blue Shieldmajor	$1,253 - $4,305	132%
Aetnamajor	$1,196	126%
Cignamajor	$3,463	364%
Humanamajor	$1,220	128%
Health Net	$2,213 - $4,385	233%
+ 2 smaller / regional plans	$1,316 - $1,555

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 611), 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 Providence Holy Cross 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 Providence Holy Cross Medical Center

Compare: Colonoscopy (diagnostic) at other CA hospitals

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