CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Providence St Mary Medical Center
Billing Code: 45378 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,284
about 1.4× the $950 Medicare rate · typically $663–$1,817
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,284 Cash price $1,300 Hospital's list price $2,708
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
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 | $3,257 - $3,608 | 343% |
| Blue Cross Blue Shieldmajor | $5,678 - $15,176 | 598% |
| Aetnamajor | $1,196 - $4,035 | 126% |
| Kaiser Permanentemajor | $3,033 | 319% |
| Health Net | $3,197 | 336% |
| + 1 smaller / regional plan | $1,268 - $1,423 |
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Other Procedures at Providence St Mary Medical Center
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.