CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Highland Hospital
Billing Code: 45378 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,227
about 1.3× the $950 Medicare rate · typically $962–$2,557
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,227 Hospital's list price $6,000
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 | $2,167 - $2,476 | 228% |
| Blue Cross Blue Shieldmajor | $267 - $3,738 | 28% |
| Aetnamajor | $674 - $3,498 | 71% |
| Cignamajor | $4,320 | 455% |
| Kaiser Permanentemajor | $3,900 | 410% |
| Health Net | $3,636 | 383% |
| + 9 smaller / regional plans | $817 - $1,322 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Highland Hospital
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.