CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mercy Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$970
about 1.0× the $950 Medicare rate · typically $638–$1,592
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,079
About the fair price
about $109 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $970 This hospital $1,079

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 $1,079

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 $970 (about 1.0× the $950 Medicare rate). Mercy Medical Center charges insurers about $1,079 — about the fair price. Located in Merced, 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✓ Humana✓ Kaiser Permanente Cigna

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 $1,158 122%
Blue Cross Blue Shieldmajor $487 - $8,557 51%
Aetnamajor $1,158 - $7,112 122%
Humanamajor $1,158 122%
Kaiser Permanentemajor $339 - $1,158 36%
Health Net $1,154 - $11,054 121%
Molina $339 36%
+ 9 smaller / regional plans $339 - $1,158

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Facility Profile & Credentials

  • Address: 333 Mercy Avenue, Merced, CA 95340
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals