CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University of California Davis Medical Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,303
Cash Discount Price: $2,322
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at University of California Davis Medical Center is $1,303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,322. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.37x the Medicare baseline. Located in 2315 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$2,322

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,303

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)

Cash / Self-Pay: $2,322 (244%)

Insurance Median: $1,303 (137%)

Cash: $2,322 (244% of Medicare)

Ins. Median: $1,303 (137% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Adventist	$92 - $184	10%
Generic	$92 - $184	10%
Healthnet	$92 - $3,693	10%
Dignity/Chw	$170	18%
Blue Shield	$484	51%
Pipe Trades	$484	51%
Sheet Metal Workers Union(Smw)	$484	51%
Ufcw	$484	51%
Blue Cross Blue Shield	$1,207 - $10,525	127%
UnitedHealthcare	$1,253 - $6,457	132%
Blue Shield Senior	$1,267	133%
Healthnet Senior	$1,279	135%
San Joaquin Health Plan Gmc	$1,328	140%
Carpenters H&W	$10,525	1108%
Cement Masons Trust Fund	$10,525	1108%
Delta	$10,525	1108%
Healthcomp	$10,525	1108%
Ironworkers	$10,525	1108%
Joint Benefit Trust	$10,525	1108%
Laborers Health And Welfare	$10,525	1108%
Operating Engrs Health Welfare	$10,525	1108%
Sierra Pacific Industries	$10,525	1108%
Western Growers	$10,525	1108%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,322.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of California Davis Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.