CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Uch-Memorial Health System

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,499
Cash Discount Price: $1,668
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Uch-Memorial Health System is $1,499. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,668. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.58x the Medicare baseline. Located in 1400 E Boulder St, Colorado Springs, CO.

Cash / Self-Pay

$1,668

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,499

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: $1,668 (176%)

Insurance Median: $1,499 (158%)

Cash: $1,668 (176% of Medicare)

Ins. Median: $1,499 (158% 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
Blue Cross Blue Shield	$487 - $3,452	51%
Aetna	$916 - $6,680	96%
Cigna	$916 - $1,831	96%
Cms	$916	96%
Devoted Health	$916	96%
Humana	$916	96%
Kaiser	$916 - $5,462	96%
Select Health	$916 - $2,348	96%
UnitedHealthcare	$916 - $4,872	96%
Simplified Benefits Administration	$1,190 - $1,445	125%
Denver Health Medical Plan	$1,853	195%
Rocky Mountain Health Plan	$2,001	211%
First Health	$2,187	230%
Multiplan	$2,631	277%
Phcs	$2,631	277%
Kaiser Public Option	$3,031	319%
Kaiser Kp Select	$4,479	471%

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 $1,668.
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 Uch-Memorial Health System 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.