CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University of Colorado Hospital Authority

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,468

about 1.5× the $950 Medicare rate · typically $235–$2,947

modeled estimate · not a bill or quote

What this hospital charges insurers

$916

Below the fair price — a good deal

about $552 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $1,468 This hospital $916 Cash price $1,854 Hospital's list price $5,297

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $174 Priciest $916

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $1,468 (about 1.5× the $950 Medicare rate). University of Colorado Hospital Authority charges insurers about $916, or about $1,854 in cash — below the fair price — a good deal. Located in Aurora, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

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	$889 - $2,917	94%
Blue Cross Blue Shieldmajor	$494 - $3,115	52%
Aetnamajor	$916 - $6,574	96%
Cignamajor	$916 - $2,752	96%
Humanamajor	$916	96%
Kaiser Permanentemajor	$916 - $3,110	96%
Devoted Health	$916	96%
SelectHealth	$916 - $2,170	96%
+ 3 smaller / regional plans	$916 - $2,807

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,854), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm University of Colorado Hospital Authority is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University of Colorado Hospital Authority

Compare: Colonoscopy (diagnostic) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.