CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Boulder Community Health

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$674

about 0.7× the $950 Medicare rate · typically $233–$2,440

modeled estimate · not a bill or quote

Medicare pays $950 Fair price $674 Cash price $180 Hospital's list price $360

How we calculate the fair BaseRate →

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	$179 - $941	19%
Blue Cross Blue Shieldmajor	$169 - $3,462	18%
Aetnamajor	$123 - $916	13%
Cignamajor	$288 - $4,092	30%
Humanamajor	$169 - $916	18%
Kaiser Permanentemajor	$260 - $2,147	27%
Devoted Health	$144 - $916	15%
SelectHealth	$137 - $2,135	14%
+ 12 smaller / regional plans	$83 - $944

Government programs also on file: Medicare, Medicaid.

Excludes 11 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 180), 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 Boulder Community Health 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 Boulder Community Health

Compare: Colonoscopy (diagnostic) at other CO hospitals

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