CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Shands Jacksonville

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$983

about 1.0× the $950 Medicare rate · typically $659–$1,673

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,010

About the fair price

about $27 over the fair price · 1.1× Medicare

Medicare pays $950 Fair price $983 This hospital $1,010 Cash price $3,176 Hospital's list price $5,774

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $125 Priciest $1,010

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $983 (about 1.0× the $950 Medicare rate). Shands Jacksonville charges insurers about $1,010, or about $3,176 in cash — about the fair price. Located in Jacksonville, FL.

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✓ 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	$1,010 - $4,595	106%
Blue Cross Blue Shieldmajor	$971 - $3,364	102%
Aetnamajor	$705 - $4,758	74%
Cignamajor	$1,777	187%
Humanamajor	$701 - $4,908	74%
Ambetter (Centene)	$1,519	160%
AmeriHealth	$764	80%
AvMed	$1,761 - $1,797	185%
Devoted Health	$1,020 - $1,068	107%
Health Net	$2,425	255%
Molina	$764 - $1,190	80%
Simply Healthcare	$769	81%
WellCare	$1,136	120%
+ 21 smaller / regional plans	$701 - $5,485

Excludes 7 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 3,176), 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 Shands Jacksonville 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 Shands Jacksonville

Compare: Colonoscopy (diagnostic) at other FL hospitals

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