CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,494
about 2.6× the $950 Medicare rate · typically $1,050–$3,332
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,285
Above the fair price
about $791 over the fair price · 3.5× Medicare
Medicare pays $950 Fair price $2,494 This hospital $3,285

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 $3,285

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

A fair price for a Colonoscopy (diagnostic) is about $2,494 (about 2.6× the $950 Medicare rate). HCA Florida Twin Cities Hospital charges insurers about $3,285 — above the fair price. Located in Niceville, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,494. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $13,000 1368%
Blue Cross Blue Shieldmajor $3,159 - $3,702 332%
Cignamajor $17,004 - $40,673 1790%
AvMed $8,168 - $8,971 860%
Molina $1,950 - $3,242 205%
Oscar Health $3,743 394%
Simply Healthcare $3,440 362%
+ 2 smaller / regional plans $2,250 - $12,500
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals