CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Tampa General Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,457
Cash Discount Price: $1,143
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Tampa General Hospital is $1,457. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,143. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.53x the Medicare baseline. Located in 1 Tampa General Cir, Tampa, FL.

Cash / Self-Pay

$1,143

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,457

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: $1,143 (120%)

Insurance Median: $1,457 (153%)

Cash: $1,143 (120% of Medicare)

Ins. Median: $1,457 (153% 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
Capital Health Plan Tallahassee	$971	102%
Aetna	$981	103%
Blue Cross Blue Shield	$987	104%
Care Plus Health Plans	$987	104%
Freedom Health	$991	104%
Baycare	$1,000	105%
Ultimate Health Plans	$1,020	107%
Simply Healthcare	$1,029 - $1,632	108%
Cigna	$1,039 - $2,121	109%
Longevity	$1,059	111%
Kaiser	$1,068	112%
Devoted Health	$1,088	115%
Avmed	$1,327 - $1,612	140%
Molina	$1,457	153%
Sunshine Health	$1,470 - $1,554	155%
Health First Health Plans	$1,748	184%
Truli For Health	$1,845	194%
Phcs	$1,900 - $2,000	200%
Oscar	$1,942	204%
UnitedHealthcare	$2,116 - $2,923	223%

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 $1,143.
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 Tampa General Hospital 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.