CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Marion Communtiy Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,654
about 2.8× the $950 Medicare rate · typically $947–$2,951
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,928
About the fair price
about $274 over the fair price · 3.1× Medicare
Medicare pays $950 Fair price $2,654 This hospital $2,928

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 $2,928

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 $2,654 (about 2.8× the $950 Medicare rate). Marion Communtiy Hospital charges insurers about $2,928 — about the fair price. Located in Ocala, FL.

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 $8,440 888%
Blue Cross Blue Shieldmajor $2,361 - $3,302 249%
Cignamajor $14,857 - $35,535 1564%
AvMed $4,117 - $8,971 433%
Molina $1,950 - $3,242 205%
Simply Healthcare $2,762 291%
+ 3 smaller / regional plans $1,231 - $12,500
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals