CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Ascension Sacred Heart Gulf

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,018

about 1.1× the $950 Medicare rate · typically $843–$1,804

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,010

About the fair price

about $8 under the fair price · 1.1× Medicare

Medicare pays $950 Fair price $1,018 This hospital $1,010

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.

A fair price for a Colonoscopy (diagnostic) is about $1,018 (about 1.1× the $950 Medicare rate). Ascension Sacred Heart Gulf charges insurers about $1,010 — about the fair price. Located in Port Saint Joe, 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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$990	104%
Aetnamajor	$1,010 - $5,994	106%
Humanamajor	$1,010	106%
Ambetter (Centene)	$1,617	170%
Cigna HealthSpring	$990 - $1,000	104%
Oscar Health	$1,568	165%
WellCare	$980	103%
+ 4 smaller / regional plans	$980 - $2,205

Government programs also on file: Medicare.

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, 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 Ascension Sacred Heart Gulf 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 Ascension Sacred Heart Gulf

Compare: Colonoscopy (diagnostic) at other FL hospitals

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