CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Wellstar Paulding Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,803
about 1.9× the $950 Medicare rate · typically $948–$3,377
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,747
About the fair price
about $56 under the fair price · 1.8× Medicare
Medicare pays $950 Fair price $1,803 This hospital $1,747

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $200 Priciest $1,747

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

A fair price for a Colonoscopy (diagnostic) is about $1,803 (about 1.9× the $950 Medicare rate). Wellstar Paulding Medical Center charges insurers about $1,747 — about the fair price. Located in Hiram, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $5,272 555%
Blue Cross Blue Shieldmajor $963 - $3,546 101%
Aetnamajor $945 - $4,714 99%
Cignamajor $992 - $3,437 104%
Ambetter (Centene) $1,662 175%
CareSource $1,011 - $1,851 106%
Oscar Health $1,747 184%
+ 1 smaller / regional plan $1,694

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Facility Profile & Credentials

  • Address: 2518 Jimmy Lee Smith Parkway, Hiram, GA 30141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals