CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Molokai General Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$692

about 0.7× the $950 Medicare rate · typically $258–$1,616

modeled estimate · not a bill or quote

Medicare pays $950 Fair price $692 Cash price $757 Hospital's list price $1,081

How we calculate the fair BaseRate →

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 3 smaller / regional plans	$1,412 - $3,257

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 (about 757), 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 Molokai General Hospital 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 Molokai General Hospital

Compare: Colonoscopy (diagnostic) at other HI hospitals

Kau Hospital · Pahala $184
Samuel Mahelona Memorial Hospital · Kapaa $184
Adventist Health Castle · Kailua $212
Kohala Hospital · Kapaau $931
Kapiolani Medical Center for Women & Children · Honolulu $935
Kaiser Foundation Hospital · Honolulu $981
Straub Clinic and Hospital · Honolulu $1,081
Kuakini Medical Center · Honolulu $1,135

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