Colonoscopy (diagnostic)
Facility: Mercyone Waterloo Medical Center
Billing Code: 45378 (CPT)
Lowest price of the 9 IA hospitals we have prices for — a strong deal.
Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.
A fair price for a Colonoscopy (diagnostic) is about $87 (about 0.1× the $950 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $104 — above the fair price. Located in Waterloo, IA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $87. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $75 - $894 | 8% |
| Blue Cross Blue Shieldmajor | $75 - $950 | 8% |
| Aetnamajor | $75 - $4,236 | 8% |
| Cignamajor | $75 - $253 | 8% |
| Humanamajor | $75 - $122 | 8% |
| Kaiser Permanentemajor | $176 - $950 | 19% |
| Ambetter (Centene) | $104 - $1,502 | 11% |
| Clover Health | $75 | 8% |
| GEHA | $216 | 23% |
| Health Net | $104 - $671 | 11% |
| HealthPartners | $104 - $213 | 11% |
| Medical Mutual | $4,236 | 446% |
| Meridian | $75 - $104 | 8% |
| Molina | $104 | 11% |
| Oscar Health | $143 - $1,372 | 15% |
| Paramount | $104 | 11% |
| Presbyterian | $75 - $104 | 8% |
| Sanford Health Plan | $132 | 14% |
| Tufts Health Plan | $104 | 11% |
| UCare | $137 | 14% |
| WellMed | $75 | 8% |
| WellSense | $104 | 11% |
| + 359 smaller / regional plans | $75 - $4,236 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercyone Waterloo Medical Center
Compare: Colonoscopy (diagnostic) at other IA hospitals
- Mercyone Newton Medical Center · Newton $104
- Sartori Memorial Hospital, Inc · Cedar Falls $104
- Mercyone Clinton Medical Center · Clinton $104
- Mercyone Des Moines Medical Center · Des Moines $104
- Mercy Medical Center-New Hampton · New Hampton $104
- Mercyone Centerville Medical Center · Centerville $104
- Waverly Health Center · Waverly $153
- Mahaska Health Partnership · Oskaloosa $153
Insurance negotiated median for the same procedure, sorted lowest first.