CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Mercyone Dubuque Medical Center
Billing Code: 45378 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$382
about 0.4× the $950 Medicare rate · typically $56–$892
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $382 Cash price $3,723
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✓ Aetna CignaHumanaKaiser 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 | $924 | 97% |
| Blue Cross Blue Shieldmajor | $915 | 96% |
| Aetnamajor | $906 | 95% |
| Ambetter (Centene) | $1,553 | 163% |
| Oscar Health | $1,261 | 133% |
| + 5 smaller / regional plans | $834 - $1,858 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Mercyone Dubuque Medical Center
Compare: Colonoscopy (diagnostic) at other IA hospitals
- Mercyone Newton Medical Center · Newton $104
- Sartori Memorial Hospital, Inc · Cedar Falls $104
- Mercyone Waterloo Medical Center · Waterloo $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
Insurance negotiated median for the same procedure, sorted lowest first.