CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Mercyone Elkader Medical Center
Billing Code: 45378 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$294
about 0.3× the $950 Medicare rate · typically $154–$1,212
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $294 Hospital's list price $1,249
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 | $688 - $1,093 | 72% |
| Blue Cross Blue Shieldmajor | $643 | 68% |
| Aetnamajor | $153 - $919 | 16% |
| Cignamajor | $1,224 | 129% |
| Ambetter (Centene) | $1,091 | 115% |
| GEHA | $1,093 | 115% |
| HealthPartners | $1,202 | 127% |
| Medica | $1,224 | 129% |
| Medical Mutual | $919 | 97% |
| + 18 smaller / regional plans | $777 - $1,305 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Mercyone Elkader 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.