CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Mercy Medical Center-New Hampton
Billing Code: 45378 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45378
- Insurance Median: $104
- Cash Discount Price: $2,076
- vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Mercy Medical Center-New Hampton is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,076. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.11x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$2,076
Average discount available for prompt cash payment at this facility.
Insurance Median
$104
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$950.1
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $950.1 (100%)
Cash / Self-Pay: $2,076 (219%)
Insurance Median: $104 (11%)
Cash: $2,076 (219% of Medicare)
Ins. Median: $104 (11% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $53 - $108 | 6% |
| Wc Corvel | $72 | 8% |
| Aetna | $75 - $671 | 8% |
| Align Senior Care | $75 | 8% |
| Ally Align Care Adv | $75 | 8% |
| American Health Advantage Of Idaho | $75 | 8% |
| Aurora Special Needs | $75 | 8% |
| Blue Care Network Advantage | $75 | 8% |
| Blue Cross Blue Shield | $75 - $207 | 8% |
| Blue Shield - De (Highmark) Medciare Advantage | $75 | 8% |
| Care Dimensions | $75 | 8% |
| Care Improvement Plus | $75 | 8% |
| Care Resources Pace | $75 | 8% |
| Careplus Health Plans | $75 | 8% |
| Cca - Zing Health | $75 | 8% |
| Cca Senior Care Options | $75 | 8% |
| Central Valley Medical Services Corp Pace | $75 | 8% |
| Champion Health Plan Mcr Advantage | $75 | 8% |
| Cigna | $75 - $253 | 8% |
| Clear Spring Health | $75 | 8% |
| Clover Health | $75 | 8% |
| Commonwealth Care Alliance | $75 | 8% |
| Community Pace At Home | $75 | 8% |
| Eddy Senior Care-Pace | $75 | 8% |
| Eddy Seniorcare Pace | $75 | 8% |
| Elementcare | $75 | 8% |
| Evercare | $75 | 8% |
| Everence | $75 | 8% |
| Gateway Health Plan | $75 | 8% |
| Genesys Pace Of Genesee County | $75 | 8% |
| Georgia Health Advantage | $75 | 8% |
| Gold Advantage | $75 | 8% |
| Gpa Croell Redi Mix | $75 | 8% |
| Health America Advantra | $75 | 8% |
| Highmark Health Options Dual Plan | $75 | 8% |
| Hope Select Pace | $75 | 8% |
| Horizon Nj Total Care | $75 | 8% |
| Hudson Headwaters Pace | $75 | 8% |
| Humana | $75 - $122 | 8% |
| Huron Valley Pace | $75 | 8% |
| Innovative Integrated Health Community Plans | $75 | 8% |
| Johns Hopkins Advantage Md | $75 | 8% |
| Lasso Healthcare Msa | $75 | 8% |
| Life St Marys Pace | $75 | 8% |
| Lifecircles Pace | $75 | 8% |
| Longevity Health Plan | $75 | 8% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $75 | 8% |
| Martins Point Generations Advantage | $75 | 8% |
| Mass General Brigham Mcr Adv | $75 | 8% |
| Medicare (plans) | $75 - $79 | 8% |
| Medipak Advantage | $75 | 8% |
| Mercy Life | $75 | 8% |
| Mercyone Cedar Valley | $75 | 8% |
| Meridian Complete | $75 | 8% |
| Michigan Complete Health | $75 | 8% |
| Nascentia Health Plus | $75 | 8% |
| New Centry Health Careplus | $75 | 8% |
| Osu Prime Care Advantage | $75 | 8% |
| Pace Cny | $75 | 8% |
| Pace Iowa Immanuel Pathways | $75 | 8% |
| Pace Of Southwest Michigan | $75 - $104 | 8% |
| Pace Southeast | $75 | 8% |
| Pace-Trinity Health | $75 | 8% |
| Peak Pace Solutions | $75 | 8% |
| Perennial Advantage | $75 | 8% |
| Preferred Care Partners | $75 | 8% |
| Presbyterian Senior Plan | $75 | 8% |
| Provider Partners Health Plan Of Illinois | $75 | 8% |
| Provider Partners Health Plan Of Indiana | $75 | 8% |
| Pruitthealth Premier | $75 | 8% |
| Reliance Community Care Partners Care Resources Pace | $75 | 8% |
| Rx Allwin | $75 | 8% |
| Rx Grane Grnmedd | $75 | 8% |
| Rx Retiree Rx Care | $75 | 8% |
| Scan Health Plan Mcr Ipa Meritage Oon | $75 | 8% |
| Secure Horizons Ma Pffs | $75 | 8% |
| Serenity Pace | $75 | 8% |
| Siouxland Pace | $75 | 8% |
| Solis Health Plans | $75 | 8% |
| Sunnyview-Pace Finance Dept | $75 | 8% |
| Texan Plus | $75 | 8% |
| The Health Plan | $75 | 8% |
| Thome Pace | $75 | 8% |
| Todays Options | $75 | 8% |
| Tribute Health Plans | $75 | 8% |
| Um Health Advantage | $75 | 8% |
| Union Health Service | $75 | 8% |
| UnitedHealthcare | $75 - $671 | 8% |
| Welbe Health | $75 | 8% |
| Wellmed | $75 | 8% |
| Veterans Administration | $76 | 8% |
| American Health Plan | $79 | 8% |
| Iowa Health Advantage | $79 | 8% |
| Champva | $82 | 9% |
| Tricare | $82 | 9% |
| Triwest Health Alliance | $82 | 9% |
| Us Family Health Plan | $82 | 9% |
| Veterans Eval Services | $82 | 9% |
| Nebraska Total Care | $89 | 9% |
| Amish Hospital Aid | $101 | 11% |
| Amps | $103 | 11% |
| Albany County Correctional Facility | $104 | 11% |
| Ambetter / Centene | $104 - $130 | 11% |
| Amish Mennonite | $104 | 11% |
| Ascension St. Vincent Public Safety Medical | $104 | 11% |
| Bcccp-Michigan | $104 | 11% |
| Bccp | $104 | 11% |
| Bmc Healthnet | $104 | 11% |
| Breast Grant-Connecticut | $104 | 11% |
| Broward County Dept Of Health | $104 | 11% |
| California Health And Wellness | $104 | 11% |
| Can Community Health Inc | $104 | 11% |
| Cardinal Innovations Lme | $104 | 11% |
| Care Connections Of Northern Iowa | $104 | 11% |
| Care Oregon Ohp | $104 | 11% |
| Cencal Health Plan | $104 | 11% |
| Cenpatico | $104 | 11% |
| Chhuny | $104 | 11% |
| Childrens Comm Health Plan | $104 | 11% |
| Childrens Medical Services Title 19 | $104 | 11% |
| City Of Philadelphia | $104 | 11% |
| Cmh Allegan County | $104 | 11% |
| Cmh Ausable Valley | $104 | 11% |
| Cmh Barry County | $104 | 11% |
| Cmh Bay-Arenac County | $104 | 11% |
| Cmh Berrien County | $104 | 11% |
| Cmh Cass County | $104 | 11% |
| Cmh Central Mi County | $104 | 11% |
| Cmh Clinton-Eaton-Ingham County | $104 | 11% |
| Cmh Detroit Wayne Integrated Health Network | $104 | 11% |
| Cmh Genesee County | $104 | 11% |
| Cmh Ionia County | $104 | 11% |
| Cmh Jackson County/Lifeways | $104 | 11% |
| Cmh Kalamazoo | $104 | 11% |
| Cmh Kent County | $104 | 11% |
| Cmh Lenawee County | $104 | 11% |
| Cmh Livingston County | $104 | 11% |
| Cmh Macomb | $104 | 11% |
| Cmh Misc | $104 | 11% |
| Cmh Monroe County | $104 | 11% |
| Cmh Montcalm County | $104 | 11% |
| Cmh Muskegon County | $104 | 11% |
| Cmh Newaygo County | $104 | 11% |
| Cmh North Country | $104 | 11% |
| Cmh Northern Lakes County | $104 | 11% |
| Cmh Oakland County | $104 | 11% |
| Cmh Ottawa County | $104 | 11% |
| Cmh Van Buren County | $104 | 11% |
| Cmh Washtenaw County | $104 | 11% |
| Cmh Wayne County/Carelink | $104 | 11% |
| Cmh Wayne Cty/Com Liv Svcs | $104 | 11% |
| Cmh West Mi County | $104 | 11% |
| Community Benefit Health | $104 | 11% |
| Community Care Behavorial Health | $104 | 11% |
| Community Care Partners | $104 | 11% |
| Community Health Choice | $104 | 11% |
| Connections Csp | $104 | 11% |
| County Coroner | $104 | 11% |
| County Funding Generic | $104 | 11% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $104 | 11% |
| Dean Wi Badgercare | $104 | 11% |
| Delaware County Department Of Health | $104 | 11% |
| Delaware First Health | $104 | 11% |
| Delta Dental Nj | $104 | 11% |
| Dph Tb Program | $104 | 11% |
| Dscc | $104 | 11% |
| Eastpointe Lme | $104 | 11% |
| Family Health Network | $104 | 11% |
| Freedom First Healthcare | $104 | 11% |
| Fresno County Ccs | $104 | 11% |
| Ghc Scw Wi Badgercare | $104 | 11% |
| Harbor Health | $104 | 11% |
| Health Safety Net | $104 | 11% |
| Healthy Blue Ne | $104 | 11% |
| Hennepin Health | $104 | 11% |
| Id County Ada | $104 | 11% |
| Id County Canyon | $104 | 11% |
| Id County Cat Fund | $104 | 11% |
| Id County Other | $104 | 11% |
| Id County Payette | $104 | 11% |
| Idaho Dept Health And Wellfare | $104 | 11% |
| Idaho Womens Health Check | $104 | 11% |
| Indiana Breast Cervical Cancer | $104 | 11% |
| Inland Empire Health Plan | $104 | 11% |
| Intercommunity Health Ohp | $104 | 11% |
| Jai Medical System | $104 | 11% |
| Kern Family Health Plan | $104 | 11% |
| Keystone First | $104 | 11% |
| Keystone First Chip | $104 | 11% |
| La Care Health Plan | $104 | 11% |
| Lakeland Care Inc | $104 | 11% |
| Managed Health Services - Indiana | $104 | 11% |
| Maryland Breast & Cervical Program | $104 | 11% |
| Maryland Healthy Smiles - Scion Dental | $104 | 11% |
| Maryland Physicians Care | $104 | 11% |
| Massachusetts Behavioral Health Partnership | $104 | 11% |
| Mdwise | $104 | 11% |
| Medi-Cal | $104 | 11% |
| Medi-Cal Healthnet | $104 | 11% |
| Medstar Dc Healthy Family | $104 | 11% |
| Medstar Md Health Choice | $104 | 11% |
| Mo Home State Health Plan | $104 | 11% |
| Molina Centennial Care | $104 | 11% |
| Nascentia Health Options | $104 | 11% |
| New York Cancer Services Program | $104 | 11% |
| Nextlevel Health | $104 | 11% |
| Oregon Screenwise | $104 | 11% |
| Paramount Advantage | $104 | 11% |
| Parkland Community Health Plan | $104 | 11% |
| Partners Behavioral Lme | $104 | 11% |
| Peach State Healthplan | $104 | 11% |
| Philadelphia County Funding | $104 | 11% |
| Presbyterian Centennial Care | $104 | 11% |
| Prestige Health Choice | $104 | 11% |
| Priority Partners | $104 | 11% |
| Robert F Sing Program | $104 | 11% |
| Rx 340B Pass Along | $104 | 11% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $104 | 11% |
| Rx Medi-Cal | $104 | 11% |
| Rx Meridian Rx | $104 | 11% |
| Ryan White Florida Mssrp | $104 | 11% |
| Sandhills Center Lme | $104 | 11% |
| Screening For Life | $104 | 11% |
| St Joseph County Hlth Dpt | $104 | 11% |
| Sunshine State Health Plan | $104 | 11% |
| Superior Health | $104 | 11% |
| Tenncare | $104 | 11% |
| Texas Children'S Health Plan | $104 | 11% |
| Trillium Community Ohp | $104 | 11% |
| Tufts Health Public Plans | $104 | 11% |
| Vaya Health Lme | $104 | 11% |
| Washtenaw Health Plan | $104 | 11% |
| Wellsense Health Plan | $104 | 11% |
| Wi Womens Wellness | $104 | 11% |
| Iowa Total Care | $107 | 11% |
| Wellpoint | $108 | 11% |
| Avera | $117 | 12% |
| Medical Associates | $127 | 13% |
| Sanford Health Plan | $132 | 14% |
| Lucent Health | $137 | 14% |
| Ucare | $137 | 14% |
| Health Smart | $141 | 15% |
| Oscar | $143 | 15% |
| Usa Managed Care | $148 | 16% |
| Centivo | $153 | 16% |
| Health Partners | $156 - $213 | 16% |
| Claimdoc | $159 | 17% |
| The Alliance | $160 | 17% |
| Global Excel | $172 | 18% |
| Bcn Domestic | $176 | 19% |
| Blue Benefit Administrators Of Massachusetts | $176 | 19% |
| Blue Care Network | $176 | 19% |
| Blue Distinction Transplant | $176 | 19% |
| Blue Shield - Ca | $176 | 19% |
| Blue Shield - Id (Regence) | $176 | 19% |
| Blue Shield - Ny Highmark Northeastern | $176 | 19% |
| Blue Shield - Ny Highmark Western | $176 | 19% |
| Blue Shield - Pa (Highmark) | $176 | 19% |
| Blue Shield - Wa (Regence) | $176 | 19% |
| Health Choices | $176 - $253 | 19% |
| Kaiser Domestic | $176 | 19% |
| Pre-Employment | $176 | 19% |
| Wc Domestic | $176 | 19% |
| Velocity | $179 | 19% |
| Preferred One | $183 | 19% |
| Multiplan | $199 | 21% |
| Stephenson Cty Health | $199 | 21% |
| Geha | $216 | 23% |
| Allied Benefit Systems | $253 | 27% |
| Auxiant | $253 | 27% |
| First Choice Health | $253 | 27% |
| Group Administrators | $253 | 27% |
| Midlands | $253 | 27% |
| Midlands Choice | $253 | 27% |
| Iowa Dept Of Public Health | $296 - $336 | 31% |
| Meritain | $302 | 32% |
| Quiktrip | $339 | 36% |
| Newton Correctional Facility | $385 - $436 | 41% |
| Genex Wc | $503 | 53% |
| Wc Align Network | $537 | 57% |
| Wc Praxis Health Network | $570 | 60% |
| Wc Reny Company | $584 | 61% |
| Wc Velocity | $584 | 61% |
| Auto Velocity | $604 | 64% |
| Wc O'Hara Corp | $604 | 64% |
| Andrie Inc | $671 | 71% |
| East Greenbush Central School District | $671 | 71% |
| Healthsmart Workers Comp | $671 | 71% |
| Jag Source | $671 | 71% |
| New York State Insurance Fund | $671 | 71% |
| Njm Insurance Group | $671 | 71% |
| Rx Heatlhcomp | $671 | 71% |
| Rx Restat | $671 | 71% |
| Rx Saif Opdp Wc | $671 | 71% |
| Rx Worker'S Comp | $671 | 71% |
| Wc Accident Fund | $671 | 71% |
| Wc Ace | $671 | 71% |
| Wc Acs Federal Employees | $671 | 71% |
| Wc Acuity | $671 | 71% |
| Wc Advantage | $671 | 71% |
| Wc Aegis | $671 | 71% |
| Wc Aig | $671 | 71% |
| Wc Aims | $671 | 71% |
| Wc Alaska National Ins | $671 | 71% |
| Wc Allied | $671 | 71% |
| Wc Am Trust N America | $671 | 71% |
| Wc American Claims Mgmt | $671 | 71% |
| Wc Amerisure | $671 | 71% |
| Wc Amtrust | $671 | 71% |
| Wc Asu Risk Mgt | $671 | 71% |
| Wc Benetech | $671 | 71% |
| Wc Berkley Admin | $671 | 71% |
| Wc Broadspire | $671 | 71% |
| Wc Broward County | $671 | 71% |
| Wc Bunch & Associates | $671 | 71% |
| Wc California State Comp Ins | $671 | 71% |
| Wc California State Ins Fund | $671 | 71% |
| Wc Capitol Area Health Consortium | $671 | 71% |
| Wc Ccmsi | $671 | 71% |
| Wc Chartis | $671 | 71% |
| Wc Chubb | $671 | 71% |
| Wc Cirma | $671 | 71% |
| Wc City Of Albany | $671 | 71% |
| Wc City Of Sioux City | $671 | 71% |
| Wc Claims Mgmt Inc | $671 | 71% |
| Wc Cna | $671 | 71% |
| Wc Comp One Admin C/O Manageability | $671 | 71% |
| Wc Compone Admin | $671 | 71% |
| Wc Ct Healthcare Trust | $671 | 71% |
| Wc Donegal Insurance Group | $671 | 71% |
| Wc Emc Insurance Company | $671 | 71% |
| Wc Employee Mutual | $671 | 71% |
| Wc Enablecomp | $671 | 71% |
| Wc Encore Health Network | $671 | 71% |
| Wc Erie | $671 | 71% |
| Wc Esis | $671 | 71% |
| Wc Evolutions | $671 | 71% |
| Wc Fcci | $671 | 71% |
| Wc Fed Ex | $671 | 71% |
| Wc Federal Black Lung | $671 | 71% |
| Wc Federated | $671 | 71% |
| Wc Finley Occupational Health | $671 | 71% |
| Wc First Agency/Occunet | $671 | 71% |
| Wc Ford Motor | $671 | 71% |
| Wc Fresno Unified Emp | $671 | 71% |
| Wc Gallagher Bassett | $671 | 71% |
| Wc General Motors | $671 | 71% |
| Wc Generic | $671 | 71% |
| Wc Genex Care For Ohio | $671 | 71% |
| Wc Great West Casualty | $671 | 71% |
| Wc Guarantee Insurance | $671 | 71% |
| Wc Guard Insurance Company | $671 | 71% |
| Wc Hab | $671 | 71% |
| Wc Hartford | $671 | 71% |
| Wc Hastings | $671 | 71% |
| Wc Health Management | $671 | 71% |
| Wc Heritage Summit | $671 | 71% |
| Wc Hireright | $671 | 71% |
| Wc Horizon | $671 | 71% |
| Wc Icw Group | $671 | 71% |
| Wc Idaho State Ins Fund | $671 | 71% |
| Wc Intercare Insurance | $671 | 71% |
| Wc Intermountain | $671 | 71% |
| Wc Johns Eastern | $671 | 71% |
| Wc Kemberton | $671 | 71% |
| Wc Key Ins & Benefit Solutions | $671 | 71% |
| Wc Liberty Mutual | $671 | 71% |
| Wc Mac Risk Management | $671 | 71% |
| Wc Massachusetts | $671 | 71% |
| Wc Mdia | $671 | 71% |
| Wc Meadowbrook Claim | $671 | 71% |
| Wc Medical Administrators | $671 | 71% |
| Wc Meijers | $671 | 71% |
| Wc Memic | $671 | 71% |
| Wc Mercy Workcare | $671 | 71% |
| Wc Michigan | $671 | 71% |
| Wc Michigan Millers Mutual | $671 | 71% |
| Wc Mitchell Frankenmuth | $671 | 71% |
| Wc Mra | $671 | 71% |
| Wc Nationwide | $671 | 71% |
| Wc Nca Comp | $671 | 71% |
| Wc New York | $671 | 71% |
| Wc New York Special Funds | $671 | 71% |
| Wc North American Rishces | $671 | 71% |
| Wc Northeast Health | $671 | 71% |
| Wc Notre Dame | $671 | 71% |
| Wc Novanet | $671 | 71% |
| Wc Occ Health Allen | $671 | 71% |
| Wc Ohio Bureau | $671 | 71% |
| Wc One Call Medical | $671 | 71% |
| Wc Paradigm | $671 | 71% |
| Wc Peerless | $671 | 71% |
| Wc Pma | $671 | 71% |
| Wc Price Chopper | $671 | 71% |
| Wc Procura Management | $671 | 71% |
| Wc Qualcare | $671 | 71% |
| Wc Quiktrip | $671 | 71% |
| Wc Rev Claims | $671 | 71% |
| Wc Risico | $671 | 71% |
| Wc Rural Mutual | $671 | 71% |
| Wc Saif Oregon | $671 | 71% |
| Wc Secura | $671 | 71% |
| Wc Sedgwick | $671 | 71% |
| Wc Sentry | $671 | 71% |
| Wc Sheakley Unicomp | $671 | 71% |
| Wc Smile Lodge | $671 | 71% |
| Wc Society | $671 | 71% |
| Wc Srs | $671 | 71% |
| Wc Taconic (Mro) | $671 | 71% |
| Wc Taconic Farms | $671 | 71% |
| Wc Travelers | $671 | 71% |
| Wc Triad Group | $671 | 71% |
| Wc Tristar | $671 | 71% |
| Wc Troy Ny | $671 | 71% |
| Wc Tyson | $671 | 71% |
| Wc Unified Health Services | $671 | 71% |
| Wc United Heartland | $671 | 71% |
| Wc Us Dept Of Labor | $671 | 71% |
| Wc Walmart | $671 | 71% |
| Wc West Bend | $671 | 71% |
| Wc West Bend Mutual/Argent | $671 | 71% |
| Wc Winnebago Industries | $671 | 71% |
| Wc Yankee Trails | $671 | 71% |
| Wc York Risk | $671 | 71% |
| Wc Zenith | $671 | 71% |
| Wc Zurich | $671 | 71% |