CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Manning Regional Healthcare Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,640
Cash Discount Price: $1,519
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Manning Regional Healthcare Center is $1,640. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,519. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.73x the Medicare baseline. Located in 1550 Sixth Street, Manning, IA.

Cash / Self-Pay

$1,519

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,640

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: $1,519 (160%)

Insurance Median: $1,640 (173%)

Cash: $1,519 (160% of Medicare)

Ins. Median: $1,640 (173% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medical Associates Mcr	$153 - $2,391	16%
Medicare (plans)	$153 - $2,391	16%
Merigold Mcr Adv-All Plans	$153 - $2,391	16%
Tricare	$153 - $2,391	16%
UnitedHealthcare	$153 - $3,313	16%
Oscar Epo-All Plans	$264 - $3,586	28%
Medical Associates Comm-All Other Plans	$290 - $2,562	31%
Preferred Health - All Plans	$290 - $2,562	31%
Wellmark Hmo	$361 - $2,425	38%
Wellmark Ppo-All Other Plans	$361 - $2,669	38%
Midlands Choice- All Plans	$377 - $3,347	40%
Aetna	$558 - $3,347	59%
Iowa Total Care Mcaid-All Plans	$880 - $2,543	93%
Medicaid / KanCare	$889 - $2,568	94%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,519.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Manning Regional Healthcare Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.