CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Treasure Valley Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$886

about 0.9× the $950 Medicare rate · typically $510–$1,199

modeled estimate · not a bill or quote

What this hospital charges insurers

$837

About the fair price

about $49 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $886 This hospital $837 Cash price $1,346 Hospital's list price $2,767

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $91 Priciest $837

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $886 (about 0.9× the $950 Medicare rate). Treasure Valley Hospital charges insurers about $837, or about $1,346 in cash — about the fair price. Located in Boise, ID.

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	$837 - $3,363	88%
Blue Cross Blue Shieldmajor	$915 - $1,704	96%
Aetnamajor	$2,297	242%
Cignamajor	$2,214	233%
GEHA	$2,352	248%
Health Net	$794 - $2,352	84%
Moda Health	$2,380	250%
PacificSource	$2,114	223%
SelectHealth	$837 - $1,254	88%
+ 12 smaller / regional plans	$770 - $2,546

Government programs also on file: Military & VA.

Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,346), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Treasure Valley Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Treasure Valley Hospital

Compare: Colonoscopy (diagnostic) at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.