CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Carle Richland Memorial Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$574

about 0.6× the $950 Medicare rate · typically $214–$1,739

modeled estimate · not a bill or quote

Medicare pays $950 Fair price $574 Cash price $3,045 Hospital's list price $3,045

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$639 - $2,326	67%
Blue Cross Blue Shieldmajor	$639 - $2,132	67%
Aetnamajor	$639 - $2,540	67%
Cignamajor	$82	9%
Humanamajor	$639	67%
HealthLink	$1,979 - $2,132	208%
Meridian	$639	67%
Molina	$639 - $914	67%
WellCare	$639	67%

Excludes 1 rental-network / third-party entry (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 3,045), 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 Carle Richland Memorial 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 Carle Richland Memorial Hospital

Compare: Colonoscopy (diagnostic) at other IL hospitals

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