CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $236
Cash Discount Price: $373
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Cameron Memorial Community Hospital Inc is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $373. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.25x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$373

Average discount available for prompt cash payment at this facility.

Insurance Median

$236

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: $373 (39%)

Insurance Median: $236 (25%)

Cash: $373 (39% of Medicare)

Ins. Median: $236 (25% 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
Buckeye Health	$93	10%
Molina Healthcare Of Oh	$93	10%
Aetna	$166	17%
Cigna	$166	17%
Corvel	$166	17%
Encore	$166	17%
Humana	$166 - $234	17%
Phcs	$166	17%
Plain Church Group Ministry	$166	17%
Sagamore Health Network	$166	17%
Caresource Indiana Of In	$182 - $310	19%
Coventry	$199	21%
Lucent	$232	24%
Frontpath	$238	25%
Three Rivers Preferred	$239 - $23,900	25%
UnitedHealthcare	$248 - $310	26%
Lutheran Preferred	$256	27%
Centivo	$257	27%
Php	$292	31%
Managed Health Services	$310	33%
Mdwise	$310	33%
Blue Cross Blue Shield	$519	55%
Signature Care	$536	56%

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 $373.
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 Cameron Memorial Community Hospital Inc 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.