CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Harrison County Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $166
Cash Discount Price: $730
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Harrison County Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.17x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$730

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $730 (77%)

Insurance Median: $166 (17%)

Cash: $730 (77% of Medicare)

Ins. Median: $166 (17% 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
Tricare	$142	15%
Aetna	$154 - $326	16%
Blue Cross Blue Shield	$154 - $811	16%
Buckeye Exchange-All Plans	$154	16%
Caresource Mcaid Hip	$154	16%
Caresource Mcr Adv	$154	16%
Mdwise Mcaid Hip	$154	16%
Mhs Exchange-All Other Plans	$154	16%
Mhs Mcaid Hip	$154	16%
Passport Mcr Adv	$154	16%
UnitedHealthcare	$154 - $304	16%
Mhs Mcr Adv	$156	16%
Communicare Adv-All Plans	$157	17%
Caresource Exchange-All Other Plans	$162	17%
Caresource Mcaid Hhw	$166	17%
Mhs Mcaid Hhw/Hcc	$166	17%
Siho Exchange	$201	21%
Siho One Southern	$201	21%
Siho Ppo/Hmo - All Other Plans	$201	21%
Encore Encircle	$208	22%
Encore Ppo - All Other Plans	$208	22%
Cigna	$235	25%
Sagamore-All Plans	$235	25%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$304	32%
Passport Mcaid-All Other Plans	$304	32%
Beech Street Comm-All Plans	$1,034	109%
First Health-All Plans	$1,034	109%
Multiplan-All Plans	$1,095	115%

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 $730.
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 Harrison County Hospital 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.