CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Miami County Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,263

about 1.3× the $950 Medicare rate · typically $552–$1,636

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,420

About the fair price

about $157 over the fair price · 1.5× Medicare

Medicare pays $950 Fair price $1,263 This hospital $1,420 Cash price $940 Hospital's list price $4,702

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $155 Priciest $1,420

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

A fair price for a Colonoscopy (diagnostic) is about $1,263 (about 1.3× the $950 Medicare rate). Miami County Medical Center charges insurers about $1,420, or about $940 in cash — about the fair price. Located in Paola, KS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$296 - $1,409	31%
Blue Cross Blue Shieldmajor	$296 - $1,321	31%
Humanamajor	$880	93%
Devoted Health	$868	91%
Oscar Health	$1,673	176%
+ 10 smaller / regional plans	$868 - $2,605

Government programs also on file: Medicaid, Military & VA.

Excludes 4 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 940), 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 Miami County Medical Center 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 Miami County Medical Center

Compare: Colonoscopy (diagnostic) at other KS hospitals

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