CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Cloud County Health Center

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$846

about 0.9× the $950 Medicare rate · typically $208–$1,679

modeled estimate · not a bill or quote

What this hospital charges insurers

$207

Below the fair price — a good deal

about $639 under the fair price · 0.2× Medicare

Medicare pays $950 Fair price $846 This hospital $207 Cash price $591 Hospital's list price $844

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

On the higher side — 6 of 8 other KS hospitals charge less.

Cheapest $155 Priciest $239

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 $846 (about 0.9× the $950 Medicare rate). Cloud County Health Center charges insurers about $207, or about $591 in cash — below the fair price — a good deal. Located in Concordia, KS.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan	$207

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 591), 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 Cloud County Health 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 Cloud County Health Center

Compare: Colonoscopy (diagnostic) at other KS hospitals

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