CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Ochsner University Hospital and Clinics

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$815

about 0.9× the $950 Medicare rate · typically $485–$1,066

modeled estimate · not a bill or quote

What this hospital charges insurers

$481

Below the fair price — a good deal

about $334 under the fair price · 0.5× Medicare

Medicare pays $950 Fair price $815 This hospital $481 Cash price $402 Hospital's list price $1,546

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

Cheapest $193 Priciest $481

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

A fair price for a Colonoscopy (diagnostic) is about $815 (about 0.9× the $950 Medicare rate). Ochsner University Hospital and Clinics charges insurers about $481, or about $402 in cash — below the fair price — a good deal. Located in Lafayette, LA.

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	$170 - $1,914	18%
Blue Cross Blue Shieldmajor	$170 - $1,351	18%
Aetnamajor	$170 - $918	18%
Cignamajor	$345 - $1,576	36%
Humanamajor	$244 - $481	26%
AmeriHealth	$244 - $481	26%
WellCare	$170 - $870	18%
+ 6 smaller / regional plans	$170 - $854

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

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 402), 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 Ochsner University Hospital and Clinics 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 Ochsner University Hospital and Clinics

Compare: Colonoscopy (diagnostic) at other LA hospitals

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