CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Christus St Frances Cabrini Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,214
Cash Discount Price: $2,557
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Christus St Frances Cabrini Hospital is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,557. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.28x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$2,557

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,214

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: $2,557 (269%)

Insurance Median: $1,214 (128%)

Cash: $2,557 (269% of Medicare)

Ins. Median: $1,214 (128% 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
Louisiana Healthcare Connections	$50	5%
Amerihealth Caritas Louisiana	$483	51%
UnitedHealthcare	$483 - $3,081	51%
Healthy Blue Louisiana	$488	51%
Humana	$493 - $3,573	52%
Aetna	$507 - $1,614	53%
Triwest	$850	89%
Active Med	$867	91%
Arcadian Health Plan	$867	91%
Blue Cross Blue Shield	$867 - $2,070	91%
Christus Health	$867 - $1,214	91%
Coventry	$867	91%
Vantage Health Plan Inc.	$867 - $4,918	91%
Dignity Health	$893	94%
Peoples Health	$893	94%
Wellcare	$911	96%
Allyalign Health	$954	100%
Medicare (plans)	$954	100%
Five Point Credit Union	$4,650	489%
Lsu First Choice Verity	$4,918	518%
Gilsbar, Inc.	$5,902	621%
Healthcare Highways	$5,902	621%
Verity Healthnet	$5,902	621%
Healthsmart	$6,393 - $7,869	673%
Ppoplus Llc	$6,393	673%
Cigna	$6,695	705%
Multiplan	$6,885	725%
Phcs	$6,885	725%
Health Management Network	$7,869	828%
Provider Select	$7,869	828%
First Health	$8,361	880%
Verity Healthnet National	$8,361	880%

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 $2,557.
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 Christus St Frances Cabrini 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.