CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Park Place Surgical Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $800
Cash Discount Price: $826
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Park Place Surgical Hospital is $800. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $826. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.84x the Medicare baseline. Located in 4811 Ambassador Caffery Parkway, Lafayette, LA.

Cash / Self-Pay

$826

Average discount available for prompt cash payment at this facility.

Insurance Median

$800

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: $826 (87%)

Insurance Median: $800 (84%)

Cash: $826 (87% of Medicare)

Ins. Median: $800 (84% 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
Blue Cross Blue Shield	$726	76%
Aetna	$774 - $991	81%
Humana	$774 - $1,074	81%
Medicare (plans)	$774 - $826	81%
UnitedHealthcare	$774 - $1,327	81%
Wellcare	$774	81%
Vantage	$1,115	117%
Cigna	$2,273	239%

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 $826.
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 Park Place Surgical 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.