CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Our Lady of the Lake Surgical Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $834
Cash Discount Price: $1,001
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Our Lady of the Lake Surgical Hospital is $834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,001. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.88x the Medicare baseline. Located in 1700 W Lindberg Drive, Slidell, LA.

Cash / Self-Pay

$1,001

Average discount available for prompt cash payment at this facility.

Insurance Median

$834

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: $1,001 (105%)

Insurance Median: $834 (88%)

Cash: $1,001 (105% of Medicare)

Ins. Median: $834 (88% 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
First Health	$150 - $707	16%
Womans Hospital Employees	$154 - $728	16%
Medical Cost Containment Professionals	$198 - $936	21%
Peoples Health	$198 - $936	21%
Usa Managed Care Organization	$207 - $978	22%
Three Rivers Provider Network	$209 - $988	22%
Aetna	$468 - $1,668	49%
Amerihealth Caritas	$468	49%
Louisiana Healthcare Connection	$468	49%
UnitedHealthcare	$468 - $1,210	49%
Blue Cross Blue Shield	$634 - $834	67%
Triwest	$793	83%
Healthy Blue	$834	88%
Humana	$834 - $1,260	88%
Lhc (Allwell)	$834	88%
Vantage Health Plan Inc.	$834 - $1,418	88%
Wellcare Health Plan Inc	$834	88%
Gilsbar 360	$1,919	202%
Cigna	$1,976	208%
Hs Technology	$2,169	228%

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 $1,001.
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 Our Lady of the Lake 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.