CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Ochsner Medical Center-Kenner

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$965

about 1.0× the $950 Medicare rate · typically $708–$2,003

modeled estimate · not a bill or quote

What this hospital charges insurers

$850

Below the fair price — a good deal

about $115 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $965 This hospital $850 Cash price $484 Hospital's list price $1,728

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 $850

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 $965 (about 1.0× the $950 Medicare rate). Ochsner Medical Center-Kenner charges insurers about $850, or about $484 in cash — below the fair price — a good deal. Located in Kenner, 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	$481 - $2,680	51%
Blue Cross Blue Shieldmajor	$837 - $2,630	88%
Aetnamajor	$496 - $4,154	52%
Cignamajor	$2,371	250%
Humanamajor	$481 - $837	51%
AmeriHealth	$496	52%
Health Net	$1,469	155%
WellCare	$862	91%
+ 7 smaller / regional plans	$491 - $1,296

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

Excludes 8 rental-network / third-party entries (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 484), 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 Medical Center-Kenner 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 Medical Center-Kenner

Compare: Colonoscopy (diagnostic) at other LA hospitals

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