CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University of Michigan Health - West

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$791

about 0.8× the $950 Medicare rate · typically $431–$1,288

modeled estimate · not a bill or quote

What this hospital charges insurers

$405

Below the fair price — a good deal

about $386 under the fair price · 0.4× Medicare

Medicare pays $950 Fair price $791 This hospital $405 Cash price $194 Hospital's list price $485

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $138 Priciest $405

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

A fair price for a Colonoscopy (diagnostic) is about $791 (about 0.8× the $950 Medicare rate). University of Michigan Health - West charges insurers about $405, or about $194 in cash — below the fair price — a good deal. Located in Wyoming, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$350	37%
Aetnamajor	$325	34%
Humanamajor	$364 - $950	38%
HealthPartners	$405	43%
Medica	$350	37%
Molina	$509 - $950	54%
Priority Health	$213	22%
+ 10 smaller / regional plans	$325 - $950

Government programs also on file: Medicare, Medicaid.

Excludes 5 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 194), 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 University of Michigan Health - West 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 University of Michigan Health - West

Compare: Colonoscopy (diagnostic) at other MI hospitals

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