CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Phelps County Regional Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,012
about 1.1× the $950 Medicare rate · typically $658–$1,168
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,018
About the fair price
about $6 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $1,012 This hospital $1,018 Cash price $2,746 Hospital's list price $3,923

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $158 Priciest $1,018

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

A fair price for a Colonoscopy (diagnostic) is about $1,012 (about 1.1× the $950 Medicare rate). Phelps County Regional Medical Center charges insurers about $1,018, or about $2,746 in cash — about the fair price. Located in Rolla, MO.

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✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $1,013 107%
Blue Cross Blue Shieldmajor $364 - $1,022 38%
Humanamajor $1,042 110%
+ 1 smaller / regional plan $1,042

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1000 W 10Th St, Rolla, MO 65401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals