CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Parkland Health Center - Bonne Terre

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,775
Cash Discount Price: $3,956
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Parkland Health Center - Bonne Terre is $1,775. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,956. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.87x the Medicare baseline. Located in 7245 Raider Road, Bonne Terre, MO.

Cash / Self-Pay

$3,956

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,775

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: $3,956 (416%)

Insurance Median: $1,775 (187%)

Cash: $3,956 (416% of Medicare)

Ins. Median: $1,775 (187% 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
Aetna	$467 - $935	49%
Blue Cross Blue Shield	$467 - $3,390	49%
Cigna	$467 - $2,717	49%
Cox Health [757]	$467 - $935	49%
Devoted Health Plan [847]	$467 - $935	49%
Essence Healthcare [221]	$467 - $935	49%
Humana	$467 - $2,574	49%
Medica [662]	$467 - $935	49%
Medicare (plans)	$467 - $935	49%
UnitedHealthcare	$467 - $2,823	49%
Consociate [478]	$1,775 - $4,402	187%
Sarah Bush Lincoln [636]	$1,775 - $4,402	187%
Cox Health Systems Insurance Company [220]	$2,128	224%
Health Alliance [224]	$2,128	224%
Allied Benefits [498]	$2,245	236%
Hope Trust [806]	$2,245	236%
Healthscope Benefits [258]	$2,516 - $2,823	265%
Apwu Health Plan [216]	$2,717	286%
Nalc Health Benefit Plan [242]	$2,717	286%
Priority Health [648]	$2,717	286%
Healthcare Sol Mercy [609]	$2,902	305%
Med-Pay [480]	$2,902	305%
Medica [661]	$3,096	326%
Phcs [244]	$3,096	326%

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 $3,956.
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 Parkland Health Center - Bonne Terre 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.