CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Columbus Regional Healthcare System

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,359
Cash Discount Price: $1,601
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Columbus Regional Healthcare System is $1,359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,601. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.43x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.

Cash / Self-Pay

$1,601

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,359

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: $1,601 (169%)

Insurance Median: $1,359 (143%)

Cash: $1,601 (169% of Medicare)

Ins. Median: $1,359 (143% 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
Alliance	$511	54%
Amerihealth	$511	54%
Apex Health	$511	54%
Cardinal	$511	54%
Carolina Complete Health	$511	54%
Healthy Blue	$511	54%
Partners	$511	54%
Sandhills	$511	54%
Trillium	$511	54%
UnitedHealthcare	$511 - $1,556	54%
Wellcare	$511 - $855	54%
Molina	$587 - $946	62%
Blue Cross Blue Shield	$855 - $1,469	90%
Troy	$855	90%
Va Communicare Care	$855	90%
Vaya Health	$864	91%
Liberty	$872	92%
Humana	$881	93%
Aetna	$885 - $2,219	93%
Devoted Health	$890	94%
Cigna	$898 - $2,173	95%
Queens University	$1,258	132%
Ambetter / Centene	$1,331 - $1,549	140%
Oscar	$1,487 - $1,670	157%
Employers Health Network	$1,517 - $1,695	160%
Quicktrip	$1,830	193%
Multiplan	$2,059 - $2,173	217%
Choicecare	$2,173	229%
Healthgram	$2,173	229%
Medcost	$2,173	229%

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 $1,601.
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 Columbus Regional Healthcare System 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.