CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Columbus Regional Healthcare System

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$938

about 1.0× the $950 Medicare rate · typically $531–$1,145

modeled estimate · not a bill or quote

What this hospital charges insurers

$868

About the fair price

about $70 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $938 This hospital $868 Cash price $1,601 Hospital's list price $2,288

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $174 Priciest $868

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

A fair price for a Colonoscopy (diagnostic) is about $938 (about 1.0× the $950 Medicare rate). Columbus Regional Healthcare System charges insurers about $868, or about $1,601 in cash — about the fair price. Located in Whiteville, NC.

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	$511 - $1,556	54%
Blue Cross Blue Shieldmajor	$855 - $1,469	90%
Aetnamajor	$885 - $2,219	93%
Cignamajor	$898 - $2,173	95%
Humanamajor	$881	93%
Ambetter (Centene)	$1,331 - $1,549	140%
AmeriHealth	$511	54%
Devoted Health	$890	94%
Health Net	$1,517 - $1,695	160%
Molina	$587 - $946	62%
Oscar Health	$1,487 - $1,670	157%
UniCare	$855	90%
WellCare	$511 - $855	54%
+ 15 smaller / regional plans	$511 - $2,173

Excludes 2 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 1,601), 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 Columbus Regional Healthcare System 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 Columbus Regional Healthcare System

Compare: Colonoscopy (diagnostic) at other NC hospitals

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