CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: University Medical Center
Billing Code: 45378 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45378
- Insurance Median: $374
- Cash Discount Price: $495
- vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at University Medical Center is $374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $495. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.39x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$495
Average discount available for prompt cash payment at this facility.
Insurance Median
$374
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: $495 (52%)
Insurance Median: $374 (39%)
Cash: $495 (52% of Medicare)
Ins. Median: $374 (39% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $157 - $1,008 | 17% |
| Aetna | $157 - $2,738 | 17% |
| Allwell | $175 - $1,008 | 18% |
| Arroweye Solutions | $175 - $1,686 | 18% |
| Blue Cross Blue Shield | $175 - $1,164 | 18% |
| Caesar'S Entertainment | $175 - $3,010 | 18% |
| City Of Henderson | $175 - $3,010 | 18% |
| City Of North Las Vegas | $175 - $3,010 | 18% |
| Clark County Epo | $175 - $3,010 | 18% |
| Clark County Self Funded | $175 - $3,010 | 18% |
| Dignity Health | $175 - $1,686 | 18% |
| Golden Entertainment | $175 - $1,686 | 18% |
| Golden Nugget Hotel & Casino | $175 - $1,686 | 18% |
| Healthcare Partners Of Nevada | $175 - $1,008 | 18% |
| Las Vegas Metro Police Dept | $175 - $3,010 | 18% |
| Las Vegas Sand Corps | $175 - $1,516 | 18% |
| Marshall Retail Group | $175 - $1,686 | 18% |
| Mgm Grand | $175 - $3,010 | 18% |
| Mirage Las Vegas | $175 - $3,010 | 18% |
| Molina | $175 - $1,491 | 18% |
| Operating Engineers | $175 - $3,010 | 18% |
| P3 Health Partners | $175 - $1,686 | 18% |
| P3 Health Partners Nevada | $175 - $1,008 | 18% |
| Pli Las Vegas | $175 - $1,686 | 18% |
| Rebel Oil Company | $175 - $1,686 | 18% |
| Resorts World Las Vegas | $175 - $3,010 | 18% |
| Selecthealth | $175 - $1,491 | 18% |
| Sierra Health And Life | $175 - $1,686 | 18% |
| State Of Nevada | $175 - $1,686 | 18% |
| Stations Casinos | $175 - $1,686 | 18% |
| Teacher'S Health Trust | $175 - $1,686 | 18% |
| Truline Corporation | $175 - $1,686 | 18% |
| UnitedHealthcare | $175 - $1,516 | 18% |
| Va Pc3 (Va Choice) | $175 - $1,008 | 18% |
| Venetian/Palazzo | $175 - $1,686 | 18% |
| Wynn Resorts | $175 - $3,010 | 18% |
| Aig | $184 - $2,214 | 19% |
| Alignment Health | $184 - $1,008 | 19% |
| Beech Street | $184 - $2,214 | 19% |
| Cement Masons & Plasters H&W | $184 - $3,010 | 19% |
| Scan | $184 - $1,008 | 19% |
| Clark County Firefighters 1908 | $194 - $3,010 | 20% |
| Coventry | $194 - $2,738 | 20% |
| Employee Painters Trust | $194 - $3,010 | 20% |
| Geha | $194 - $488 | 20% |
| Mail Handlers Benefit Plan | $194 - $2,738 | 20% |
| Nevada Energy | $194 - $2,738 | 20% |
| First Health | $196 - $3,513 | 21% |
| Health Net | $196 - $3,513 | 21% |
| Three Rivers Provider Network | $196 - $3,513 | 21% |
| Ambetter / Centene | $205 - $1,562 | 22% |
| Boyd Group | $207 - $3,010 | 22% |
| Bricklayers Local 13 | $207 - $3,010 | 22% |
| California Ironwork Field Welfare | $207 - $1,164 | 22% |
| Electrical Workers | $207 - $3,010 | 22% |
| Laborers Health And Welfare | $207 - $3,010 | 22% |
| Plumbers & Pipefitters Loc 525 | $207 - $3,010 | 22% |
| Sheet Metal Workers | $207 - $1,164 | 22% |
| So Ca Pipe Trades H&W | $207 - $1,164 | 22% |
| Southwest Carpenters H&W | $207 - $1,164 | 22% |
| Teamsters Local 14 | $207 - $3,010 | 22% |
| Teamsters Local 631 | $207 - $3,010 | 22% |
| Teamsters Local 986 | $207 - $3,010 | 22% |
| Ufcw Local 711 Retail Clerks | $207 - $3,010 | 22% |
| Culinary Workers Hwf | $215 - $3,010 | 23% |
| Laughlin Coalition | $245 - $1,376 | 26% |
| Hometown Health Plan Nevada | $263 - $488 | 28% |
| Jw Marriott | $263 - $2,606 | 28% |
| Nevada Preferred Professionals | $263 - $2,015 | 28% |
| One Health Plan | $263 - $2,059 | 28% |
| Prominence Health Plan | $263 - $2,015 | 28% |
| Universal Health Network (Uhn) | $263 - $2,015 | 28% |
| Health Direct Partners | $289 - $1,622 | 30% |
| American Postal Workers Health Plan | $372 - $1,516 | 39% |
| Las Vegas Firefighters 1285 | $372 - $3,010 | 39% |
| Surest | $372 - $1,516 | 39% |
| Switch | $372 - $3,010 | 39% |
| Zuffa | $376 - $2,116 | 40% |
| Cigna | $394 - $2,003 | 41% |
| Cirque De Soleil | $394 - $2,003 | 41% |
| Great West Healthcare | $394 - $2,003 | 41% |
| Kaiser | $394 - $2,003 | 41% |
| National Security Technologies | $394 - $2,003 | 41% |
| Clark County Detention Center | $1,058 | 111% |
| Hometown Health Plan Of Nevada | $2,059 | 217% |
| Nevada Hand | $3,010 | 317% |