CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Desert View Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$873

about 0.9× the $950 Medicare rate · typically $322–$1,854

modeled estimate · not a bill or quote

What this hospital charges insurers

$779

Below the fair price — a good deal

about $94 under the fair price · 0.8× Medicare

Medicare pays $950 Fair price $873 This hospital $779 Cash price $813 Hospital's list price $2,033

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NV hospitals compared.

Cheapest $261 Priciest $1,008

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

A fair price for a Colonoscopy (diagnostic) is about $873 (about 0.9× the $950 Medicare rate). Desert View Hospital charges insurers about $779, or about $813 in cash — below the fair price — a good deal. Located in Pahrump, NV.

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	$648 - $909	68%
Blue Cross Blue Shieldmajor	$1,736	183%
Aetnamajor	$1,220 - $1,298	128%
Cignamajor	$1,027	108%
Humanamajor	$374 - $1,220	39%
Ambetter (Centene)	$569	60%
+ 7 smaller / regional plans	$205 - $1,525

Excludes 1 rental-network / third-party entry (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 813), 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 Desert View Hospital 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 Desert View Hospital

Compare: Colonoscopy (diagnostic) at other NV hospitals

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