CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Lima Memorial Health System
Billing Code: 45378 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,052
about 1.1× the $950 Medicare rate · typically $974–$1,565
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,052 Cash price $995 Hospital's list price $1,106
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $3,674 - $4,083 | 387% |
| Aetnamajor | $888 - $1,066 | 93% |
| CareSource | $1,554 | 164% |
| Devoted Health | $897 | 94% |
| + 1 smaller / regional plan | $1,510 |
Self-Pay How to get the cash price
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Other Procedures at Lima Memorial Health System
Compare: Colonoscopy (diagnostic) at other OH hospitals
- Cincinnati Children's Hospital Medical Center · Cincinnati $139
- Genesis Hospital · Zanesville $162
- Fisher-Titus Hospital · Norwalk $242
- Union Hospital · Dover $269
- Ashtabula County Medical Center · Ashtabula $270
- Southwest General Health Center · Middleburg Heights $305
- Southern Ohio Medical Center · Portsmouth $325
- Akron Children's Hospital · Akron $348
Insurance negotiated median for the same procedure, sorted lowest first.