CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mercy Health - Fairfield Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,325
about 1.4× the $950 Medicare rate · typically $932–$2,092
modeled estimate · not a bill or quote
What this hospital charges insurers
$922
Below the fair price — a good deal
about $403 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,325 This hospital $922 Cash price $5,753 Hospital's list price $9,588

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $139 Priciest $922

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $1,325 (about 1.4× the $950 Medicare rate). Mercy Health - Fairfield Hospital charges insurers about $922, or about $5,753 in cash — below the fair price — a good deal. Located in Fairfield, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $922 97%
Aetnamajor $922 97%
Humanamajor $922 97%
CareSource $940 99%

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3000 Mack Road, Fairfield, OH 45014
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals