CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Fisher-Titus Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $437
Cash Discount Price: $580
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Fisher-Titus Hospital is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $580. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.46x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$580

Average discount available for prompt cash payment at this facility.

Insurance Median

$437

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: $580 (61%)

Insurance Median: $437 (46%)

Cash: $580 (61% of Medicare)

Ins. Median: $437 (46% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$93 - $173	10%
Aetna	$146 - $855	15%
Martin'S Point	$147 - $173	15%
Perennial Advantage	$155 - $898	16%
UnitedHealthcare	$155 - $872	16%
Sidecar	$160 - $1,819	17%
Blue Cross Blue Shield	$173 - $5,588	18%
Buckeye	$173 - $855	18%
Caresource	$173 - $855	18%
Devoted	$173	18%
Medical Mutual Of Ohio	$173 - $855	18%
Medigold	$173	18%
Meridan	$173	18%
Paramount	$173 - $855	18%
Summacare	$173 - $855	18%
Zinghealth	$176	19%
Valor Health	$178 - $881	19%
Gateway	$181	19%
Perennial	$181	19%
Wellcare	$181 - $855	19%
Health Scope	$207	22%
Emerald Health	$216 - $779	23%
Frontpath	$224	24%
Ohio Health Choice	$224 - $723	24%
Cigna	$242 - $642	25%
Clarity Health	$242	25%
Multiplan	$242 - $723	25%
Coresource	$243	26%
First Health	$243 - $723	26%
Health Ohio Network	$259 - $562	27%
Tricare	$364 - $642	38%
Claimsdoc	$388 - $642	41%
Healthscope	$441 - $731	46%
Amerihealth	$565	59%
Molina	$565	59%
Zing Health	$855	90%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $580.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.