CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Ashtabula County Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$856

about 0.9× the $950 Medicare rate · typically $519–$1,115

modeled estimate · not a bill or quote

What this hospital charges insurers

$270

Below the fair price — a good deal

about $586 under the fair price · 0.3× Medicare

Medicare pays $950 Fair price $856 This hospital $270 Cash price $357 Hospital's list price $510

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $139 Priciest $431

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

A fair price for a Colonoscopy (diagnostic) is about $856 (about 0.9× the $950 Medicare rate). Ashtabula County Medical Center charges insurers about $270, or about $357 in cash — below the fair price — a good deal. Located in Ashtabula, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$253 - $1,368	27%
Blue Cross Blue Shieldmajor	$173 - $953	18%
Aetnamajor	$130 - $1,604	14%
Cignamajor	$219 - $2,047	23%
CareSource	$173 - $953	18%
Medical Mutual	$173 - $2,359	18%
Molina	$1,210	127%
Oscar Health	$233	25%
+ 2 smaller / regional plans	$181 - $1,385

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 357), 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 Ashtabula County Medical Center 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 Ashtabula County Medical Center

Compare: Colonoscopy (diagnostic) at other OH hospitals

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