CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mercy Health - Defiance Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,092
about 1.1× the $950 Medicare rate · typically $865–$1,480
modeled estimate · not a bill or quote
What this hospital charges insurers
$925
Below the fair price — a good deal
about $167 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,092 This hospital $925 Cash price $9,122 Hospital's list price $15,203

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 $925

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 $1,092 (about 1.1× the $950 Medicare rate). Mercy Health - Defiance Hospital charges insurers about $925, or about $9,122 in cash — below the fair price — a good deal. Located in Defiance, 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 $925 97%
Aetnamajor $925 97%
Humanamajor $925 97%
CareSource $944 99%

Self-Pay How to get the cash price

Insurance Before you use insurance

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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: 1404 East Second Street, Defiance, OH 43512
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals