CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $1,729
  • Cash Discount Price: $1,995
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at University Hospitals Conneaut Medical Center is $1,729. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,995. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.82x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$1,995

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,729

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: $1,995 (210%)
Insurance Median: $1,729 (182%)
Cash: $1,995 (210% of Medicare)
Ins. Median: $1,729 (182% 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.

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
Aetna $825 - $3,602 87%
Blue Cross Blue Shield $825 - $2,660 87%
Cigna $825 - $2,526 87%
Devoted $825 87%
Humana $825 87%
Medical Mutual Of Ohio $825 - $2,508 87%
Molina $825 87%
Primetime Health Plan $825 87%
Summacare $825 - $1,357 87%
The Health Plan $825 - $1,756 87%
UnitedHealthcare $825 - $2,013 87%
Wellcare By Allwell $825 87%
Paramount $849 89%
Perennial Advantage Of Ohio $866 91%
Valor Health Plans $866 91%
Amish Aid Community Plan $1,224 129%
Amish Church Fund And Workers Aid Plan $1,224 129%
Buckeye Plain Ministries $1,224 129%
Jp Farley $1,250 132%
Clarity $1,277 134%
Christian Healthcare Ministries $1,330 140%
Immergrun $1,330 140%
Sunrise Plan Communities $1,330 140%
Aultcare $1,463 154%
Ambetter / Centene $1,484 156%
Caresource $1,484 156%
Healthsmart $1,729 182%
Ohio Health Choice $1,729 - $2,394 182%
University Health Employee Plan (Contigo) $1,857 195%
Medical Mutual Traditional/Health Ohio $1,862 196%
Beech Street $2,128 - $2,394 224%
Ohio Preferred Network $2,128 - $2,394 224%
First Health $2,208 232%
Century Health Network $2,261 238%
Private Healthcare System $2,288 241%
Configurenet $2,394 252%
Fortified Provider Network $2,394 252%
Multiplan $2,394 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals