CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Nationwide Children's Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$798

about 0.8× the $950 Medicare rate · typically $341–$2,230

modeled estimate · not a bill or quote

What this hospital charges insurers

$600

Below the fair price — a good deal

about $198 under the fair price · 0.6× Medicare

Medicare pays $950 Fair price $798 This hospital $600 Cash price $824 Hospital's list price $915

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 $600

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 $798 (about 0.8× the $950 Medicare rate). Nationwide Children's Hospital charges insurers about $600, or about $824 in cash — below the fair price — a good deal. Located in Columbus, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$188 - $1,368	20%
Blue Cross Blue Shieldmajor	$188 - $1,368	20%
Aetnamajor	$612 - $686	64%
Cignamajor	$686	72%
Humanamajor	$188 - $1,368	20%
AmeriHealth	$188 - $1,368	20%
CareSource	$188 - $1,425	20%
Molina	$188 - $1,368	20%
+ 6 smaller / regional plans	$659 - $686

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 824), 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 Nationwide Children's Hospital 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 Nationwide Children's Hospital

Compare: Colonoscopy (diagnostic) at other OH hospitals

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