CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,172

about 1.2× the $950 Medicare rate · typically $820–$1,795

modeled estimate · not a bill or quote

What this hospital charges insurers

$851

Below the fair price — a good deal

about $321 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $1,172 This hospital $851 Cash price $2,094 Hospital's list price $3,221

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

On the higher side — 7 of 8 other OK hospitals charge less.

Cheapest $159 Priciest $885

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

A fair price for a Colonoscopy (diagnostic) is about $1,172 (about 1.2× the $950 Medicare rate). Mercy Hospital Oklahoma City, Inc charges insurers about $851, or about $2,094 in cash — below the fair price — a good deal. Located in Oklahoma City, OK.

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	$851 - $1,534	90%
Blue Cross Blue Shieldmajor	$170 - $912	18%
Aetnamajor	$340 - $1,706	36%
Cignamajor	$877 - $1,411	92%
Humanamajor	$851 - $1,628	90%
Ambetter (Centene)	$708 - $1,171	75%
Healthcare Highways	$1,416	149%
HealthLink	$1,416 - $1,534	149%
Medica	$748	79%
+ 39 smaller / regional plans	$236 - $2,360

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 8 rental-network / third-party entries (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 2,094), 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 Mercy Hospital Oklahoma City, Inc 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 Mercy Hospital Oklahoma City, Inc

Compare: Colonoscopy (diagnostic) at other OK hospitals

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