CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: OHSU Hospital and Clinics

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,006

about 1.1× the $950 Medicare rate · typically $816–$2,338

modeled estimate · not a bill or quote

What this hospital charges insurers

$888

Below the fair price — a good deal

about $118 under the fair price · 0.9× Medicare

Medicare pays $950 Fair price $1,006 This hospital $888 Cash price $2,284 Hospital's list price $3,514

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $158 Priciest $888

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

A fair price for a Colonoscopy (diagnostic) is about $1,006 (about 1.1× the $950 Medicare rate). OHSU Hospital and Clinics charges insurers about $888, or about $2,284 in cash — below the fair price — a good deal. Located in Portland, OR.

What each insurance company pays

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

6 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	$553 - $3,514	58%
Blue Cross Blue Shieldmajor	$1,420 - $2,840	149%
Aetnamajor	$564 - $2,741	59%
Cignamajor	$1,606 - $3,212	169%
Humanamajor	$522 - $1,107	55%
Kaiser Permanentemajor	$418 - $2,428	44%
Health Net	$418 - $2,722	44%
Moda Health	$548 - $3,514	58%
Molina	$3,514	370%
Providence Health Plan	$627 - $3,514	66%
+ 7 smaller / regional plans	$418 - $2,734

Government programs also on file: Medicare.

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 2,284), 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 OHSU Hospital and Clinics 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 OHSU Hospital and Clinics

Compare: Colonoscopy (diagnostic) at other OR hospitals

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