Colonoscopy (diagnostic)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 45378 (CPT)
One of the lower prices — 6 of 8 other OR hospitals charge more for the same procedure.
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 $158 (about 0.2× the $950 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $248, or about $655 in cash — above the fair price. Located in Ontario, OR.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $158. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $79 - $349 | 8% |
| Blue Cross Blue Shieldmajor | $79 - $363 | 8% |
| Aetnamajor | $79 - $458 | 8% |
| Cignamajor | $79 - $271 | 8% |
| Humanamajor | $79 - $571 | 8% |
| Kaiser Permanentemajor | $187 - $354 | 20% |
| Ambetter (Centene) | $143 - $268 | 15% |
| Clover Health | $79 - $183 | 8% |
| Dean Health Plan | $226 - $379 | 24% |
| GEHA | $198 - $349 | 21% |
| Health Net | $143 - $458 | 15% |
| HealthPartners | $143 - $268 | 15% |
| Meridian | $79 - $268 | 8% |
| Moda Health | $176 - $343 | 19% |
| Molina | $143 - $364 | 15% |
| PacificSource | $176 - $387 | 19% |
| Paramount | $143 - $379 | 15% |
| Presbyterian | $79 - $268 | 8% |
| SelectHealth | $176 - $405 | 19% |
| Tufts Health Plan | $143 - $268 | 15% |
| WellMed | $79 - $183 | 8% |
| WellSense | $143 - $268 | 15% |
| + 351 smaller / regional plans | $71 - $458 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Colonoscopy (diagnostic) at other OR hospitals
- Wallowa Memorial Hospital · Enterprise $158
- Adventist Health Tillamook · Tillamook $189
- Lower Umpqua Hospital District · Reedsport $303
- Mid-Columbia Medical Center · The Dalles $353
- Samaritan North Lincoln Hospital · Lincoln City $369
- Samaritan Pacific Community Hospital · Newport $369
- Samaritan Lebanon Community Hospital · Lebanon $369
- Samaritan Albany General Hospital · Albany $371
Insurance negotiated median for the same procedure, sorted lowest first.