CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Curry General Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $745
Cash Discount Price: $784
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Curry General Hospital is $745. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.78x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$784

Average discount available for prompt cash payment at this facility.

Insurance Median

$745

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: $784 (83%)

Insurance Median: $745 (78%)

Cash: $784 (83% of Medicare)

Ins. Median: $745 (78% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$194	20%
Medicare (plans)	$194	20%
Tricare	$244	26%
Medicaid / KanCare	$392 - $494	41%
Blue Cross Blue Shield	$400 - $784	42%
Department Of Corrections [1051]	$510	54%
First Choice Health Admin [1294]	$537	57%
First Choice [528]	$537	57%
Coordinated Care Commercial [1649]	$666	70%
Pacificsource [1148]	$666	70%
Moda [512]	$673 - $706	71%
Multiplan [1131]	$713	75%
Asuris [1258]	$745	78%
Operating Engineers [1144]	$745	78%
Regence [1351]	$745 - $784	78%
Cigna	$768 - $784	81%
Coventry First Health Managed Care [1774]	$768	81%
Coventry Health [1046]	$768	81%
Providence Health Plan Plm Alt [1692]	$768	81%
Providence Health Plan [567]	$768	81%
Aetna	$784	83%
Employee Bene Admin Mgmt [525]	$784	83%
Geha [531]	$784	83%
Mailhandlers Benefit Pln [547]	$784	83%
Meritain [550]	$784	83%
Nw Sheet Metal Workers [597]	$784	83%
Trustmark [524]	$784	83%
UnitedHealthcare	$784	83%
Zenith Administrators [586]	$784	83%
Allcare Alt [2598]	$2,000	211%
Allcare [1695]	$2,000	211%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $784.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.