CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Doctors' Center Hospital, Inc

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$546

about 0.6× the $950 Medicare rate · typically $143–$1,370

modeled estimate · not a bill or quote

What this hospital charges insurers

$124

Below the fair price — a good deal

about $422 under the fair price · 0.1× Medicare

Medicare pays $950 Fair price $546 This hospital $124 Cash price $150 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Lowest price of the 3 PR hospitals we have prices for — a strong deal.

Cheapest $124 Priciest $200

Black dot = this hospital, among the 3 PR hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $546 (about 0.6× the $950 Medicare rate). Doctors' Center Hospital, Inc charges insurers about $124, or about $150 in cash — below the fair price — a good deal. Located in Manati, PR.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor	$135	14%
+ 3 smaller / regional plans	$85 - $164

Government programs also on file: Medicare.

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 150), 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 Doctors' Center Hospital, 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 Doctors' Center Hospital, Inc

Compare: Colonoscopy (diagnostic) at other PR hospitals

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