CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Conway Medical Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $725
Cash Discount Price: $2,264
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Conway Medical Center is $725. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,264. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.76x the Medicare baseline. Located in 300 Singleton Ridge Road, Conway, SC.

Cash / Self-Pay

$2,264

Average discount available for prompt cash payment at this facility.

Insurance Median

$725

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: $2,264 (238%)

Insurance Median: $725 (76%)

Cash: $2,264 (238% of Medicare)

Ins. Median: $725 (76% 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
Blue Cross Blue Shield	$87 - $2,896	9%
Aetna	$90 - $2,928	9%
Velocity	$100 - $1,699	11%
Absolute Total Care	$154 - $1,333	16%
Clover Health	$154 - $850	16%
Devoted	$154 - $850	16%
Emblem	$154 - $850	16%
Healthteam	$154 - $850	16%
Humana	$154 - $850	16%
Molina	$154 - $850	16%
Nhc	$154 - $892	16%
Pruitt	$154 - $892	16%
Select Health	$154 - $850	16%
UnitedHealthcare	$154 - $2,743	16%
Wellcare	$154 - $850	16%
Medcost	$282 - $2,272	30%
Cigna	$350 - $2,820	37%
Blue Choice	$2,090	220%

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 $2,264.
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 Conway Medical Center 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.