CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$936

about 1.0× the $950 Medicare rate · typically $604–$1,073

modeled estimate · not a bill or quote

What this hospital charges insurers

$934

About the fair price

about $2 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $936 This hospital $934 Cash price $2,885 Hospital's list price $12,278

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $166 Priciest $934

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $936 (about 1.0× the $950 Medicare rate). Tennova Healthcare - Newport Medical Center charges insurers about $934, or about $2,885 in cash — about the fair price. Located in Newport, TN.

What each insurance company pays

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

5 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	$687 - $12,278	72%
Blue Cross Blue Shieldmajor	$916 - $2,546	96%
Aetnamajor	$916 - $7,637	96%
Cignamajor	$3,054	321%
Humanamajor	$889	94%
Ambetter (Centene)	$1,672	176%
Amerigroup	$515 - $934	54%
Cigna HealthSpring	$916	96%
Devoted Health	$907	95%
WellCare	$925	97%
+ 8 smaller / regional plans	$718 - $1,956

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (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 2,885), 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 Tennova Healthcare - Newport Medical Center 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 Tennova Healthcare - Newport Medical Center

Compare: Colonoscopy (diagnostic) at other TN hospitals

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