CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$948

about 1.0× the $950 Medicare rate · typically $835–$1,005

modeled estimate · not a bill or quote

What this hospital charges insurers

$913

About the fair price

about $35 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $948 This hospital $913 Cash price $999 Hospital's list price $3,027

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $100 Priciest $913

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

A fair price for a Colonoscopy (diagnostic) is about $948 (about 1.0× the $950 Medicare rate). Christus Southeast Texas- St Elizabeth charges insurers about $913, or about $999 in cash — about the fair price. Located in Beaumont, TX.

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	$398 - $4,164	42%
Blue Cross Blue Shieldmajor	$913 - $1,306	96%
Aetnamajor	$913 - $2,151	96%
Cignamajor	$5,277 - $7,171	555%
Humanamajor	$913 - $3,654	96%
Amerigroup	$345 - $986	36%
Cigna HealthSpring	$913	96%
Devoted Health	$986	104%
Health Net	$1,816 - $2,573	191%
Healthcare Highways	$4,115	433%
Molina	$345 - $913	36%
WellCare	$913	96%
+ 19 smaller / regional plans	$328 - $4,429

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

Excludes 6 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 999), 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 Christus Southeast Texas- St Elizabeth 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 Christus Southeast Texas- St Elizabeth

Compare: Colonoscopy (diagnostic) at other TX hospitals

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