CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Ascension Seton Edgar B Davis

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$515
about 0.5× the $950 Medicare rate · typically $189–$1,623
modeled estimate · not a bill or quote
What this hospital charges insurers
$329
Below the fair price — a good deal
about $186 under the fair price · 0.3× Medicare
Medicare pays $950 Fair price $515 This hospital $329

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 $329

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 $515 (about 0.5× the $950 Medicare rate). Ascension Seton Edgar B Davis charges insurers about $329 — below the fair price — a good deal. Located in Luling, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $328 35%
Blue Cross Blue Shieldmajor $328 - $894 35%
Humanamajor $969 102%
Oscar Health $1,000 105%
+ 2 smaller / regional plans $328
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 130 Hays Street, Luling, TX 78648
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals