CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Spotsylvania Regional Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,536
about 2.7× the $950 Medicare rate · typically $1,004–$3,605
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,550
About the fair price
about $14 over the fair price · 2.7× Medicare
Medicare pays $950 Fair price $2,536 This hospital $2,550

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $834 Priciest $2,550

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

A fair price for a Colonoscopy (diagnostic) is about $2,536 (about 2.7× the $950 Medicare rate). Spotsylvania Regional Medical Center charges insurers about $2,550 — about the fair price. Located in Fredericksburg, VA.

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✓ Cigna AetnaHumanaKaiser 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 $3,540 373%
Blue Cross Blue Shieldmajor $1,735 - $2,385 183%
Cignamajor $2,217 - $3,273 233%
Bright Health $2,377 250%
Sentara $4,845 510%
+ 1 smaller / regional plan $2,550

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Facility Profile & Credentials

  • Address: 4600 Spotsylvania Parkway, Fredericksburg, VA 22408
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals