CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Cascade Valley Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,478

about 1.6× the $950 Medicare rate · typically $1,014–$2,328

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,048

Below the fair price — a good deal

about $430 under the fair price · 1.1× Medicare

Medicare pays $950 Fair price $1,478 This hospital $1,048 Cash price $1,568 Hospital's list price $1,960

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $165 Priciest $1,048

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

A fair price for a Colonoscopy (diagnostic) is about $1,478 (about 1.6× the $950 Medicare rate). Cascade Valley Hospital charges insurers about $1,048, or about $1,568 in cash — below the fair price — a good deal. Located in Arlington, WA.

What each insurance company pays

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

6 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	$912 - $3,468	96%
Blue Cross Blue Shieldmajor	$957 - $3,462	101%
Aetnamajor	$1,408 - $1,531	148%
Cignamajor	$1,363 - $1,482	143%
Humanamajor	$160 - $957	17%
Kaiser Permanentemajor	$2,348	247%
Amerigroup	$1,048	110%
Molina	$985	104%
+ 3 smaller / regional plans	$985 - $1,633

Excludes 2 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 1,568), 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 Cascade Valley Hospital 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 Cascade Valley Hospital

Compare: Colonoscopy (diagnostic) at other WA hospitals

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