CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Snoqualmie Valley Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $773
Cash Discount Price: $1,553
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Snoqualmie Valley Hospital is $773. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,553. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.81x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$1,553

Average discount available for prompt cash payment at this facility.

Insurance Median

$773

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)

Cash / Self-Pay: $1,553 (163%)

Insurance Median: $773 (81%)

Cash: $1,553 (163% of Medicare)

Ins. Median: $773 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Community Health Plan Of Wa Mcd Rep	$200 - $2,006	21%
Medicaid / KanCare	$200 - $2,006	21%
UnitedHealthcare	$200 - $3,954	21%
Amerigroup Wellpoint	$212 - $2,127	22%
Washington Coordinated Care	$216 - $2,167	23%
Molina Healthcare Of Washington Mcd Rep	$220 - $2,167	23%
Blue Shield Of Wa Regence Mcr Adv	$431 - $1,829	45%
Community Health Plan Of Wa	$431 - $1,848	45%
Medicare (plans)	$431 - $1,811	45%
Molina Healthcare Of Washington Mcr Adv	$431 - $1,811	45%
First Choice Health Network	$436 - $3,008	46%
Molina Healthcare Of Washington	$440 - $1,848	46%
Aetna	$446 - $1,811	47%
Humana	$450 - $1,829	47%
Blue Cross Blue Shield	$466 - $2,579	49%
Blue Shield Of Wa Regence	$552 - $2,579	58%
Kaiser Foundation Health Plan Of The Northwest	$666 - $2,706	70%
Cigna	$846 - $3,438	89%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,553.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Snoqualmie Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.