CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Southwest Health Center
Billing Code: 45378 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,746
about 1.8× the $950 Medicare rate · typically $320–$3,169
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,746 Cash price $2,306 Hospital's list price $3,074
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 | $953 - $2,521 | 100% |
| Blue Cross Blue Shieldmajor | $922 - $3,074 | 97% |
| Cignamajor | $2,306 | 243% |
| Humanamajor | $2,767 | 291% |
| Dean Health Plan | $3,398 | 358% |
| Quartz | $1,906 - $2,398 | 201% |
| + 5 smaller / regional plans | $922 - $3,074 |
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Other Procedures at Southwest Health Center
Compare: Colonoscopy (diagnostic) at other WI hospitals
- Crossing Rivers Health Medical Center · Prairie Du Chien $153
- Richland Hospital · Richland Center $176
- Memorial Hospital of Lafayette County · Darlington $192
- Stoughton Hospital · Stoughton $207
- Grant Regional Health Center · Lancaster $245
- Unitypoint Health - Meriter · Madison $277
- Black River Memorial Hospital · Black River Falls $325
- Tomah Memorial Hospital · Tomah $345
Insurance negotiated median for the same procedure, sorted lowest first.