CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$549

about 0.6× the $950 Medicare rate · typically $140–$1,092

modeled estimate · not a bill or quote

What this hospital charges insurers

$137

Below the fair price — a good deal

about $412 under the fair price · 0.1× Medicare

Medicare pays $950 Fair price $549 This hospital $137 Cash price $2,553 Hospital's list price $2,553

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

One of the lower prices — 7 of 8 other WV hospitals charge more for the same procedure.

Cheapest $107 Priciest $523

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $549 (about 0.6× the $950 Medicare rate). Camc Greenbrier Valley Medical Center, Inc charges insurers about $137, or about $2,553 in cash — below the fair price — a good deal. Located in Ronceverte, WV.

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✓ Aetna✓ Humana CignaKaiser 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	$132 - $3,629	14%
Blue Cross Blue Shieldmajor	$124 - $4,196	13%
Aetnamajor	$124 - $4,445	13%
Humanamajor	$132 - $4,082	14%
CareSource	$124 - $3,629	13%
UniCare	$124 - $144	13%
+ 7 smaller / regional plans	$114 - $4,082

Excludes 3 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 2,553), 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 Camc Greenbrier Valley Medical Center, Inc 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 Camc Greenbrier Valley Medical Center, Inc

Compare: Colonoscopy (diagnostic) at other WV hospitals

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