CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Cabell Huntington Hospital, Inc

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $479
Cash Discount Price: $2,637
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Cabell Huntington Hospital, Inc is $479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,637. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.50x the Medicare baseline. Located in 1340 Hal Greer Boulevard, Huntington, WV.

Cash / Self-Pay

$2,637

Average discount available for prompt cash payment at this facility.

Insurance Median

$479

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: $2,637 (278%)

Insurance Median: $479 (50%)

Cash: $2,637 (278% of Medicare)

Ins. Median: $479 (50% 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
The Healthplan	$100 - $138	11%
Unicare	$100 - $138	11%
Aetna	$154 - $4,293	16%
Blue Cross Blue Shield	$154 - $3,808	16%
Humana	$154 - $835	16%
Peak Health	$154 - $4,055	16%
Peia	$154 - $1,012	16%
UnitedHealthcare	$154 - $4,513	16%
Caresource	$194 - $4,532	20%
Cigna	$459 - $4,341	48%
Firsthealth	$479 - $4,532	50%
Healthsmart	$479 - $4,532	50%
Phcs Multiplan	$479 - $4,532	50%
Zelis Network	$479 - $4,532	50%

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 $2,637.
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 Cabell Huntington Hospital, Inc 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.