CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Cheyenne Regional Medical Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $1,558
Cash Discount Price: $3,797
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Cheyenne Regional Medical Center is $1,558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,797. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.64x the Medicare baseline. Located in 214 East 23Rd Street, Cheyenne, WY.

Cash / Self-Pay

$3,797

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,558

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: $3,797 (400%)

Insurance Median: $1,558 (164%)

Cash: $3,797 (400% of Medicare)

Ins. Median: $1,558 (164% 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
UnitedHealthcare	$82 - $4,421	9%
Humana	$85 - $998	9%
Cigna	$441 - $4,513	46%
Blue Cross Blue Shield	$581 - $4,068	61%
Aetna	$859 - $4,773	90%
First Choice Health	$859 - $4,773	90%
Meritain Health	$859 - $4,773	90%
Provider Network Of America	$859 - $4,773	90%
Imagine Health	$878 - $4,882	92%
Coventry Health Care	$937 - $5,207	99%

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 $3,797.
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 Cheyenne Regional Medical Center 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.