Colonoscopy (diagnostic)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 45378 (CPT)
- CPT Billing Code: 45378
- Insurance Median: $5,265
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 5.54x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 554% of the Medicare baseline (a markup of 454%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $906 - $4,984 | 95% |
| Americhoice | $906 | 95% |
| Tricare | $912 | 96% |
| Wellcare | $969 | 102% |
| Horizon | $976 - $4,914 | 103% |
| Devoted Health Plan | $1,046 - $3,510 | 110% |
| Self Pay | $1,053 | 111% |
| Global Exchange Managed Care | $1,569 | 165% |
| Health Partners Plan | $1,755 - $2,093 | 185% |
| Amerigroup | $1,825 | 192% |
| Magnacare | $2,808 - $6,318 | 296% |
| Cigna | $3,316 - $3,854 | 349% |
| Qualcare Commercial | $3,510 | 369% |
| Evernorth | $3,510 | 369% |
| Great West Life | $3,854 | 406% |
| Amerihealth | $3,982 - $5,258 | 419% |
| First McO | $4,563 | 480% |
| Mutual of Omaha | $4,563 | 480% |
| Qualcare Wc | $4,563 | 480% |
| Active Care Plus | $4,563 | 480% |
| Consumer Health Network (Chn) | $4,914 - $6,318 | 517% |
| Donio Trucking | $4,914 | 517% |
| Aetna | $4,914 - $9,272 | 517% |
| Oxford | $5,265 | 554% |
| Devon/ Ullicare | $5,265 | 554% |
| Coventry Health Care | $5,616 | 591% |
| Private Healthcare System (PHCS) | $5,616 | 591% |
| Blue Cross Blue Shield | $5,776 | 608% |
| Prime Health Services | $5,967 | 628% |
| Three Rivers Provider Network (Trpn) | $5,967 | 628% |
| Health South | $5,967 | 628% |
| Metrahealth of Nj | $5,967 | 628% |
| Health Payors Org | $5,967 | 628% |
| Galaxy Health Network | $6,318 | 665% |
| McS Commercial | $6,318 | 665% |
| Department of Corrections | $6,318 | 665% |
| Choice Care | $6,318 | 665% |
| Multiplan | $6,318 | 665% |
| Intergroup Preferred Program | $6,318 | 665% |
| Active Care Nj Pip | $6,318 | 665% |
| Provider Select, Inc | $6,318 | 665% |
| Metracomp | $6,318 | 665% |
| Health Network Inc | $6,318 | 665% |
| Beech Street | $6,318 | 665% |
| Atlantis Health Plan | $6,494 | 684% |
| Master Care Inc | $6,494 | 684% |
| National Health Plan | $6,669 | 702% |
| Community Care Network | $6,669 | 702% |
| Advance Healthcare System | $6,669 | 702% |
| McSi/Mrsi Worker's Comp | $6,669 | 702% |
| McSi/Mrsi No Fault | $6,669 | 702% |
| Health Network America | $6,669 | 702% |