Colonoscopy (diagnostic)
Facility: Ohio Valley Surgical Hospital
Billing Code: 45378 (CPT)
- CPT Billing Code: 45378
- Insurance Median: $869
- Cash Discount Price: $4,367
- vs. Medicare Baseline: 0.91x 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.
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 |
|---|---|---|
| Aetna | $395 - $869 | 42% |
| Personify Health | $395 | 42% |
| Geha | $395 | 42% |
| Genworth | $395 | 42% |
| Mail Handlers | $395 | 42% |
| Mhbp | $395 | 42% |
| Meritain | $395 | 42% |
| Meritain Heatlh | $395 | 42% |
| Ngs Coresource | $395 | 42% |
| Pacific Source | $395 | 42% |
| Nippon Life | $395 | 42% |
| Central States | $869 | 91% |
| Aarp | $869 | 91% |
| American Republic | $869 | 91% |
| Molina Dual McR | $869 | 91% |
| Gateway Health Plan | $869 | 91% |
| UnitedHealthcare | $869 - $2,869 | 91% |
| Wraparound Pl Supp | $869 | 91% |
| Self Pay Imaging | $869 | 91% |
| Wellcare By Allwell | $869 | 91% |
| Patient No Pay | $869 | 91% |
| Bankers Life and Casualty | $869 | 91% |
| Molina Dual McR | $869 | 91% |
| Medigold | $869 | 91% |
| Prosperity Supplement | $869 | 91% |
| Mmoh | $869 - $4,586 | 91% |
| Bankers Fidelity | $869 | 91% |
| Humana | $869 | 91% |
| Aarp Supplemental | $869 | 91% |
| Communicare Advantage | $869 | 91% |
| American Continental Life | $869 | 91% |
| Molina McR+McD | $869 | 91% |
| Molina McR McD | $869 | 91% |
| Blue Cross Blue Shield | $869 - $7,170 | 91% |
| Molina | $869 | 91% |
| Molina McR | $869 | 91% |
| American Continental Insurance | $869 | 91% |
| American Retirement | $869 | 91% |
| Medicare (plans) | $869 - $4,367 | 91% |
| Cigna | $869 - $1,366 | 91% |
| Molina Marketplace | $869 | 91% |
| Champus | $869 | 91% |
| Aultcare Primetime Health Plan | $869 | 91% |
| Everest | $869 | 91% |
| The Health Plan | $912 | 96% |
| Devoted Health | $935 | 98% |
| Employer Direct | $999 | 105% |
| Medicaid / KanCare | $1,303 | 137% |
| Caresource | $1,303 | 137% |
| Caresourse | $1,303 | 137% |
| Samba | $1,366 | 144% |
| Healthgram | $1,366 | 144% |
| Nalc | $1,366 | 144% |
| Sbma | $1,366 | 144% |
| Unified Group | $1,366 | 144% |
| Mmoh (Supermed) | $3,385 | 356% |
| Mmo Cin. HMO | $4,586 | 483% |
| Luminare Health | $6,551 | 690% |
| Ohio Health | $6,551 | 690% |
| Medben | $6,551 | 690% |
| Preferred Health | $6,551 | 690% |