CPT 45378

Colonoscopy

Screening / diagnostic. ASCs usually win on cash.

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Your cash sticker$2,091

Typical commercial / insured$3,423

Medicare-like yardstick$1,076

Rack rate if you have no deal$5,013

Insured markup on this quote: $1,332 (64%) above cash. Quality score 70/100 at California Community Hospital (model). This episode is tagged modeled from anchors.

Full-service community hospital (model). The default local option.

Evidence on this page. Commercial prices vs Medicare, by state · Cash menus beat insured allowed amounts — when they exist — see the evidence ledger. Hospitals are archetypes (academic / community / ASC), not named facilities. Coastal flagships: wage + bargaining power, not just ‘better care.’

Other shelves: Have a baby — vaginal birth · Have a baby — C-section · Knee replacement · Knee arthroscopy · Breast cancer chemo (adjuvant course) · Appendix out (laparoscopic) · Hip replacement · Heart stent (PCI) · MRI of the knee · ER visit — moderate · One bag of saline

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