Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 45378 · DOWNEY, CA

45378 — Diagnostic Colonoscopy

What each payer pays PIH HEALTH DOWNEY HOSPITAL (CCN 050393) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$918 All-payer median here
$1,077 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 45378 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Blue Shield of California $6,254 580.9% 1
UnitedHealthcare $5,723 523.1% 1
Blue Cross Blue Shield Association $2,479 169.9% 1
Anthem Blue Cross CA $2,458 167.6% 2
Blue Cross National $2,336 154.3% 1
Kaiser Healthpledge Sr $979 6.6% 1
Anthem (Elevance Health) $858 -6.6% 1
Medicare Part B $768 -16.4% 1
Medicare Parts A And B $718 -21.8% 1
Medi-Cal $675 -26.5% 1
Health Net $50 -94.6% 2
Local Initiative Health Authority for LA County $50 -94.6% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.