CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Hill Hospital of Sumter County

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$816
about 0.9× the $950 Medicare rate · typically $685–$1,027
modeled estimate · not a bill or quote
What this hospital charges insurers
$801
About the fair price
about $15 under the fair price · 0.8× Medicare
Medicare pays $950 Fair price $816 This hospital $801

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 2 charge more and 4 charge less, among the 9 AL hospitals compared.

Cheapest $378 Priciest $816

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $816 (about 0.9× the $950 Medicare rate). Hill Hospital of Sumter County charges insurers about $801 — about the fair price. Located in York, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $801 84%
Blue Cross Blue Shieldmajor $1,558 164%
Aetnamajor $801 84%
Cignamajor $801 84%
Humanamajor $801 84%
+ 2 smaller / regional plans $801

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Facility Profile & Credentials

  • Address: 751 Derby Drive, York, AL 36925
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals