CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 45378 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,569
about 1.7× the $950 Medicare rate · typically $535–$2,414
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,569 Cash price $1,200 Hospital's list price $1,200
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $2,527 | 266% |
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Colonoscopy (diagnostic) at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $326
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $326
- Christiana Hospital · Newark $1,095
- Bayhealth Hospital, Sussex Campus · Milford $1,266
- Bayhealth Medical Center, Kent Campus · Dover $1,307
- St Francis Hospital · Wilmington $2,201
Insurance negotiated median for the same procedure, sorted lowest first.