CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Jamaica Hospital Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,073

about 1.1× the $950 Medicare rate · typically $458–$1,600

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,224

About the fair price

about $151 over the fair price · 1.3× Medicare

Medicare pays $950 Fair price $1,073 This hospital $1,224 Cash price $3,000 Hospital's list price $3,000

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $175 Priciest $1,224

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

A fair price for a Colonoscopy (diagnostic) is about $1,073 (about 1.1× the $950 Medicare rate). Jamaica Hospital Medical Center charges insurers about $1,224, or about $3,000 in cash — about the fair price. Located in Jamaica, NY.

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	$682 - $4,215	72%
Blue Cross Blue Shieldmajor	$2,833	298%
Aetnamajor	$1,155 - $2,914	122%
Cignamajor	$4,250	447%
Humanamajor	$1,224	129%
EmblemHealth	$1,906	201%
Fidelis Care	$1,097 - $1,155	115%
MagnaCare	$1,328 - $4,555	140%
Oscar Health	$4,018	423%
WellCare	$1,201	126%
+ 17 smaller / regional plans	$232 - $5,159

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,000), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Jamaica Hospital Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Jamaica Hospital Medical Center

Compare: Colonoscopy (diagnostic) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.