CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Geneva General Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$418
about 0.3× the $1,223 Medicare rate · typically $223–$1,525
modeled estimate · not a bill or quote
What this hospital charges insurers
$204
Below the fair price — a good deal
about $214 under the fair price · 0.2× Medicare
Medicare pays $1,223 Fair price $418 This hospital $204

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 7 of 8 other NY hospitals charge more for the same procedure.

Cheapest $192 Priciest $370

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

A fair price for a Colonoscopy with biopsy is about $418 (about 0.3× the $1,223 Medicare rate). Geneva General Hospital charges insurers about $204 — below the fair price — a good deal. Located in Geneva, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $162 - $1,395 13%
Blue Cross Blue Shieldmajor $162 - $2,168 13%
Aetnamajor $162 - $1,395 13%
Fidelis Care $162 - $1,535 13%
MVP Health Care $162 - $2,528 13%
WellCare $199 - $1,395 16%
+ 1 smaller / regional plan $209

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Facility Profile & Credentials

  • Address: 196 -198 North Street, Geneva, NY 14456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals