CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Columbia Memorial Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$344

about 0.4× the $950 Medicare rate · typically $203–$703

modeled estimate · not a bill or quote

What this hospital charges insurers

$358

About the fair price

about $14 over the fair price · 0.4× Medicare

Medicare pays $950 Fair price $344 This hospital $358 Cash price $491 Hospital's list price $982

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 $358

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 $344 (about 0.4× the $950 Medicare rate). Columbia Memorial Hospital charges insurers about $358, or about $491 in cash — about the fair price. Located in Hudson, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$77 - $2,815	8%
Blue Cross Blue Shieldmajor	$163 - $2,814	17%
Aetnamajor	$198 - $3,094	21%
Cignamajor	$250 - $456	26%
CDPHP	$137 - $3,816	14%
Fidelis Care	$182 - $2,087	19%
MagnaCare	$756	80%
MVP Health Care	$134 - $8,795	14%
+ 5 smaller / regional plans	$180 - $2,614

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 491), 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 Columbia Memorial Hospital 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 Columbia Memorial Hospital

Compare: Colonoscopy (diagnostic) at other NY hospitals

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