CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Jones Memorial Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$990
about 0.8× the $1,223 Medicare rate · typically $461–$1,713
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $990 Hospital's list price $468
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 | $178 - $1,600 | 15% |
| Blue Cross Blue Shieldmajor | $161 - $3,121 | 13% |
| Aetnamajor | $161 - $1,696 | 13% |
| Cignamajor | $241 - $3,912 | 20% |
| Humanamajor | $1,600 | 131% |
| CDPHP | $486 - $1,067 | 40% |
| Fidelis Care | $256 - $558 | 21% |
| Independent Health | $295 - $2,378 | 24% |
| MVP Health Care | $3,776 | 309% |
| UPMC Health Plan | $1,200 | 98% |
| + 2 smaller / regional plans | $1,600 - $2,832 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Jones Memorial Hospital
Compare: Colonoscopy with biopsy at other NY hospitals
- Maimonides Medical Center · Brooklyn $192
- Geneva General Hospital · Geneva $204
- St Barnabas Hospital · Bronx $215
- Kenmore Mercy Hospital · Kenmore $225
- Elizabethtown Community Hospital · Elizabethtown $273
- Sisters of Charity Hospital · Buffalo $347
- The University of Vermont Health Network-Alice Hy · Malone $360
- Mercy Hospital of Buffalo · Buffalo $364
Insurance negotiated median for the same procedure, sorted lowest first.