CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Jacobi Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,219
about 1.0× the $1,223 Medicare rate · typically $650–$1,491
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,006
Below the fair price — a good deal
about $213 under the fair price · 0.8× Medicare
Medicare pays $1,223 Fair price $1,219 This hospital $1,006 Hospital's list price $4,164

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 $192 Priciest $1,006

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 $1,219 (about 1.0× the $1,223 Medicare rate). Jacobi Medical Center charges insurers about $1,006 — below the fair price — a good deal. Located in Bronx, 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 $434 - $3,275 35%
Blue Cross Blue Shieldmajor $958 - $3,402 78%
Aetnamajor $240 - $2,177 20%
Cignamajor $1,500 - $4,285 123%
Fidelis Care $326 - $2,155 27%
MagnaCare $320 - $3,190 26%
Oscar Health $614 - $4,454 50%
WellCare $245 - $2,552 20%
+ 14 smaller / regional plans $181 - $4,821
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals