CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Elmhurst Hospital Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,365
about 1.1× the $1,223 Medicare rate · typically $735–$1,578
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,012
Below the fair price — a good deal
about $353 under the fair price · 0.8× Medicare
Medicare pays $1,223 Fair price $1,365 This hospital $1,012 Hospital's list price $3,531

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 $1,012

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 $1,365 (about 1.1× the $1,223 Medicare rate). Elmhurst Hospital Center charges insurers about $1,012 — below the fair price — a good deal. Located in Elmhurst, 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 $932 - $2,825 76%
Aetnamajor $240 - $2,177 20%
Cignamajor $4,285 350%
Fidelis Care $316 - $2,098 26%
MagnaCare $320 - $2,648 26%
Oscar Health $614 - $4,454 50%
WellCare $237 - $2,118 19%
+ 14 smaller / regional plans $176 - $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: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals