CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: St James Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$345
about 0.4× the $950 Medicare rate · typically $205–$1,044
modeled estimate · not a bill or quote
What this hospital charges insurers
$314
About the fair price
about $31 under the fair price · 0.3× Medicare
Medicare pays $950 Fair price $345 This hospital $314 Hospital's list price $1,210

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 $314

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 $345 (about 0.4× the $950 Medicare rate). St James Hospital charges insurers about $314 — about the fair price. Located in Hornell, NY.

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 $157 - $2,264 17%
Blue Cross Blue Shieldmajor $86 - $2,779 9%
Aetnamajor $148 - $1,243 16%
Cignamajor $223 - $2,796 23%
Humanamajor $1,243 131%
CDPHP $446 - $834 47%
Fidelis Care $133 - $290 14%
MVP Health Care $161 - $2,699 17%
+ 1 smaller / regional plan $2,623
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals