Colonoscopy with biopsy
Facility: St James Hospital
Billing Code: 45380 (CPT)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
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 $399 (about 0.3× the $1,223 Medicare rate). St James Hospital charges insurers about $402 — 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
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 | $171 - $2,264 | 14% |
| Blue Cross Blue Shieldmajor | $134 - $3,577 | 11% |
| Aetnamajor | $161 - $1,600 | 13% |
| Cignamajor | $241 - $3,598 | 20% |
| Humanamajor | $1,600 | 131% |
| CDPHP | $486 - $1,067 | 40% |
| Fidelis Care | $144 - $369 | 12% |
| MVP Health Care | $175 - $3,473 | 14% |
| + 1 smaller / regional plan | $3,376 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St James 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.