CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$906
about 0.7× the $1,223 Medicare rate · typically $266–$1,873
modeled estimate · not a bill or quote
What this hospital charges insurers
$936
About the fair price
about $30 over the fair price · 0.8× Medicare
Medicare pays $1,223 Fair price $906 This hospital $936 Cash price $2,639 Hospital's list price $2,639

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 $936

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 $906 (about 0.7× the $1,223 Medicare rate). Memorial Hospital for Cancer and Allied Diseases charges insurers about $936, or about $2,639 in cash — about the fair price. Located in New York, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $1,307 - $9,727 107%
Aetnamajor $221 - $9,784 18%
Cignamajor $1,217 - $7,041 100%
Fidelis Care $221 - $2,476 18%
MagnaCare $1,300 - $2,778 106%
+ 7 smaller / regional plans $162 - $8,400
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: 1275 York Ave, New York, NY 10065
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL