CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Samaritan Medical Center
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,119
about 0.9× the $1,223 Medicare rate · typically $459–$1,354
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,119 Cash price $1,072 Hospital's list price $1,072
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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,539 | 126% |
| Blue Cross Blue Shieldmajor | $268 - $6,856 | 22% |
| Aetnamajor | $1,524 - $3,978 | 125% |
| CDPHP | $858 - $2,263 | 70% |
| Fidelis Care | $171 - $1,718 | 14% |
| MVP Health Care | $1,568 | 128% |
| WellCare | $171 - $1,494 | 14% |
| + 1 smaller / regional plan | $163 |
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Other Procedures at Samaritan Medical Center
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.