CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Good Samaritan Hospital of Suffern
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,495
about 1.2× the $1,223 Medicare rate · typically $775–$1,979
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,495 Hospital's list price $812
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 | $3,907 - $4,927 | 320% |
| Blue Cross Blue Shieldmajor | $4,607 - $5,827 | 377% |
| Aetnamajor | $6,250 - $6,944 | 511% |
| Cignamajor | $5,738 | 469% |
| Geisinger | $4,905 | 401% |
| MagnaCare | $3,901 - $4,135 | 319% |
| Molina | $1,561 | 128% |
| MVP Health Care | $1,486 - $7,363 | 122% |
| + 8 smaller / regional plans | $1,486 - $4,188 |
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Good Samaritan Hospital of Suffern
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.