CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Oswego Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,172

about 1.2× the $950 Medicare rate · typically $846–$1,415

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,155

About the fair price

about $17 under the fair price · 1.2× Medicare

Medicare pays $950 Fair price $1,172 This hospital $1,155 Cash price $2,682 Hospital's list price $3,576

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 $1,155

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 $1,172 (about 1.2× the $950 Medicare rate). Oswego Hospital charges insurers about $1,155, or about $2,682 in cash — about the fair price. Located in Oswego, NY.

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✓ Humana CignaKaiser 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	$1,155 - $8,662	122%
Blue Cross Blue Shieldmajor	$1,155 - $3,504	122%
Aetnamajor	$1,155	122%
Humanamajor	$1,155	122%
MVP Health Care	$3,400	358%
WellCare	$1,236	130%
+ 3 smaller / regional plans	$1,155 - $1,271

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,682), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Oswego Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Oswego Hospital

Compare: Colonoscopy (diagnostic) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.