CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Nicholas H Noyes Memorial Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$364

about 0.4× the $950 Medicare rate · typically $200–$1,052

modeled estimate · not a bill or quote

What this hospital charges insurers

$320

Below the fair price — a good deal

about $44 under the fair price · 0.3× Medicare

Medicare pays $950 Fair price $364 This hospital $320 Hospital's list price $1,216

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 $320

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 $364 (about 0.4× the $950 Medicare rate). Nicholas H Noyes Memorial Hospital charges insurers about $320 — below the fair price — a good deal. Located in Dansville, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$157 - $2,282	17%
Blue Cross Blue Shieldmajor	$86 - $2,025	9%
Aetnamajor	$148 - $1,161	16%
Cignamajor	$223 - $2,760	23%
Humanamajor	$1,161	122%
CDPHP	$446 - $834	47%
Fidelis Care	$236 - $438	25%
Independent Health	$223 - $487	23%
MVP Health Care	$161 - $2,673	17%
+ 2 smaller / regional plans	$1,867 - $2,475

Government programs also on file: Medicare, Medicaid.

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, 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 Nicholas H Noyes Memorial 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 Nicholas H Noyes Memorial Hospital

Compare: Colonoscopy (diagnostic) at other NY hospitals

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