CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: St Barnabas Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,032
about 1.1× the $950 Medicare rate · typically $428–$1,586
modeled estimate · not a bill or quote
What this hospital charges insurers
$863
Below the fair price — a good deal
about $169 under the fair price · 0.9× Medicare
Medicare pays $950 Fair price $1,032 This hospital $863 Cash price $210 Hospital's list price $2,313

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 $863

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 $1,032 (about 1.1× the $950 Medicare rate). St Barnabas Hospital charges insurers about $863, or about $210 in cash — below the fair price — a good deal. Located in Bronx, 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $1,114 - $1,409 117%
Aetnamajor $1,114 117%
Cignamajor $2,629 - $3,093 277%
Humanamajor $1,136 120%
EmblemHealth $1,114 117%
Fidelis Care $188 - $1,114 20%
WellCare $1,058 111%
+ 12 smaller / regional plans $146 - $1,888

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Facility Profile & Credentials

  • Address: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals