CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Geisinger-Community Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$896

about 0.9× the $950 Medicare rate · typically $551–$925

modeled estimate · not a bill or quote

What this hospital charges insurers

$910

About the fair price

about $14 over the fair price · 1.0× Medicare

Medicare pays $950 Fair price $896 This hospital $910 Cash price $2,519 Hospital's list price $4,063

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $910

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $896 (about 0.9× the $950 Medicare rate). Geisinger-Community Medical Center charges insurers about $910, or about $2,519 in cash — about the fair price. Located in Scranton, PA.

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	$7,139	751%
Blue Cross Blue Shieldmajor	$317 - $4,784	33%
Aetnamajor	$946 - $2,397	100%
Cignamajor	$1,792	189%
Humanamajor	$919	97%
Ambetter (Centene)	$2,972	313%
AmeriHealth	$208	22%
Geisinger	$186 - $2,589	20%
Health Net	$2,381	251%
HealthPartners	$217	23%
UPMC Health Plan	$212 - $226	22%
+ 4 smaller / regional plans	$900 - $3,657

Government programs also on file: Medicare, Medicaid.

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

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 2,519), 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 Geisinger-Community Medical Center 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 Geisinger-Community Medical Center

Compare: Colonoscopy (diagnostic) at other PA hospitals

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