CMS Price Transparency Data

Colonoscopy with biopsy

Facility: UPMC McKeesport Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,128
about 0.9× the $1,223 Medicare rate · typically $547–$1,229
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,167
About the fair price
about $39 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,128 This hospital $1,167 Cash price $3,034 Hospital's list price $5,056

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 $225 Priciest $1,167

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

A fair price for a Colonoscopy with biopsy is about $1,128 (about 0.9× the $1,223 Medicare rate). UPMC McKeesport Hospital charges insurers about $1,167, or about $3,034 in cash — about the fair price. Located in Mc Keesport, 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 $248 20%
Blue Cross Blue Shieldmajor $334 - $3,720 27%
Aetnamajor $1,180 - $2,022 97%
Cignamajor $1,947 - $3,034 159%
Humanamajor $4,298 352%
AmeriHealth $352 - $1,214 29%
UPMC Health Plan $248 - $2,299 20%
+ 4 smaller / regional plans $384 - $4,045
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1500 Fifth Avenue, Mc Keesport, PA 15132
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals