CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: UPMC Jameson

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$911
about 1.0× the $950 Medicare rate · typically $440–$990
modeled estimate · not a bill or quote
What this hospital charges insurers
$869
About the fair price
about $42 under the fair price · 0.9× Medicare
Medicare pays $950 Fair price $911 This hospital $869 Cash price $1,500 Hospital's list price $2,500

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 $869

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 $911 (about 1.0× the $950 Medicare rate). UPMC Jameson charges insurers about $869, or about $1,500 in cash — about the fair price. Located in New Castle, 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 $509 - $1,741 54%
Blue Cross Blue Shieldmajor $743 - $939 78%
Aetnamajor $204 - $869 21%
Cignamajor $939 - $953 99%
Humanamajor $869 - $2,000 91%
AmeriHealth $235 - $939 25%
Geisinger $251 26%
UPMC Health Plan $199 - $2,316 21%
+ 3 smaller / regional plans $308 - $2,200
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: 1211 Wilmington Avenue, New Castle, PA 16105
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals