CMS Price Transparency Data

Colonoscopy with biopsy

Facility: UPMC Jameson

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,155
about 0.9× the $1,223 Medicare rate · typically $594–$1,259
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,124
About the fair price
about $31 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,155 This hospital $1,124 Cash price $2,476 Hospital's list price $4,127

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 $1,124

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 $1,155 (about 0.9× the $1,223 Medicare rate). UPMC Jameson charges insurers about $1,124, or about $2,476 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 $368 - $1,741 30%
Blue Cross Blue Shieldmajor $743 - $1,214 61%
Aetnamajor $255 - $1,124 21%
Cignamajor $953 - $1,214 78%
Humanamajor $1,124 - $3,302 92%
AmeriHealth $293 - $1,214 24%
Geisinger $313 26%
UPMC Health Plan $248 - $2,299 20%
+ 3 smaller / regional plans $384 - $3,632
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