CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Washington Hospital, The

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,136
about 0.9× the $1,223 Medicare rate · typically $550–$1,242
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,147
About the fair price
about $11 over the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,136 This hospital $1,147

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 $1,147

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 $1,136 (about 0.9× the $1,223 Medicare rate). Washington Hospital, The charges insurers about $1,147 — about the fair price. Located in Washington, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $259 - $2,592 21%
Aetnamajor $270 - $2,417 22%
Humanamajor $1,135 93%
AmeriHealth $259 21%
UPMC Health Plan $843 - $1,147 69%
+ 3 smaller / regional plans $1,124 - $2,248

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Facility Profile & Credentials

  • Address: 155 Wilson Avenue, Washington, PA 15301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals