CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: UPMC Lititz

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,042
about 1.1× the $950 Medicare rate · typically $717–$2,394
modeled estimate · not a bill or quote
What this hospital charges insurers
$916
Below the fair price — a good deal
about $126 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,042 This hospital $916

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 $916

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 $1,042 (about 1.1× the $950 Medicare rate). UPMC Lititz charges insurers about $916 — below the fair price — a good deal. Located in Lititz, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $580 - $937 61%
Blue Cross Blue Shieldmajor $229 - $2,754 24%
Aetnamajor $913 96%
Cignamajor $919 - $5,035 97%
AmeriHealth $244 26%
Geisinger $263 - $919 28%
HealthPartners $246 26%
UPMC Health Plan $235 - $2,316 25%
+ 1 smaller / regional plan $1,401

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Facility Profile & Credentials

  • Address: 1500 Highlands Drive, Lititz, PA 17543
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals