CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Lower Bucks Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,007
about 1.1× the $950 Medicare rate · typically $486–$1,430
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,021
About the fair price
about $14 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $1,007 This hospital $1,021 Cash price $914 Hospital's list price $1,021

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 $1,021

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 $1,007 (about 1.1× the $950 Medicare rate). Lower Bucks Hospital charges insurers about $1,021, or about $914 in cash — about the fair price. Located in Bristol, 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✓ Cigna✓ Humana AetnaKaiser 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 $915 - $1,021 96%
Blue Cross Blue Shieldmajor $915 - $1,021 96%
Cignamajor $1,021 107%
Humanamajor $732 77%
HealthPartners $915 - $1,021 96%
+ 7 smaller / regional plans $191 - $1,021
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals