Colonoscopy with biopsy
Facility: UPMC Northwest
Billing Code: 45380 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $1,143 (about 0.9× the $1,223 Medicare rate). UPMC Northwest charges insurers about $1,151, or about $2,132 in cash — about the fair price. Located in Seneca, 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
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 | $259 - $1,237 | 21% |
| Blue Cross Blue Shieldmajor | $334 - $2,334 | 27% |
| Aetnamajor | $270 - $2,310 | 22% |
| Cignamajor | $1,422 - $2,310 | 116% |
| Humanamajor | $3,021 | 247% |
| AmeriHealth | $352 - $1,214 | 29% |
| UPMC Health Plan | $248 - $1,151 | 20% |
| + 4 smaller / regional plans | $384 - $3,704 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UPMC Northwest
Compare: Colonoscopy with biopsy at other PA hospitals
- Uniontown Hospital · Uniontown $225
- Titusville Area Hospital · Titusville $239
- UPMC Wellsboro · Wellsboro $251
- UPMC Muncy · Muncy $254
- Allegheny Valley Hospital · Natrona $327
- Allegheny General Hospital · Pittsburgh $327
- Canonsburg General Hospital · Canonsburg $327
- Jefferson Hospital · Jefferson Hills $327
Insurance negotiated median for the same procedure, sorted lowest first.