CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Clarion Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$909
about 1.0× the $950 Medicare rate · typically $464–$1,061
modeled estimate · not a bill or quote
What this hospital charges insurers
$925
About the fair price
about $16 over the fair price · 1.0× Medicare
Medicare pays $950 Fair price $909 This hospital $925

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 $925

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 $909 (about 1.0× the $950 Medicare rate). Clarion Hospital charges insurers about $925 — about the fair price. Located in Clarion, 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 $877 92%
Blue Cross Blue Shieldmajor $868 - $1,969 91%
Aetnamajor $903 - $2,017 95%
Cignamajor $877 92%
AmeriHealth $199 - $877 21%
Devoted Health $930 98%
Geisinger $218 - $921 23%
UPMC Health Plan $226 - $1,819 24%
+ 7 smaller / regional plans $199 - $2,061
Government programs also on file: Medicare, Medicaid, Military & VA.
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: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals