CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: UPMC Passavant

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$888
about 0.9× the $950 Medicare rate · typically $407–$961
modeled estimate · not a bill or quote
What this hospital charges insurers
$913
About the fair price
about $25 over the fair price · 1.0× Medicare
Medicare pays $950 Fair price $888 This hospital $913 Cash price $1,500 Hospital's list price $2,500

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 $913

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 $888 (about 0.9× the $950 Medicare rate). UPMC Passavant charges insurers about $913, or about $1,500 in cash — about the fair price. Located in Pittsburgh, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $208 - $956 22%
Blue Cross Blue Shieldmajor $268 - $4,394 28%
Aetnamajor $913 - $956 96%
Cignamajor $850 - $1,124 89%
Humanamajor $2,125 - $2,612 224%
AmeriHealth $282 - $939 30%
UPMC Health Plan $199 - $1,047 21%
+ 4 smaller / regional plans $308 - $2,612
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9100 Babcock Boulevard, Pittsburgh, PA 15237
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals