CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Thomas Jefferson University Hospital
Billing Code: 45378 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,008
about 1.1× the $950 Medicare rate · typically $486–$1,441
modeled estimate · not a bill or quote
Medicare pays $950 Fair price $1,008 Cash price $1,099 Hospital's list price $1,873
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $6,300 | 663% |
| Aetnamajor | $342 - $4,033 | 36% |
| Cignamajor | $2,725 - $3,270 | 287% |
| UPMC Health Plan | $3,270 | 344% |
| + 3 smaller / regional plans | $235 - $2,343 |
Government programs also on file: Medicaid.
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Other Procedures at Thomas Jefferson University Hospital
Compare: Colonoscopy (diagnostic) at other PA hospitals
- St Mary Medical Center · Langhorne $90
- Uniontown Hospital · Uniontown $181
- UPMC Wellsboro · Wellsboro $201
- UPMC Muncy · Muncy $204
- Chan Soon- Shiong Medical Center at Windber · Windber $211
- Titusville Area Hospital · Titusville $226
- Magee Memorial Hospital for Convalescents · Philadelphia $244
- Pottstown Hospital · Pottstown $253
Insurance negotiated median for the same procedure, sorted lowest first.