CMS Price Transparency Data
Colonoscopy with biopsy
Facility: Thomas Jefferson University Hospital
Billing Code: 45380 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,344
about 1.1× the $1,223 Medicare rate · typically $648–$1,800
modeled estimate · not a bill or quote
Medicare pays $1,223 Fair price $1,344 Cash price $1,414 Hospital's list price $2,289
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 | 515% |
| Aetnamajor | $427 - $4,033 | 35% |
| Cignamajor | $2,725 - $3,270 | 223% |
| UPMC Health Plan | $3,270 | 267% |
| + 3 smaller / regional plans | $293 - $2,343 |
Government programs also on file: Medicaid.
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Other Procedures at Thomas Jefferson University Hospital
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.