CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Penn Highlands Connellsville

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$735
about 0.8× the $950 Medicare rate · typically $351–$922
modeled estimate · not a bill or quote
What this hospital charges insurers
$833
About the fair price
about $98 over the fair price · 0.9× Medicare
Medicare pays $950 Fair price $735 This hospital $833

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 $833

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 $735 (about 0.8× the $950 Medicare rate). Penn Highlands Connellsville charges insurers about $833 — about the fair price. Located in Connellsville, PA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $161 - $1,677 17%
Blue Cross Blue Shieldmajor $148 - $956 16%
Cignamajor $531 56%
Geisinger $156 - $877 16%
UPMC Health Plan $164 - $1,129 17%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 401 East Murphy Avenue, Connellsville, PA 15425
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals