CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Jefferson Abington Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,034

about 1.1× the $950 Medicare rate · typically $468–$1,461

modeled estimate · not a bill or quote

What this hospital charges insurers

$333

Below the fair price — a good deal

about $701 under the fair price · 0.4× Medicare

Medicare pays $950 Fair price $1,034 This hospital $333 Cash price $1,049 Hospital's list price $2,683

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 $333

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $1,034 (about 1.1× the $950 Medicare rate). Jefferson Abington Hospital charges insurers about $333, or about $1,049 in cash — below the fair price — a good deal. Located in Abington, 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	$2,493	262%
Blue Cross Blue Shieldmajor	$345 - $2,704	36%
Aetnamajor	$270 - $3,077	28%
Cignamajor	$2,375 - $2,850	250%
Geisinger	$99 - $445	10%
HealthPartners	$99 - $343	10%
+ 8 smaller / regional plans	$97 - $3,508

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,049), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Jefferson Abington Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Jefferson Abington Hospital

Compare: Colonoscopy (diagnostic) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.