CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: UPMC Hanover

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$912
about 1.0× the $950 Medicare rate · typically $621–$2,279
modeled estimate · not a bill or quote
What this hospital charges insurers
$890
About the fair price
about $22 under the fair price · 0.9× Medicare
Medicare pays $950 Fair price $912 This hospital $890

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 $890

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 $912 (about 1.0× the $950 Medicare rate). UPMC Hanover charges insurers about $890 — about the fair price. Located in Hanover, 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 $580 - $932 61%
Blue Cross Blue Shieldmajor $229 - $3,098 24%
Aetnamajor $908 96%
Cignamajor $915 - $5,035 96%
Humanamajor $871 92%
AmeriHealth $244 26%
Geisinger $263 - $915 28%
HealthPartners $246 26%
UPMC Health Plan $235 - $2,316 25%
+ 2 smaller / regional plans $308 - $1,394

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Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals