CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Grove City Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$280
about 0.3× the $950 Medicare rate · typically $249–$638
modeled estimate · not a bill or quote
What this hospital charges insurers
$262
About the fair price
about $18 under the fair price · 0.3× Medicare
Medicare pays $950 Fair price $280 This hospital $262 Cash price $118 Hospital's list price $512

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 $262

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 $280 (about 0.3× the $950 Medicare rate). Grove City Medical Center charges insurers about $262, or about $118 in cash — about the fair price. Located in Grove City, 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 $262 - $2,658 28%
Blue Cross Blue Shieldmajor $80 - $1,811 8%
Aetnamajor $180 - $1,866 19%
Cignamajor $290 - $2,497 31%
Humanamajor $930 98%
AmeriHealth $190 - $921 20%
Geisinger $262 - $709 28%
Medical Mutual $2,497 263%
Molina $956 101%
+ 6 smaller / regional plans $74 - $974
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 631 North Broad Street Ext., Grove City, PA 16127
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals