CMS Price Transparency Data

Colonoscopy with biopsy

Facility: St Luke's Hospital - Carbon Campus

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,180
about 1.0× the $1,223 Medicare rate · typically $1,180–$1,213
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,191
About the fair price
about $11 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,180 This hospital $1,191

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 $225 Priciest $1,191

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

A fair price for a Colonoscopy with biopsy is about $1,180 (about 1.0× the $1,223 Medicare rate). St Luke's Hospital - Carbon Campus charges insurers about $1,191 — about the fair price. Located in Lehighton, 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✓ Humana CignaKaiser 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 $1,268 104%
Blue Cross Blue Shieldmajor $270 - $4,300 22%
Aetnamajor $1,197 98%
Humanamajor $1,221 100%
AmeriHealth $270 22%
Geisinger $266 - $1,197 22%
UPMC Health Plan $270 - $1,232 22%
+ 1 smaller / regional plan $325

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Facility Profile & Credentials

  • Address: 500 St Luke's Drive, Lehighton, PA 18235
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals