CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Hospital Pavia Santurce

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$198
about 0.2× the $950 Medicare rate · typically $109–$784
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
About the fair price
about $2 over the fair price · 0.2× Medicare
Medicare pays $950 Fair price $198 This hospital $200 Cash price $234 Hospital's list price $234

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Highest price of the 3 PR hospitals we have prices for — worth calling around.

Cheapest $124 Priciest $200

Black dot = this hospital, among the 3 PR hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $198 (about 0.2× the $950 Medicare rate). Hospital Pavia Santurce charges insurers about $200, or about $234 in cash — about the fair price. Located in San Juan, PR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $200 21%
Humanamajor $200 21%
+ 2 smaller / regional plans $73 - $200
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: Street Profesor Augusto Rodriguez #1462, San Juan, PR 00910
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals