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Colonoscopy in New York: what insurers pay

Posted commercial rates at 9 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 45378

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$1,7021.5×82026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$2,7202.3×62026-09-05
Jacobi Medical Center Bronx$2,7202.3×62026-09-05
Elmhurst Hospital Center Elmhurst$2,7202.3×62026-09-05
South Brooklyn Health Brooklyn$2,7202.3×62026-09-05
Jamaica Hospital Medical Center Jamaica$3,3332.9×52026-03-25
Maimonides Medical Center Brooklyn$4,1133.5×52026-04-01
Stony Brook University Hospital Stony Brook$5,1714.5×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3346.3×72026-01-01

CPT 45380

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$1,7201.1×92026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$1,7661.2×72026-09-05
Elmhurst Hospital Center Elmhurst$1,7661.2×72026-09-05
South Brooklyn Health Brooklyn$1,7661.2×72026-09-05
Jacobi Medical Center Bronx$1,8001.2×72026-09-05
Jamaica Hospital Medical Center Jamaica$3,5352.4×52026-03-25
Maimonides Medical Center Brooklyn$4,5413.0×52026-04-01
Stony Brook University Hospital Stony Brook$5,4173.6×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3344.9×72026-01-01

CPT 45385

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$1,7901.2×92026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$1,8001.2×72026-09-05
Jacobi Medical Center Bronx$1,8001.2×72026-09-05
Elmhurst Hospital Center Elmhurst$1,8001.2×72026-09-05
South Brooklyn Health Brooklyn$1,8001.2×72026-09-05
Jamaica Hospital Medical Center Jamaica$3,5352.4×52026-03-25
Maimonides Medical Center Brooklyn$4,5413.0×52026-04-01
Stony Brook University Hospital Stony Brook$5,4173.6×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3344.9×72026-01-01

Questions

How much do insurers pay for colonoscopy in New York?

9 New York hospitals post usable commercial rates for colonoscopy in their federal price-transparency files. For CPT 45378, hospital outpatient, the median across 9 hospitals is $2,720, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.