Colonoscopy (diagnostic)
Facility: St Mary's General Hospital
Billing Code: 45378 (CPT)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
A fair price for a Colonoscopy (diagnostic) is about $1,329 (about 1.4× the $950 Medicare rate). St Mary's General Hospital charges insurers about $1,687, or about $1,099 in cash — above the fair price. Located in Passaic, NJ.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,329. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $1,099 - $3,752 | 116% |
| Blue Cross Blue Shieldmajor | $1,099 | 116% |
| Aetnamajor | $1,099 - $2,331 | 116% |
| Cignamajor | $1,616 | 170% |
| Humanamajor | $880 | 93% |
| AmeriHealth | $1,099 | 116% |
| Clover Health | $1,099 | 116% |
| WellCare | $1,099 - $1,484 | 116% |
| + 4 smaller / regional plans | $1,099 - $1,949 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St Mary's General Hospital
Compare: Colonoscopy (diagnostic) at other NJ hospitals
- St Joseph's University Medical Center Inc · Paterson $248
- Newton Medical Center · Newton $996
- Shore Medical Center · Somers Point $996
- AHS Hospital Corp · Hackettstown $996
- Centrastate Medical Center · Freehold $1,009
- Jfk University Medical Center · Edison $1,010
- Carewell Health Medical Center · East Orange $1,023
- The University Hospital · Newark $1,040
Insurance negotiated median for the same procedure, sorted lowest first.