CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,175
about 1.2× the $950 Medicare rate · typically $1,004–$2,131
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,800
Above the fair price
about $625 over the fair price · 1.9× Medicare
Medicare pays $950 Fair price $1,175 This hospital $1,800 Cash price $8,470 Hospital's list price $8,470

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $248 Priciest $1,800

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $1,175 (about 1.2× the $950 Medicare rate). University Medical Center of Princeton at Plainsboro charges insurers about $1,800, or about $8,470 in cash — above the fair price. Located in Plainsboro, 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 $1,175. 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

✓ 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 $1,060 - $8,470 112%
Blue Cross Blue Shieldmajor $1,060 - $6,371 112%
Aetnamajor $781 - $7,056 82%
Cignamajor $1,092 - $8,470 115%
Humanamajor $1,145 121%
AmeriHealth $1,261 133%
Clover Health $1,124 118%
Health Net $5,929 - $8,470 624%
MagnaCare $4,491 - $5,929 473%
WellCare $859 90%
+ 28 smaller / regional plans $690 - $8,470
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals