CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Trinitas Regional Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,710
about 1.4× the $1,223 Medicare rate · typically $1,352–$2,705
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,564
Above the fair price
about $854 over the fair price · 2.1× Medicare
Medicare pays $1,223 Fair price $1,710 This hospital $2,564 Cash price $5,855

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 $849 Priciest $2,564

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

A fair price for a Colonoscopy with biopsy is about $1,710 (about 1.4× the $1,223 Medicare rate). Trinitas Regional Medical Center charges insurers about $2,564, or about $5,855 in cash — above the fair price. Located in Elizabeth, 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 $1,710. 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 $1,314 - $4,523 107%
Blue Cross Blue Shieldmajor $224 - $5,392 18%
Aetnamajor $1,289 - $2,612 105%
Cignamajor $2,543 - $2,678 208%
Humanamajor $1,289 105%
AmeriHealth $1,674 137%
Clover Health $1,289 105%
Fidelis Care $1,289 105%
WellCare $2,564 210%
+ 1 smaller / regional plan $2,577

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 225 Williamson Street, Elizabeth, NJ 07207
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals