CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: St Luke's Warren Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,034
about 1.1× the $950 Medicare rate · typically $1,008–$1,518
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,054
About the fair price
about $20 over the fair price · 1.1× Medicare
Medicare pays $950 Fair price $1,034 This hospital $1,054

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 $1,054

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 $1,034 (about 1.1× the $950 Medicare rate). St Luke's Warren Hospital charges insurers about $1,054 — about the fair price. Located in Phillipsburg, NJ.

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 $1,004 106%
Blue Cross Blue Shieldmajor $1,004 - $3,977 106%
Aetnamajor $1,024 108%
Cignamajor $1,185 125%
Humanamajor $1,044 110%
AmeriHealth $217 23%
Geisinger $213 - $1,024 22%
UPMC Health Plan $217 - $1,054 23%

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Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals