CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Monmouth Medical Center

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,240
about 1.3× the $950 Medicare rate · typically $1,024–$2,351
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,491
Well above the fair price
about $1,251 over the fair price · 2.6× Medicare
Medicare pays $950 Fair price $1,240 This hospital $2,491 Cash price $5,419

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 $2,491

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 $1,240 (about 1.3× the $950 Medicare rate). Monmouth Medical Center charges insurers about $2,491, or about $5,419 in cash — well above the fair price. Located in Long Branch, 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 $1,240. 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 $1,016 - $4,523 107%
Blue Cross Blue Shieldmajor $545 - $3,266 57%
Aetnamajor $1,009 - $5,153 106%
Cignamajor $2,491 - $3,334 262%
Humanamajor $1,009 106%
Clover Health $1,009 106%
Fidelis Care $1,009 106%
WellCare $2,008 211%
+ 2 smaller / regional plans $1,766 - $3,617

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: 300 Second Avenue, Long Branch, NJ 07740
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals