Colonoscopy with biopsy
Facility: Monmouth Medical Center-Southern Campus
Billing Code: 45380 (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 with biopsy is about $1,703 (about 1.4× the $1,223 Medicare rate). Monmouth Medical Center-Southern Campus charges insurers about $2,766, or about $4,350 in cash — above the fair price. Located in Lakewood, 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 $1,703. 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 | $1,314 - $4,523 | 107% |
| Blue Cross Blue Shieldmajor | $819 - $3,266 | 67% |
| Aetnamajor | $1,289 - $5,398 | 105% |
| Cignamajor | $2,766 - $3,701 | 226% |
| Humanamajor | $1,289 | 105% |
| Clover Health | $1,289 | 105% |
| Fidelis Care | $1,289 | 105% |
| WellCare | $2,564 | 210% |
| + 2 smaller / regional plans | $2,255 - $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.
Other Procedures at Monmouth Medical Center-Southern Campus
Compare: Colonoscopy with biopsy at other NJ hospitals
- St Joseph's University Medical Center Inc · Paterson $849
- Newton Medical Center · Newton $1,288
- AHS Hospital Corp · Hackettstown $1,288
- Capital Health Regional Medical Center · Trenton $1,289
- Centrastate Medical Center · Freehold $1,305
- Jfk University Medical Center · Edison $1,306
- Carewell Health Medical Center · East Orange $1,323
- The University Hospital · Newark $1,345
Insurance negotiated median for the same procedure, sorted lowest first.