Colonoscopy with biopsy
Facility: Saint Michael's Medical Center
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). Saint Michael's Medical Center charges insurers about $2,151, or about $1,387 in cash — above the fair price. Located in Newark, 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 | $1,388 - $4,842 | 114% |
| Blue Cross Blue Shieldmajor | $1,388 | 114% |
| Aetnamajor | $1,388 - $2,942 | 114% |
| Cignamajor | $2,218 | 181% |
| Humanamajor | $1,388 | 114% |
| AmeriHealth | $1,388 | 114% |
| Clover Health | $1,443 | 118% |
| WellCare | $1,429 - $1,873 | 117% |
| + 5 smaller / regional plans | $1,388 - $2,839 |
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 Saint Michael's Medical Center
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.