CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Robert Wood Johnson University Hospital at Hamilton

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,464
about 1.5× the $950 Medicare rate · typically $1,073–$2,928
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,090
Well above the fair price
about $1,626 over the fair price · 3.3× Medicare
Medicare pays $950 Fair price $1,464 This hospital $3,090 Cash price $5,110

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 $3,090

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 $1,464 (about 1.5× the $950 Medicare rate). Robert Wood Johnson University Hospital at Hamilton charges insurers about $3,090, or about $5,110 in cash — well above the fair price. Located in Hamilton, 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 $1,464. 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 - $4,267 107%
Blue Cross Blue Shieldmajor $262 - $4,408 28%
Aetnamajor $996 - $5,009 105%
Cignamajor $2,488 - $3,329 262%
Humanamajor $996 105%
Clover Health $996 105%
Fidelis Care $996 105%
WellCare $1,983 209%
+ 1 smaller / regional plan $1,744

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: One Hamilton Health Place, Hamilton, NJ 08690
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals