CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Robert Wood Johnson University Hospital at Hamilton

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,986
about 1.6× the $1,223 Medicare rate · typically $1,364–$3,174
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,090
Above the fair price
about $1,104 over the fair price · 2.5× Medicare
Medicare pays $1,223 Fair price $1,986 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 $849 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 with biopsy is about $1,986 (about 1.6× the $1,223 Medicare rate). Robert Wood Johnson University Hospital at Hamilton charges insurers about $3,090, or about $5,110 in cash — 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 $1,986. 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 $1,314 - $4,267 107%
Blue Cross Blue Shieldmajor $316 - $5,701 26%
Aetnamajor $1,289 - $5,009 105%
Cignamajor $2,488 - $3,329 204%
Humanamajor $1,289 105%
Clover Health $1,289 105%
Fidelis Care $1,289 105%
WellCare $2,564 210%
+ 1 smaller / regional plan $2,255

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