Colonoscopy with biopsy
Facility: Southern Ocean 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 $1,671 (about 1.4× the $1,223 Medicare rate). Southern Ocean Medical Center charges insurers about $1,546, or about $1,289 in cash — about the fair price. Located in Manahawkin, NJ.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $1,189 - $7,601 | 97% |
| Blue Cross Blue Shieldmajor | $1,289 | 105% |
| Aetnamajor | $794 - $9,383 | 65% |
| Cignamajor | $3,133 - $3,508 | 256% |
| AmeriHealth | $3,729 - $4,224 | 305% |
| Clover Health | $773 | 63% |
| WellCare | $1,289 | 105% |
| + 7 smaller / regional plans | $406 - $9,933 |
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 Southern Ocean 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.