CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: AHS Hospital Corp

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,055
about 1.1× the $950 Medicare rate · typically $1,005–$1,541
modeled estimate · not a bill or quote
What this hospital charges insurers
$996
About the fair price
about $59 under the fair price · 1.0× Medicare
Medicare pays $950 Fair price $1,055 This hospital $996 Cash price $1,146 Hospital's list price $6,901

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 5 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $248 Priciest $1,046

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 $1,055 (about 1.1× the $950 Medicare rate). AHS Hospital Corp charges insurers about $996, or about $1,146 in cash — about the fair price. Located in Hackettstown, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $996 105%
Aetnamajor $996 - $1,395 105%
Cignamajor $996 105%
Ambetter (Centene) $996 105%
AmeriHealth $996 - $4,096 105%
UPMC Health Plan $996 105%
WellCare $996 105%
+ 11 smaller / regional plans $366 - $4,300
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 651 Willow Grove St, Hackettstown, NJ 07840
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals