Price reports for 31231 Nasal endoscopy dx

PriceCheck journalist

Price charged

$75.15

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.smmcnj.com/for-patients-visitors/financial-assistance/ .
Provider: St. Michael's Medical Center
Address: Newark, 111 Central Ave., NJ
PriceCheck journalist

Price charged

$229.05

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://uhnj.org/transparency/charges.htm .
Provider: University Hospital Newark
Address: Newark, 150 Bergen St., NJ
Community member

Price charged

$256.20

Insurance paid

$4.96

You paid

$251.24

Doctor used a small camera during initial office visit to check inside my nose with previously confirmed broken and deviated septum though he was ordering a CT scan in addition before surgery. Unitedhealthcare says such endoscopy is surgery even though no cutting was involved and applied a $250 copay and paid 80% of remaining $6.20.
Insurer: UnitedHealthcare
Provider: Dr. Ewen Y. Tseng, MD
Address: Frisco, 8380, Warren Parkway, TX
PriceCheck journalist

Price charged

$300.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.westchestermedicalcenter.org/billing-insurance-and-financial-assistance .
Provider: Westchester Medical Center
Address: Valhalla, 100 Woods Rd., NY
PriceCheck journalist

Price charged

$300.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.midhudsonregional.org/billing-insurance-and-financial-assistance .
Provider: MidHudson Regional Hospital
Address: Poughkeepsie, 241 North Rd., NY
Community member

Price charged

$300.00

Insurance paid

$86.76

You paid

$213.24

Insurer: Cigna
Provider: BergerHenry ENT Specialty Group - Lansdale
Address: Lansdale, 108, Cowpath Road, PA
Community member

Price charged

$347.00

Insurance paid

$273.37

You paid

$48.24

Insurer: Blue Shield of California
Provider: Mercy Hospital Medical Center
Address: Chicago, 2555, South King Drive, IL
PriceCheck journalist

Price charged

$349.64

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bridgeporthospital.org/-/media/Files/YNHHS/sc/06-0646554_BridgeportHospital_standardcharges.ashx .
Provider: Bridgeport Hospital
Address: Bridgeport, 267 Grant St., CT
PriceCheck journalist

Price charged

$349.64

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.ynhh.org/patients-visitors/billing-insurance/Pricing .
Provider: Yale-New Haven Hospital
Address: New Haven, 20 York St., CT
PriceCheck journalist

Price charged

$349.64

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.greenwichhospital.org/patients-visitors/billing-insurance/pricing.aspx .
Provider: Greenwich Hospital
Address: Greenwich, 5 Perryridge Rd., CT
PriceCheck journalist

Price charged

$371.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stjosephshealth.org/about-st-josephs/patient-and-visitor-information/itemlist/category/791-paying-for-your-care .
Provider: St. Joseph's University Medical Center
Address: Paterson, 703 Main St., NJ
Community member

Price charged

$388.00

Insurance paid

$0.00

You paid

$388.00

Insurer: Cigna
Provider: Raj Tandon, MD
Address: Hoboken, 79, Hudson Street, NJ
Community member

Price charged

$399.00

Insurance paid

$94.82

You paid

$304.18

Insurer: Anthem Blue Cross Blue Shield
Provider: Isaac Dingle, MD - Charlotte Eye Ear Nose & Throat Associates, P.A.
Address: Charlotte, 6035, Fairview Road, NC
Community member

Price charged

$416.00

Insurance paid

$0.00

You paid

$183.58

Provider: Tucson ENT Audiology
Address: Tucson, 6567, East Carondelet Drive, AZ
Community member

Price charged

$435.00

Insurance paid

$0.00

You paid

$435.00

High desuctible. Provider charged $1329, insurance discount $893, copay high deductible $435.
Provider: Robert Wood Johnson University Hospital
Address: New Brunswick, 1, Robert Wood Johnson Place, NJ
PriceCheck journalist

Price charged

$442.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://montefiorenewrochelle.org/patients-and-visitors/paying-for-your-care .
Provider: Montefiore New Rochelle
Address: New Rochelle, 16 Guion Pl., NY
Community member

Price charged

$470.00

Insurance paid

$0.00

You paid

$470.00

I did not ask for this procedure and was then billed over $200 for dr office visit plus $470 for this procedure. I never would have done it if they told me the price. These doctors know this and are trying to Rip off patients. That was after paying co-pay.
Insurer: Molina Healthcare
Provider: South Florida ENT
Address: Lighthouse Point, 3170, North Federal Highway, FL
Community member

Price charged

$470.00

Insurance paid

$0.00

You paid

$326.67

The “ procedure” took place for a total of no more than 10 minutes ( but 30 Minutes if wait time ). I was billed the $470 for the procedure ( which was reduced somewhat by the contractual rate established by the insurance ). But I was also billed $250 for the office visit ( for which I paid only $60 as copay ) and I am still wondering what the office visit consisted of since the totality of my time spent in the office was for the nasal endoscopy. Perhaps the “ good afternoon, how do you feel “ counts as office visit ?
Insurer: Aetna
Provider: South Florida Ent Associates
Address: Doral, 9915, Northwest 41st Street, FL
Community member

Price charged

$470.00

Insurance paid

$299.85

You paid

$0.00

Insurer: Florida Blue: Blue Cross Blue Shield of Florida
Provider: Dr. Peter Volsky, MD
Address: Miami, 6705, Red Road, FL
PriceCheck journalist

Price charged

$490.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiore.org/information-about-charges .
Provider: Montefiore Medical Center
Address: Bronx, 111 E. 210th St., NY
Community member

Price charged

$491.00

Insurance paid

$122.36

You paid

$623.64

I was charged $255 for the office visit as well and my total cost with insurance was $623.64. Quite a hefty price tag!
Insurer: Aetna
Provider: Dr. Gregory F. Hulka, MD
Address: Durham, 4102, North Roxboro Street, NC
Community member

Price charged

$503.00

Insurance paid

$0.00

You paid

$503.00

This clinic charged an outrageous price for this procedure, after some research the cost tends to $250-300.
Provider: Central Oregon Ear, Nose and Throat
Address: Bend, 2450, Northeast Mary Rose Place, OR
Community member

Price charged

$503.00

Insurance paid

$229.00

You paid

$274.00

Was not informed of cost of nasal endoscopy beforehand. Was also charged $219 for the visit. $722 for 20 minutes with the doctor and a 10 minute endoscopy.
Insurer: PacificSource Health Plans
Provider: Southwest Idaho Ear Nose and Throat PA
Address: Boise, 900, North Liberty Street, ID
Community member

Price charged

$528.00

Insurance paid

$392.20

You paid

$98.05

Insurer: Cigna
Provider: Willamette ENT & Facial Plastic Surgery
Address: Salem, 3099, River Road South, OR
Community member

Price charged

$533.00

Insurance paid

$228.48

You paid

$304.52

Insurer: Anthem Blue Cross (California)
Provider: Jason R. Van Tassel, MD
Address: Fremont, 2557, Mowry Avenue, CA
PriceCheck journalist

Price charged

$549.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/index.html .
Provider: University Hospital at SUNY Downstate
Address: Brooklyn, 450 Clarkson Ave., NY
Community member

Price charged

$606.00

Insurance paid

$0.00

You paid

$606.00

Insurance did not pay because deductible was not met
Provider: Robert Mignone, DO
Address: Robbinsville Township, 1, Union Street, NJ
Community member

Price charged

$675.00

Insurance paid

$317.78

You paid

$70.00

On invoice it showed a discount of $287.22, and next to it, it said "You saved $287.22. CIGNA negotiates discounts with health care professionals and facilities to help you save money."
Insurer: Cigna
Provider: Paul Fass MD
Address: Miami, 2999, Northeast 191st Street, FL
Community member

Price charged

$713.00

Insurance paid

$523.48

You paid

$189.52

The hospital itself charged additional fees for using their facility for the endoscopy.
Insurer: Cigna
Provider: Dr. Annie S. Lee, MD
Address: Peabody, 1, Essex Center Drive, MA
Community member

Price charged

$715.00

Insurance paid

$342.77

You paid

$372.23

This includes a $250 "Office Visit" (code 99203) at $250. My examination took less than 5 minutes.
Insurer: UnitedHealthcare
Provider: ENT Associates of Texas, PA
Address: Frisco, 4401, Coit Road, TX
PriceCheck journalist

Price charged

$733.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: NYP Hudson Hospital
Address: Cortlandt Manor, 1980 Crompond Rd., NY
Community member

Price charged

$750.00

Insurance paid

$0.00

You paid

$750.00

The office visit cost 500. The nasal endoscopy cost 750. The meeting with the doctor lasted maybe 20.minutes.
Provider: Bernard Joseph Durante
Address: Plymouth, 30, Aldrin Road, MA
PriceCheck journalist

Price charged

$760.73

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU Hassenfeld Childrens Hospital
Address: New York, 430 E 34th St., NY
PriceCheck journalist

Price charged

$760.73

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: Tisch Hospital
Address: New York, 550 1st Ave., NY
PriceCheck journalist

Price charged

$760.73

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU Langone Orthopedic Hospital
Address: New York, 301 East 17th Street, NY
PriceCheck journalist

Price charged

$760.73

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU Langone Hospital -- Long Island
Address: Mineola, 259 1st St, NY
PriceCheck journalist

Price charged

$760.73

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU Langone Hospital -- Brooklyn
Address: Brooklyn, 150 55th St., NY
PriceCheck journalist

Price charged

$760.73

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU - Kimmel Pavilion
Address: New York, 424 East 34th St., NY
PriceCheck journalist

Price charged

$837.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.cooperhealth.org/patients-visitors/financial-matters/chargemaster .
Provider: Cooper University Hospital
Address: Camden, 1 Cooper Plz., NJ
Community member

Price charged

$880.00

Insurance paid

$450.00

You paid

$0.00

Provider: Ochsner Medical Center
Address: Jefferson, 1514, Jefferson Highway, LA
Community member

Price charged

$895.00

Insurance paid

$316.00

You paid

$579.00

This took less than 5 minutes and the doctor never indicated that this was outside the cost of the visit. My total visit, including me describing my past medical history and current symptoms, was less than 20 minutes.
Insurer: CalPERS
Provider: Commercial Crossing Center
Address: Santa Cruz, 2850, Commercial Crossing, CA
Community member

Price charged

$895.00

Insurance paid

$316.00

You paid

$579.00

This took less than 5 minutes and the doctor never indicated that this was outside the cost of the visit. My total visit, including me describing my past medical history and current symptoms, was less than 20 minutes.
Insurer: CalPERS
Provider: Commercial Crossing Center
Address: Santa Cruz, 2850, Commercial Crossing, CA
PriceCheck journalist

Price charged

$948.37

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stonybrookmedicine.edu/patientcare/oon/charges .
Provider: Stony Brook University Hospital
Address: Stony Brook, 101 Nicolls Rd., NY
Community member

Price charged

$984.00

Insurance paid

$370.00

You paid

$300.00

The total charge for an initial office visit and this simple nasal exam came out to $1700. This doctor, while a very good doctor, is a rip off. Find someone else.
Insurer: Blue Shield of California
Provider: Edward Kuan, MD | UCI Head & Neck
Address: Orange, ,, CA
Community member

Price charged

$1,005.00

Insurance paid

$401.00

You paid

$604.00

The camera based examination thru nostril was meant to be diagnostic, took less than 5 minutes to get done. Its a tiny camera attached on a tube and the doctor sees hd monitor visuals when tube goes through the nostril! Unfortunately we were not made aware of huge extra cost of $1000.outside of office visit charges of $400 for ENT specialist. Was a rude shock when our billing came through in mail after a few days!
Insurer: Cigna
Provider: Dr. Garani Nadaraja, MD
Address: Oakland, 744, 52nd Street, CA
Community member

Price charged

$1,049.00

Insurance paid

$200.81

You paid

$848.19

Insurer: UnitedHealthcare
Provider: Summit Medical Group
Address: Clifton, 6, Brighton Road, NJ
Community member

Price charged

$1,150.00

Insurance paid

$724.51

You paid

$425.59

Insurer: Cigna
Provider: Noah Sands, MD
Address: New York, 425, West 59th Street, NY
Community member

Price charged

$1,605.00

Insurance paid

$660.00

You paid

$405.00

this is always billed as a surgery; it doesn't matter who does it. I've had it done several times over the years- it literally takes the doctors two minutes to do this, but I know it is often necessary, and I never agree to it unless I myself want the information too, and at least I know ahead of time it is expensive. Unfortunately, this year, Blue Cross made it so I had to pay not only a surgery co-pay but also a facility fee. What a joke. Insurance companies should just pay this as an office procedure somehow.
Insurer: Blue Cross Blue Shield Federal Employee Program
Provider: Virginia Mason Medical Center
Address: Seattle, 1100, 9th Avenue, WA
PriceCheck journalist

Price charged

$2,841.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorehealthsystem.org/MountVernon .
Provider: Montefiore Munt Vernon
Address: Mount Vernon, 12 N. 7th Ave., NY
Community member

Price charged

$4,187.00

Insurance paid

$3,455.00

You paid

$732.00

I was referred to go here by my primary care doctor. The doctor at DHR inserted a tube down my nose. The procedure lasted maybe 20 seconds. The price of the procedure was not disclosed beforehand.
Insurer: UnitedHealthcare
Provider: Doctors Hospital at Renaissance Emergency Room
Address: Edinburg, 5501, South McColl Road, TX

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What Medicare pays here?

Nasal endoscopy dx
Region Price
Alabama $61.72
Alaska $87.70
Arizona $65.45
Arkansas $61.82
Anaheim/Santa Ana, CA $71.62
Los Angeles, CA $69.73
Marin/Napa/Solano, CA $71.28
Oakland/Berkeley, CA $72.03
Rest of California $67.21
San Francisco, CA $74.88
San Mateo, CA $74.75
Santa Clara, CA $74.58
Ventura, CA $70.28
Colorado $67.66
Connecticut $71.76
DC + MD/VA Suburbs $74.75
Delaware $68.41
Fort Lauderdale, FL $71.89
Miami, FL $76.69
Rest of Florida $68.06
Atlanta, GA $67.48
Rest of Georgia $65.27
Hawaii/Guam $68.63
Idaho $62.10
Chicago, IL $73.42
East St. Louis, IL $70.18
Rest of Illinois $66.48
Suburban Chicago, IL $71.79
Indiana $61.70
Iowa $61.69
Kansas $62.89
Kentucky $63.39
New Orleans, LA $67.87
Rest of Louisiana $65.74
Rest of Maine $63.44
Southern Maine $65.28
Baltimore/Surr. Cntys, MD $71.70
Rest of Maryland $68.58
Metropolitan Boston $69.60
Rest of Massachusetts $69.63
Detroit, MI $70.78
Rest of Michigan $65.39
Minnesota $63.59
Mississippi $60.59
Metropolitan Kansas City, MO $66.65
Metropolitan St Louis, MO $66.45
Rest of Missouri $64.03
Montana $70.67
Nebraska $61.15
Nevada $66.95
New Hampshire $68.29
Northern NJ $72.19
Rest of New Jersey $70.29
New Mexico $66.75
Manhattan, NY $76.53
NYC Suburbs/Long I., NY $79.72
Poughkpsie/N NYC Suburbs, NY $70.99
Queens, NY $79.88
Rest of New York $63.62
North Carolina $63.78
North Dakota $64.38
Ohio $65.27
Oklahoma $64.41
Portland, OR $67.35
Rest of Oregon $65.07
Metropolitan Philadelphia, PA $71.69
Rest of Pennsylvania $65.84
Puerto Rico $67.13
Rhode Island $69.18
South Carolina $62.55
South Dakota $63.51
Tennessee $62.16
Austin, TX $66.03
Beaumont, TX $64.46
Brazoria, TX $66.83
Dallas, TX $66.47
Fort Worth, TX $65.55
Galveston, TX $67.14
Houston, TX $67.72
Rest of Texas $64.52
Utah $66.41
Vermont $65.02
Virgin Islands $67.13
Virginia $66.20
Rest of Washington $66.71
Seattle (King Cnty), WA $70.86
West Virginia $65.65
Wisconsin $62.34
Wyoming $66.34
Bakersfield, CA $67.22
Chico, CA $66.90
El Centro, CA $66.95
Fresno, CA $66.90
Hanford-Corcoran, CA $66.94
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $70.92
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $70.92
Madera, CA $66.90
Merced, CA $66.90
Modesto, CA $66.90
Napa, CA $71.62
Oxnard-Thousand Oaks-Ventura, CA $69.90
Redding, CA $66.90
Riverside-San Bernardino-Ontario, CA $68.04
Sacramento--Roseville--Arden-Arcade, CA $67.57
Salinas, CA $67.72
San Diego-Carlsbad, CA $67.97
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $73.69
San Francisco-Oakland-Hayward (Marin Cnty), CA $72.78
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $73.69
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $73.69
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $71.20
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $74.45
San Luis Obispo-Paso Robles-Arroyo Grande, CA $67.12
Santa Cruz-Watsonville, CA $69.18
Santa Maria-Santa Barbara, CA $68.50
Santa Rosa, CA $68.27
Stockton-Lodi, CA $66.90
Vallejo-Fairfield, CA $71.62
Visalia-Porterville, CA $66.90
Yuba City, CA $66.90
Rest Of California, CA $66.90
Hawaii, GUam $68.00
Metropolitan Boston, MA $72.56