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44388 Colonoscopy

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Colonoscopy
Region Price
Alabama $151
Alaska $215
Arizona $160
Arkansas $151
Anaheim/Santa Ana, CA $175
Los Angeles, CA $170
Marin/Napa/Solano, CA $174
Oakland/Berkeley, CA $175
Rest of California $164
San Francisco, CA $182
San Mateo, CA $182
Santa Clara, CA $182
Ventura, CA $171
Colorado $166
Connecticut $176
DC + MD/VA Suburbs $183
Delaware $168
Fort Lauderdale, FL $177
Miami, FL $190
Rest of Florida $167
Atlanta, GA $166
Rest of Georgia $160
Hawaii/Guam $168
Idaho $152
Chicago, IL $181
East St. Louis, IL $173
Rest of Illinois $163
Suburban Chicago, IL $177
Indiana $151
Iowa $151
Kansas $154
Kentucky $155
New Orleans, LA $167
Rest of Louisiana $162
Rest of Maine $155
Southern Maine $160
Baltimore/Surr. Cntys, MD $176
Rest of Maryland $168
Metropolitan Boston $170
Rest of Massachusetts $171
Detroit, MI $174
Rest of Michigan $160
Minnesota $155
Mississippi $148
Metropolitan Kansas City, MO $164
Metropolitan St Louis, MO $163
Rest of Missouri $157
Montana $174
Nebraska $149
Nevada $164
New Hampshire $167
Northern NJ $177
Rest of New Jersey $172
New Mexico $164
Manhattan, NY $188
NYC Suburbs/Long I., NY $197
Poughkpsie/N NYC Suburbs, NY $174
Queens, NY $197
Rest of New York $156
North Carolina $156
North Dakota $157
Ohio $160
Oklahoma $158
Portland, OR $165
Rest of Oregon $159
Metropolitan Philadelphia, PA $176
Rest of Pennsylvania $162
Puerto Rico $165
Rhode Island $170
South Carolina $153
South Dakota $155
Tennessee $152
Austin, TX $161
Beaumont, TX $158
Brazoria, TX $164
Dallas, TX $163
Fort Worth, TX $160
Galveston, TX $164
Houston, TX $166
Rest of Texas $158
Utah $163
Vermont $159
Virgin Islands $165
Virginia $162
Rest of Washington $163
Seattle (King Cnty), WA $173
West Virginia $162
Wisconsin $152
Wyoming $162
Bakersfield, CA $164
Chico, CA $163
El Centro, CA $163
Fresno, CA $163
Hanford-Corcoran, CA $163
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $173
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $173
Madera, CA $163
Merced, CA $163
Modesto, CA $163
Napa, CA $174
Oxnard-Thousand Oaks-Ventura, CA $171
Redding, CA $163
Riverside-San Bernardino-Ontario, CA $166
Sacramento--Roseville--Arden-Arcade, CA $165
Salinas, CA $165
San Diego-Carlsbad, CA $166
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $179
San Francisco-Oakland-Hayward (Marin Cnty), CA $177
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $179
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $179
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $174
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $181
San Luis Obispo-Paso Robles-Arroyo Grande, CA $164
Santa Cruz-Watsonville, CA $169
Santa Maria-Santa Barbara, CA $167
Santa Rosa, CA $167
Stockton-Lodi, CA $163
Vallejo-Fairfield, CA $174
Visalia-Porterville, CA $163
Yuba City, CA $163
Rest Of California, CA $163
Hawaii, GUam $166
Metropolitan Boston, MA $178

Price reports

Community member

Price charged

$0

Insurance paid

$0

You paid

$0

Veterans only

Virginia Virginia, USA
Community member

Price charged

$0

Insurance paid

$0

You paid

$473

This was just a routine colonoscopy. I am not sure about the total cost but I paid out of pocket $231.91 for the procedure and $241.42 for the anesthesiologist.

Insurer: Blue Cross Blue Shield of Florida (Florida Blue) Dr. Sowsan Rasheid, MD (813) 844-4545 2 Tampa General Cir, Tampa, FL 33606, USA
Community member

Price charged

$0

Insurance paid

$0

You paid

$0

your form does not fit my case: based solely on age, my PA recommended a colonoscopy. I called all hospitals within 200 miles for estimates, although Medicare would pay all. Most could not/would not give an estimates. One billing department truthfully told me that they would only bill Medicare for the most expensive coding, regardless of what the doctor did or found. I refused to do any colonoscopy with these crooks. I waited until Medicare accepted Exact Sciences do-it-yourself kit, then I had it done. Meanwhile, I had been dropped from my health provider clinic, GHC, because I refused to pay a vaccination bill. I had a one month job in Brazil, my PC recommended a yellow fever shot, as I had not had one in 20 years. The CDC also recommended this vaccination for anyone going to that area of Brasil. Medicare refused to pay, my Medicare Supplement by WPS, refused to pay, the provider billed me the total, non-Medicare discount, price. I refused to pay, they tried to use a collection agency, I refused, I was asked to NEVER use that HMO provider again. Then there is my recent cataract surgery trauma, resulting in my choice of a wonderful, transparent provider hospital 75 miles away, while there are four hospitals and a large medical school here in Madison, Wisconsin

Insurer: Medicare Exact Sciences 320 Holtzman Rd, Madison, WI 53713, USA
Community member

Price charged

$426

Insurance paid

$0

You paid

$0

Insurer: Anthem Blue Cross (California) Providence Saint Joseph Medical Center (818) 843-5111 501 South Buena Vista Street, Burbank, CA 91505, United States
Community member

Price charged

$750

Insurance paid

$185

You paid

$124

Under Allowable Amount the insurer entered the value of $308.80 which apparently was the total paid to this doctor. Besides the doctor cost there were additional expenses like pre-procedure doctor visit (total $150, insurance disallowed $74.39, insurance paid $45.97, patient (me) paid $29.84), anesthesia (total charged $1,262.50, insurance disallowed $903.51, insurance paid $203.39, patient paid $155.60) PS: Your site does not recognize my doctor's name (Daniel L Cohen). I entered it and for several iterations it would not send the info. So, I used a RANDOM name from your list just to be able to complete this entry. The doctor who was 100% responsible for this procedure was Dr. COHEN.

Insurer: UnitedHealthcare Daniel Jewelry Inc (305) 558-7446 8100 NW 103rd St, Hialeah, FL 33016, USA
Community member

Price charged

$806

Insurance paid

$301

You paid

$75

Insurer: Anthem Blue Cross (California) Charles B. Whitlow, M.D. (504) 842-4060 1514 Jefferson Hwy, Jefferson, LA 70121, USA
Community member

Price charged

$850

Insurance paid

$401

You paid

$0

Insurer: Humana Beck David E MD (504) 842-3000 1514 Jefferson Hwy, Jefferson, LA 70121, USA
Community member

Price charged

$900

Insurance paid

$176

You paid

$0

Dr name : Dr James R Roat.Actually non of your codes matched the code on my statement . My code was G0121 Additional charges included $2,100 facility fee at Pierce Street Same Day Surgery, Sioux City, IA. Insurance pd $327.69 of that charge. Labs were billed from EXACT SCIENCES LABORATORIES 145 E. Badger RD, Suite 100, Madison WI 537132723 charge: $649 paid $508.87 Total billing = $3,649.

Insurer: Medicare 2910 Hamilton Blvd 2910 Hamilton Blvd, Sioux City, IA 51104, USA
Community member

Price charged

$1,075

Insurance paid

$0

You paid

$1,075

With no insurance, I shopped around to find an affordable colonoscopy. No doctor or hospital could give me a definite cost because of the different charges involved. Anesthesiologist, Doctor, Facility, Drugs, etc. My estimates ranged from $4,000 to $8,000. I found this website and was given a flat rate fee all-inclusive, except for the prep medication, which they also offered a coupon which saved me 50%. The total cost was $1125 and the staff was excellent and the procedure went without a hitch.

Colonoscopy Assist (855) 542-6566 2100 Valley View Ln Suite #490, Farmers Branch, TX 75234, USA
Community member

Price charged

$1,100

Insurance paid

$646

You paid

$454

Did not include anesthesiologist or doctor's (gastroenterologist) fees.

Insurer: Humana Tampa Bay Regional Surgery Center (727) 451-6780 7300 Bryan Dairy Rd, Largo, FL 33777, USA
Community member

Price charged

$1,324

Insurance paid

$555

You paid

$600

Insurer: Kaiser Permanente Kaiser Permanente Downey Medical Center (800) 823-4040 9333 Imperial Highway, Downey, CA 90242, United States
Community member

Price charged

$1,400

Insurance paid

$1,054

You paid

$163

I understand that medicine is expensive, I'm in the medical field but this is really expensive. Thankfully I have insurance which covered almost all of it but how about those that do not have insurance. I remember when I didn't have insurance and you are always afraid if something were to happened. Although I have insurance copayments are still outrageously expensive.

South Broward Endoscopy (954) 435-0101 11011 Sheridan St # 106, Hollywood, FL 33026, USA
Community member

Price charged

$1,400

Insurance paid

$300

You paid

$425

Insurer: Independence Blue Cross South Broward Endoscopy (954) 435-0101 11011 Sheridan St # 106, Hollywood, FL 33026, USA
Community member

Price charged

$1,541

Insurance paid

$0

You paid

$319

Self employed. I believe I may have payed a $100 or $200 copay to the Surgery but cannot remember so I didn't include it in the cost

Insurer: Cigna Laser Surgery Center Palm Beaches (561) 799-3388 3602 Kyoto Gardens Dr, Palm Beach Gardens, FL 33410, USA
Community member

Price charged

$1,567

Insurance paid

$557

You paid

$98

This doesn't include the physician's fee (2 visits, total billed = $955, insurance paid $318, I paid $43).

Greater Long Beach Endoscpy Center (562) 426-2606 2880 Atlantic Avenue # 180, Long Beach, CA 90806, United States
Community member

Price charged

$1,700

Insurance paid

$581

You paid

$0

Anesthesia, yes. Polyp was removed, but not biopsied as it was lost.

Insurer: Health Net of California Mountain View Surgery Center (909) 796-7803 10408 Industrial Circle, Redlands, CA 92374, United States
Community member

Price charged

$1,900

Insurance paid

$0

You paid

$1,900

This colonoscopy was for screening purposes only, the patient was not experiencing symptoms. The patient's primary care physician recommended the procedure due to the age of the patient (61) and the fact that the patient had never previously had a colonoscopy. The preparation fluid at Costco Pharmacy was $25.09. We were told that pathology services for testing any specimens taken would be charged separately, but no specimens were taken, so there were no separate pathology charges, and no abnormalities were found.

Cleveland Clinic Weston United States
Community member

Price charged

$2,042

Insurance paid

$2,042

You paid

$0

Was told routine screening colonoscopy was covered in full prior to procedure. Both hospital (I called them) and my insurance (read covered screenings) stated procedure covered in full. After procedure insurance denied entire bill because polyps were found. Said that made a routine screening into a diagnostic procedure... And that diagnostic procedure was not covered at all. It was horrible. There was also an anesthesiology bill, for a deductible, that I had to fight for same reasoning. Ployps found - no coverage.. I was forced to spend hours researching the issue and many more hours on endless phone calls to get these bills paid. ( Which is saying if any routine test finds something wrong the insurance gets to deny coverage?) May not have been a huge amount of money but the bills were unexpected and I was getting collection calls.....

Conroe Regional Medical Center: O'Brien T MD (936) 539-7044 504 Medical Center Blvd, Conroe, TX 77304, USA
Community member

Price charged

$2,100

Insurance paid

$650

You paid

$0

Insurer: Cigna Thibodaux Regional Medical Center (985) 447-5500 602 N Acadia Rd, Thibodaux, LA 70301, USA
Community member

Price charged

$2,400

Insurance paid

$0

You paid

$1,600

Was told in pre-services procedure would cost $1000

Ochsner Medical Center (866) 624-7637 1514 Jefferson Hwy, Jefferson, LA 70121, USA
Community member

Price charged

$2,537

Insurance paid

$1,082

You paid

$1,256

Insurer: Anthem Blue Cross (California) Ochsner Medical Center (866) 624-7637 1514 Jefferson Hwy, Jefferson, LA 70121, USA
Community member

Price charged

$2,550

Insurance paid

$1,060

You paid

$0

Colonoscopy billed: $800, Anesthesia billed: $1750.

Insurer: Humana South Palm Gi (561) 495-5700 4675 Linton Blvd # 202, Delray Beach, FL 33445, USA
Community member

Price charged

$2,560

Insurance paid

$864

You paid

$85

I am a military retiree - I use Tricare Prime which in South Florida is Tricare Humana Military - South

South Broward Endoscopy (954) 435-0101 11011 Sheridan St # 106, Hollywood, FL 33026, USA
Community member

Price charged

$2,942

Insurance paid

$0

You paid

$2,942

I went for a routine colonoscopy that was supposed to be covered by my insurance as preventative. The doctor said he found "something very tiny" but not a polyp and wanted to have it checked. The insurance company decided that it was no longer a preventative test and refused to pay for it. The doctor's bill was $199.56, the anesthesiologist was 335.48, and the hospital was $2407.42.

Roper St. Francis Mount Pleasant Hospital (843) 606-7000 3500 N Hwy 17, Mt Pleasant, SC 29466, USA
Community member

Price charged

$3,814

Insurance paid

$3,814

You paid

$0

I do not have a code on my explanation of benefits, so I have used the first colonoscopy code given in the list (not knowing if this is correct)This is the whole cost charged (after discounts to Cigna by the providers).It includes the anaesthesiologist, the facility charge, and the doctor fee.

Insurer: Cigna Endoscopy Center of Santa Monica (310) 453-4477 2336 Santa Monica Boulevard #204, Santa Monica, CA 90404, United States
Community member

Price charged

$4,063

Insurance paid

$1,056

You paid

$0

My EOB did not say which colonoscopy code was applied, so I picked the first one, My EOB shows $0 for copay, deductible, and coinsurance.

Insurer: Humana Outpatient Surgical Services (954) 693-8600 301 NW 82nd Ave, Fort Lauderdale, FL 33324, USA
Community member

Price charged

$4,718

Insurance paid

$3,322

You paid

$1,396

This was just the outpatient facility not any other bills

Insurer: Humana Fairway Medical Center (985) 809-9888 67252 Industry Ln, Covington, LA 70433, USA
Community member

Price charged

$4,718

Insurance paid

$3,322

You paid

$1,396

I can't get them to explain why I am charged 1700. twice. they just tell me I was charged 4718.10, and they don't know why I keep telling them 1700. was on my EOB twice. I'"m not paying until I get a clear answer. This could be a computer error.

Insurer: Humana Fairway Medical Center (985) 809-9888 67252 Industry Ln, Covington, LA 70433, USA
Community member

Price charged

$4,928

Insurance paid

$4,808

You paid

$120

Insurer: Aetna Tampa Outpatient Surgical Facility (813) 875-0562 5013 N Armenia Ave, Tampa, FL 33603, USA
Community member

Price charged

$4,990

Insurance paid

$864

You paid

$0

Done at Surgery Center of of Ft. Lauderdale (outpatient) The charge from the Surgery Center was $3340.00 and AvMed paid $517.00. The surgeon fee was $739. and AvMed paid $209. The anesthesiologist fee was $910. and AvMed paid $137. I paid nothing. NOTE: Your code numbers don't match the codes on my EOB paperwork, so I used your first one on the list.

The Surgery Center of Ft. Lauderdale (954) 735-0096 4485 N State Road 7, Lauderdale Lakes, FL 33319
Community member

Price charged

$5,248

Insurance paid

$974

You paid

$0

Insurer: Horizon Blue Cross Blue Shield of New Jersey Raymond Kenny, MD, FACP, FACG (973) 429-8800 123 Highland Ave #103, Glen Ridge, NJ 07028, USA
Community member

Price charged

$5,692

Insurance paid

$1,379

You paid

$325

Memorial Hospital of Tampa (813) 873-6400 2901 W Swann Ave, Tampa, FL 33609, USA
Community member

Price charged

$5,885

Insurance paid

$2,812

You paid

$3,074

I am self-insured through BCBS of MS. I had colon cancer in 1999. This is for a follow-up colonoscopy. There are no codes on my bill, but charges are listed as follows: digestive procedure $967.00; anesthia 489.91; laboratory/pathology $76.00; anesthia $244.59; Endoscopy $4108.86.

Insurer: Blue Cross Blue Shield of Mississippi Ochsner Medical Center (504) 842-4145 1514 Jefferson Hwy, Jefferson, LA 70121, USA
Community member

Price charged

$6,120

Insurance paid

$6,000

You paid

$120

Insurer: Independence Blue Cross Mercy Gastroenterology Clinic (515) 223-4823 1601 Northwest 114th Street, #342, Clive IA
Community member

Price charged

$6,338

Insurance paid

$220

You paid

$754

Insurer: Florida Blue: Blue Cross Blue Shield of Florida The Surgery Center of Ft. Lauderdale (954) 735-0096 4485 N State Road 7, Lauderdale Lakes, FL 33319
Community member

Price charged

$6,500

Insurance paid

$6,500

You paid

$0

I was very diligent in researching my network. I had an emergency room visit earlier in the year and had capped out my out of pocket so all procedures after should be covered at 100 percent. The thing that shocked me is I could not get a straight answer on the anesthesiologists. Some facilities contract with companies and some don’t meaning it could be an individual. I was told I could receive up to 4 bills. Facility - insurance paid - in network. Doctor - insurance paid - in network. Doctor “company” - insurance paid - in network. The big surprise is the bill I got from the anesthesiologists. Two in fact. One was the lead and one administered the drugs. Why I needed two. They said one was the doctor in case anything went wrong. In a couple of weeks I got two bills. One from each of the anesthesiologists. Each in the amount of 2,200.00. Shocking because I was there for an hour and everything else was covered. In these procedures the patient does not get to choose the anesthesiologists I was told. Out of network I think is a loop hole for them in this type of situation. My insurance did follow up with me and only paid their piece of the out of network. They stated I may get a bill directly from the anesthesiologists and if and when I did to contact them to have their company negotiate a settlement. As hard as you try to keep thing transparent they are not. This is an example of a gotcha....

Insurer: UnitedHealthcare Gourisankar Degala, MD - Advanced Digestive Care (727) 462-0444 920 S Myrtle Ave # A, Clearwater, FL 33756, USA
Community member

Price charged

$6,547

Insurance paid

$6,500

You paid

$47

This bill excludes doctor's and anesthesiologist's bills.

Insurer: Medicare Presbyterian Hospital 622 W 168th St, New York, NY 10032, USA
Community member

Price charged

$7,042

Insurance paid

$1,475

You paid

$0

PPO Discount: 5567.12

USC Norris Comprehensive Cancer Center (800) 872-2273 1441 Eastlake Avenue, Los Angeles, CA 90033, United States
Community member

Price charged

$7,182

Insurance paid

$1,097

You paid

$1,241

I have medical billing experience and even I can't understand or be certain of some of the things I am billed for. I know that I had a colonoscopy where 2 benign polyps were removed but I have no idea what the actual CPT code is that was submitted. While I know that a procedure may have many different CPT codes, can't the insurance company give at least a broad breakdown of these costs so that I can at least attempt to understand if I am being charged for the correct service? Additionally, I know that this charge does not include the charge for the pathology analysis of the polyps that were removed and I'm not entirely sure that the Anesthesiologist charge is included.

Insurer: Blue Cross Blue Shield of Louisiana Ochsner Health Center - West Bank (504) 371-9355 120 Ochsner Blvd, Gretna, LA 70056, USA
Community member

Price charged

$8,993

Insurance paid

$1,145

You paid

$200

Dr sent for extra labs, conveniently to a lab not covered my insurance, caused a lot of stress but center said it would probably be dropped. It seems to be.

Insurer: Blue Cross Blue Shield of Florida (Florida Blue) R P Gupta & Associates: Gupta Rajendra P MD (954) 583-7267 3342 NE 34th St, Fort Lauderdale, FL 33308, USA
Community member

Price charged

$9,022

Insurance paid

$2,812

You paid

$1,243

I had not yet met my deductible; the insurer would have paid more if I had. The insurer's contracted rate for the whole thing was $4,055.29. This was for a diagnostic colonoscopy, with polyp removal, under anesthesia, and includes the biopsy charges. Not included is the required pre-procedure office visit, which happened a couple of weeks earlier

Insurer: Aetna Kahn Oren MD (914) 241-1050 90 South Bedford Road, Mount Kisco, NY 10549, United States
Community member

Price charged

$9,070

Insurance paid

$937

You paid

$0

How can the list price be justified? If I didn't have Medicare, I would have had a white coat mugging. No discussion of price, except a disclosure that they were not in the preferred provider network of my secondary insurance.

Surgery Center of Key West LLC (305) 293-1801 931 Toppino Dr, Key West, FL 33040, USA
Community member

Price charged

$10,001

Insurance paid

$0

You paid

$0

Insurer: Humana Baptist Hospital of Miami (786) 596-1960 8900 N Kendall Dr, Miami, FL 33176, USA
Community member

Price charged

$10,111

Insurance paid

$1,362

You paid

$0

This does not include the fee for the gastroenterologist or anesthesiologist. Those charges are still processing. I am fortunate to have insurance that covered all of the negotiated cost.

Tulane University Hospital and Clinic Tulane University Hospital and Clinic, New Orleans, LA 70112, USA
Community member

Price charged

$12,094

Insurance paid

$167

You paid

$425

Does not include anesthesia that was billed separately.

Insurer: Anthem Blue Cross (California) Specialty Surgical Center (310) 275-1646 8670 Wilshire Blvd, 300, Beverly Hills, CA 90211, United States
Community member

Price charged

$12,455

Insurance paid

$2,755

You paid

$0

preventative screening 10-yrs pre-approved by UHC which paid UHC negotiated cost portion

Insurer: UnitedHealthcare Tulane Medical Center (504) 988-5263 1415 Tulane Ave, New Orleans, LA 70112, USA
Community member

Price charged

$14,643

Insurance paid

$13,963

You paid

$680

Independently/privately acquired insurance plan. Price listed includes four costs: $12,268.89 (payable to FLORIDA HOSPITAL TAMPA for the procedure itself) + $806.00 (payable to Dr. Harris) + $784.00 (payable to Dr. Rosenfeld, Anesthesiologist) + $784.00 (payable to Michael Levan, Nurse Anesthetist) = $14642.89 base cost. After insurance my costs were $304.26 (payable to FLORIDA HOSPITAL TAMPA for the procedure itself) + $280.35 (payable to Dr. Harris) + $47.57 (payable to Dr. Rosenfeld, Anesthesiologist) + $47.57 (payable to Michael Levan, Nurse Anesthetist) = $679.75 (or 5%).

Insurer: Florida Blue: Blue Cross Blue Shield of Florida Dr. Michael D. Harris, MD (813) 615-7028 3000 Medical Park Dr #310, Tampa, FL 33613, USA
Community member

Price charged

$14,784

Insurance paid

$10,815

You paid

$198

Insurer: Blue Cross Blue Shield of Louisiana Ochsner Boulevard Ochsner Blvd, Covington, LA 70433, USA
Community member

Price charged

$15,000

Insurance paid

$0

You paid

$0

I haven't received my bill for this procedure yet but my EOB just says these numbers for the time being.

Insurer: Blue Shield of California K & B Surgical Center LLC (310) 746-4700 9033 Wilshire Boulevard #210, Beverly Hills, CA 90211, United States
Community member

Price charged

$16,800

Insurance paid

$5,161

You paid

$4,838

Insurer: Anthem Blue Cross Blue Shield 436 Beverly Hills LLC (424) 202-3741 436 North Bedford Drive #102, Beverly Hills, CA 90210, United States