Price reports for 44389 Colonoscopy with biopsy

PriceCheck journalist

Price charged

$117.42

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

$1,024.32

Insurance paid

$0.00

You paid

$0.00

Price from pricing page https://www.wphospital.org/patients-visitors/patients/billing-information/standard-charges/.
Provider: White Plains Hospital
Address: White Plains, 41 E. Post Rd., NY
PriceCheck journalist

Price charged

$1,354.70

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Address: Roslyn, 100 Port Washington Blvd., NY
Community member

Price charged

$1,397.00

Insurance paid

$0.00

You paid

$384.79

Insurer: UnitedHealthcare
Provider: Fred J. Fricke, M.D
Address: Elko, 1825, Pinion Road, NV
PriceCheck journalist

Price charged

$1,442.85

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

$1,740.00

Insurance paid

$386.06

You paid

$159.17

Insurer: Aetna
Provider: Beverly Blvd
Address: Los Angeles, , Beverly Blvd, CA
PriceCheck journalist

Price charged

$2,091.90

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

$2,091.90

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

$2,091.90

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
Community member

Price charged

$2,131.19

Insurance paid

$0.00

You paid

$2,131.19

Paid to Doctor: 861.19; Paid to hospital: 1270. Approximately 40% cash-pay discount.
Provider: Scripps Green Hospital
Address: San Diego, 10666, North Torrey Pines Road, CA
Community member

Price charged

$2,315.77

Insurance paid

$1,154.27

You paid

$20.00

Difference was written off by providers as amount charged over the contracted price. Please note: all are in-network providers.
Insurer: Blue Cross Blue Shield of Minnesota
Provider: Clearwater
Address: Clearwater, ,, FL
Community member

Price charged

$2,895.00

Insurance paid

$929.00

You paid

$1,940.00

Should have been a total out of pocket charge to me of $25! Coded as a $1,940 out of pocket charge to me!!
Insurer: Kaiser Permanente
Provider: Kaiser Permanente Sunnyside Medical Center
Address: Clackamas, 10180, Southeast Sunnyside Road, OR
PriceCheck journalist

Price charged

$3,416.89

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
PriceCheck journalist

Price charged

$3,822.79

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
PriceCheck journalist

Price charged

$4,122.72

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Catherine of Siena Medical Center
Address: Smithtown, 50 NY-25A, NY
Community member

Price charged

$4,161.00

Insurance paid

$1,691.22

You paid

$0.00

$4,161.00 was billed by all parties involved. Insurance discount was $2,469.78 which left $1,691.22 to actually be paid by the insurance company. This was considered a preventive procedure therefore I only paid a $35 co-pay to the doctor.
Insurer: Humana
Provider: Metropolitan Gastroenterology
Address: New Orleans, 2820, Napoleon Avenue, LA
PriceCheck journalist

Price charged

$5,334.00

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
PriceCheck journalist

Price charged

$5,347.25

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://southampton.stonybrookmedicine.edu/patients-visitors/financial-services/hospital-charges .
Provider: Stony Brook Southampton Hospital
Address: Southampton, 240 Meeting House Lane, NY
PriceCheck journalist

Price charged

$6,998.67

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

$7,663.30

Insurance paid

$6,406.51

You paid

$0.00

Insurer: UnitedHealthcare
Provider: Northeastern Nevada Regional Hospital
Address: Elko, 2001, Errecart Boulevard, NV
Community member

Price charged

$8,900.00

Insurance paid

$5,900.00

You paid

$3,000.00

I have had this procedure done 3 other times before the age of 44 due to a rampant family history of colon cancer. My former insurance companies covered these 100% due to family history risk. My current company would not cover it more than 80% plus deductible needed to be met, because I am under the age of 50. Apparently they would rather have me have cancer instead of covering preventative tests. I appealed the claim, my doctor provided my family history information and they did not budge. Makes me question the differences in coverage and what one has to do to get coverage when at risk for certain hereditary conditions.
Insurer: Aetna
Provider: Aspirus Riverview Clinic - Wisconsin Rapids
Address: Wisconsin Rapids, 410, Dewey Street, WI
PriceCheck journalist

Price charged

$10,145.50

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

$13,043.00

Insurance paid

$4,796.00

You paid

$0.00

Amount billed/ amount paid: colonoscopy = $2,377/$2,320; endoscopy = $2,377/$1,160; pharmacy Services = $715/$0; surgery = $3,684/$0; anesthesia 1 = $914/$0; anesthesia 2 = $914/$0; intestinal exam colonoscopy = $891/$366; scope exam w/ biopsy = $613/$145; lab work = $560/$250
Insurer: UnitedHealthcare
Provider: University Of Miami - Miller School of Medicine
Address: Miami, 1600, Northwest 10th Avenue, FL
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Allen Hospital
Address: New York, 5141 Broadway, NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York Presbyterian Hospital Queens
Address: Flushing, 56-45 Main St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Columbia University Irving Medical Center
Address: New York, 630 W. 168th St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Lower Manhattan Hospital
Address: New York, 170 William St., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$13,409.20

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
Community member

Price charged

$15,985.00

Insurance paid

$5,611.00

You paid

$623.00

Insurer: CIGNA HealthCare of California, Inc.
Provider: Cedars-Sinai Medical Center
Address: Los Angeles, 8700, Beverly Boulevard, CA

What Medicare pays here?

Colonoscopy with biopsy
Region Price
Alabama $166.82
Alaska $237.43
Arizona $176.70
Arkansas $167.10
Anaheim/Santa Ana, CA $193.02
Los Angeles, CA $188.00
Marin/Napa/Solano, CA $192.07
Oakland/Berkeley, CA $194.10
Rest of California $181.32
San Francisco, CA $201.62
San Mateo, CA $201.28
Santa Clara, CA $200.86
Ventura, CA $189.42
Colorado $182.59
Connecticut $193.49
DC + MD/VA Suburbs $201.46
Delaware $184.60
Fort Lauderdale, FL $193.95
Miami, FL $206.83
Rest of Florida $183.75
Atlanta, GA $182.11
Rest of Georgia $176.33
Hawaii/Guam $184.98
Idaho $167.81
Chicago, IL $198.05
East St. Louis, IL $189.46
Rest of Illinois $179.56
Suburban Chicago, IL $193.65
Indiana $166.71
Iowa $166.71
Kansas $169.91
Kentucky $171.32
New Orleans, LA $183.22
Rest of Louisiana $177.61
Rest of Maine $171.39
Southern Maine $176.20
Baltimore/Surr. Cntys, MD $193.37
Rest of Maryland $185.03
Metropolitan Boston $187.62
Rest of Massachusetts $187.83
Detroit, MI $191.00
Rest of Michigan $176.61
Minnesota $171.65
Mississippi $163.80
Metropolitan Kansas City, MO $179.95
Metropolitan St Louis, MO $179.42
Rest of Missouri $173.06
Montana $190.69
Nebraska $165.26
Nevada $180.69
New Hampshire $184.24
Northern NJ $194.60
Rest of New Jersey $189.53
New Mexico $180.27
Manhattan, NY $206.29
NYC Suburbs/Long I., NY $214.78
Poughkpsie/N NYC Suburbs, NY $191.47
Queens, NY $215.26
Rest of New York $171.81
North Carolina $172.29
North Dakota $173.79
Ohio $176.30
Oklahoma $174.04
Portland, OR $181.70
Rest of Oregon $175.69
Metropolitan Philadelphia, PA $193.37
Rest of Pennsylvania $177.81
Puerto Rico $181.16
Rhode Island $186.67
South Carolina $169.01
South Dakota $171.45
Tennessee $167.97
Austin, TX $178.18
Beaumont, TX $174.12
Brazoria, TX $180.43
Dallas, TX $179.42
Fort Worth, TX $176.97
Galveston, TX $181.22
Houston, TX $182.78
Rest of Texas $174.25
Utah $179.34
Vermont $175.49
Virgin Islands $181.16
Virginia $178.70
Rest of Washington $180.02
Seattle (King Cnty), WA $191.05
West Virginia $177.41
Wisconsin $168.36
Wyoming $179.06
Bakersfield, CA $181.36
Chico, CA $180.49
El Centro, CA $180.62
Fresno, CA $180.49
Hanford-Corcoran, CA $180.60
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $191.20
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $191.20
Madera, CA $180.49
Merced, CA $180.49
Modesto, CA $180.49
Napa, CA $192.99
Oxnard-Thousand Oaks-Ventura, CA $188.42
Redding, CA $180.49
Riverside-San Bernardino-Ontario, CA $183.56
Sacramento--Roseville--Arden-Arcade, CA $182.27
Salinas, CA $182.67
San Diego-Carlsbad, CA $183.32
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $198.50
San Francisco-Oakland-Hayward (Marin Cnty), CA $196.06
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $198.50
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $198.50
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $191.90
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $200.50
San Luis Obispo-Paso Robles-Arroyo Grande, CA $181.06
Santa Cruz-Watsonville, CA $186.50
Santa Maria-Santa Barbara, CA $184.74
Santa Rosa, CA $184.10
Stockton-Lodi, CA $180.49
Vallejo-Fairfield, CA $192.99
Visalia-Porterville, CA $180.49
Yuba City, CA $180.49
Rest Of California, CA $180.49
Hawaii, GUam $183.30
Metropolitan Boston, MA $195.58