Price reports for 45378 Colonoscopy

PriceCheck journalist

Price charged

$0.00

Insurance paid

$0.00

You paid

$0.00

Prices over the phone for patients only.
Provider: Noorth Central Surgical Center
Address: Dallas, 9301 N. Central Expy. Ste. 100, TX
PriceCheck journalist

Price charged

$0.00

Insurance paid

$0.00

You paid

$0.00

Prices over the phone for patients only.
Provider: Suutter Lakeside Hospital
Address: Lakeport, 5176 Hill Rd. East, CA
PriceCheck journalist

Price charged

$0.00

Insurance paid

$0.00

You paid

$0.00

Prices over the phone for patients only.
Provider: Suutter Delta Medical Center
Address: Antioch, 3901 Lone Tree Way, CA
PriceCheck journalist

Price charged

$0.00

Insurance paid

$0.00

You paid

$0.00

Prices over the phone for patients only.
Provider: Stt. Francis Memorial Hospital
Address: San Francisco, 900 Hyde St., CA
PriceCheck journalist

Price charged

$0.00

Insurance paid

$0.00

You paid

$0.00

Prices over the phone for patients only.
Provider: Noovato Community Hospital
Address: Novato, 180 Rowland Ave., CA
PriceCheck journalist

Price charged

$0.00

Insurance paid

$0.00

You paid

$0.00

Prices over the phone for patients only.
Provider: Allta Bates Summit Medical Center
Address: Berkeley, 2450 Ashby Ave., CA
PriceCheck journalist

Price charged

$440.74

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: Ti█████████████
Address: New York, ████████████, NY
PriceCheck journalist

Price charged

$440.74

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY██████████████████████████████
Address: New York, ████████████████████, NY
PriceCheck journalist

Price charged

$440.74

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY██████████████████████████████████
Address: Mineola, ██████████, NY
PriceCheck journalist

Price charged

$440.74

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY███████████████████████████████
Address: Brooklyn, ████████████, NY
PriceCheck journalist

Price charged

$440.74

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY████████████████████
Address: New York, █████████████████, NY
PriceCheck journalist

Price charged

$440.74

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████████
Provider: NY████████████████████████████████
Address: New York, ██████████████, NY
Community member

Price charged

$498.00

Insurance paid

$186.46

You paid

$0.00

Doctor's charge for colonoscopy.
Insurer: Humana
Provider: Beeck David E MD
Address: Jefferson, 1514, Jefferson Highway, LA
Community member

Price charged

$529.00

Insurance paid

$0.00

You paid

$0.00

Subject to appeal as insurance declined even though should be covered under the ACA as a screening procedure
Insurer: UnitedHealthcare
Provider: Suuburban Endoscopy Center
Address: Bethesda, 10215, Fernwood Road, MD
PriceCheck journalist

Price charged

$741.20

Insurance paid

$0.00

You paid

$0.00

Hospital fees only; doctor charges extra. Price is 40% deducted from hospital chargemaster.
Provider: Baaylor Surgical Hospital at Fort Worth
Address: Fort Worth, 1800 Park Place Ave., TX
PriceCheck journalist

Price charged

$774.69

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████
Provider: St███████████████████
Address: Denville, █████████████, NJ
Community member

Price charged

$800.00

Insurance paid

$800.00

You paid

$0.00

Our plan at Anthem does a good job at sharing our cost and managing the provider network. In this case, I did not have to pay out of pocket since my deductible had already been satisfied for the year. Anthem reduced the original billing which was over 3 x higher than the final billed paid of $800.
Insurer: Anthem Blue Cross (California)
Provider: Gllendora Digestive Disease
Address: Glendora, 1794, North Barranca Avenue, CA
Community member

Price charged

$800.00

Insurance paid

$0.00

You paid

$190.00

Provider: Soouth Palm Gipa: Chong James MD
Address: Delray Beach, 4675, Linton Boulevard, FL
PriceCheck journalist

Price charged

$800.00

Insurance paid

$0.00

You paid

$0.00

Price includes facility fee ($400) and anesthesiology ($400). Doctor's fee charged by The Center for GI Health. Labs extra. Check website for locations.
Provider: Thhe Colonoscopy Center - Lansdale
Address: Lansdale, 815 Sumneytown Pk., PA
PriceCheck journalist

Price charged

$878.46

Insurance paid

$0.00

You paid

$0.00

Es███████████████████████████████████████████████████████
Provider: Ca████████████████████████████████████████
Address: Bayonne, ██████████████, NJ
PriceCheck journalist

Price charged

$878.46

Insurance paid

$0.00

You paid

$0.00

Es███████████████████████████████████████████████████████
Provider: Ca█████████████████████████████████
Address: Jersey City, █████████████████, NJ
PriceCheck journalist

Price charged

$878.46

Insurance paid

$0.00

You paid

$0.00

Es███████████████████████████████████████████████████████
Provider: Ca███████████████████████████████████████████████████
Address: Hoboken, ███████████████, NJ
PriceCheck journalist

Price charged

$878.46

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: Ca████████████████████████████████████████
Address: Bayonne, ██████████████, NJ
PriceCheck journalist

Price charged

$878.46

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: Ca█████████████████████████████████
Address: Jersey City, █████████████████, NJ
PriceCheck journalist

Price charged

$878.46

Insurance paid

$0.00

You paid

$0.00

Fr███████████████████████████████████████████████████████████████████████████████████
Provider: Ca███████████████████████████████████████████████████
Address: Hoboken, ███████████████, NJ
Community member

Price charged

$900.00

Insurance paid

$165.96

You paid

$0.00

Provider: Soouthern California Medical Gastroenterology Group
Address: Santa Monica, 1301, 20th Street, CA
PriceCheck journalist

Price charged

$960.16

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████████████████████████████████
Provider: Mo████████████████████████████████████████
Address: Newburgh, █████████████, NY
Community member

Price charged

$967.00

Insurance paid

$976.00

You paid

$0.00

Insurer: Aetna
Provider: Yaaseen Zuhair MD
Address: South Bend, 211, North Eddy Street, IN
PriceCheck journalist

Price charged

$977.13

Insurance paid

$0.00

You paid

$0.00

Provider: SU███████████████████████████████████████████████
Address: Brooklyn, █████████████, NY
PriceCheck journalist

Price charged

$1,000.00

Insurance paid

$0.00

You paid

$0.00

Price includes facility fee, doctor's fee and anesthesia. Labs extra. Polyp removal extra.
Provider: Bllake Gastroenterology Associates
Address: Philadelphia, 6827-31 Germantown Ave., PA
Community member

Price charged

$1,000.00

Insurance paid

$0.00

You paid

$0.00

Subject to appeal as this is a screening procedure covered under the ACA but the insurance company declined coverage
Insurer: UnitedHealthcare
Provider: Suuburban Endoscopy Center
Address: Bethesda, 10215, Fernwood Road, MD
PriceCheck journalist

Price charged

$1,104.18

Insurance paid

$0.00

You paid

$0.00

Fr█████████████████████████████████████████████████████████████
Provider: Un█████████████████████████
Address: Newark, ██████████████, NJ
PriceCheck journalist

Price charged

$1,142.69

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Un████████████████████████████████████
Address: Brooklyn, █████████████████, NY
PriceCheck journalist

Price charged

$1,150.00

Insurance paid

$0.00

You paid

$0.00

Price includes facility fee ($550), doctor's fee ($350) and anesthesia ($250). Labs extra. Combined with endoscopy: facility ($825), doctor ($525), and anesthesia ($350).
Provider: Noortheast Gastroenterology Associates, Inc.
Address: Philadelphia, 2000 Grant Ave., Ste. 103, PA
Community member

Price charged

$1,170.95

Insurance paid

$1,170.95

You paid

$0.00

Insurer: Humana
Provider: Ouutpatient Surgical Services
Address: Plantation, 301, Northwest 82nd Avenue, FL
PriceCheck journalist

Price charged

$1,177.00

Insurance paid

$0.00

You paid

$0.00

Pr█████████████████████████████████████████████████████████████████████████████████
Provider: En███████████████
Address: Englewood, █████████████, NJ
PriceCheck journalist

Price charged

$1,200.00

Insurance paid

$0.00

You paid

$0.00

In█████████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Qu███████████████████████████████
Address: Woodside, ███████████████████████████, NY
Community member

Price charged

$1,210.00

Insurance paid

$695.60

You paid

$515.00

Insurer: Cigna
Provider: Hiillmont G.I.
Address: Flourtown, 1811, Bethlehem Pike, PA
Community member

Price charged

$1,250.00

Insurance paid

$383.81

You paid

$866.41

Not sure about the procedure code. My EoB didn't delineate.
Insurer: Anthem Blue Cross (California)
Provider: Caarey B. Strom MD Gastroenterologist
Address: Beverly Hills, 9090, Wilshire Boulevard, CA
PriceCheck journalist

Price charged

$1,357.00

Insurance paid

$0.00

You paid

$0.00

Estimate only. Hospital fees only; doctor charges extra.
Provider: Suutter East Bay Medical Foundation
Address: Berkeley, 2500 Milvia St., CA
PriceCheck journalist

Price charged

$1,357.00

Insurance paid

$0.00

You paid

$0.00

Estimate only. Hospital fees only; doctor charges extra.
Provider: Paalo Alto Medical Foundation
Address: Palo Alto, 795 El Camino Real, CA
PriceCheck journalist

Price charged

$1,550.00

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████
Provider: Mo████████████████████████
Address: Bronx, ████████████████, NY
PriceCheck journalist

Price charged

$1,595.43

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Br██████████████████
Address: Bridgeport, █████████████, CT
PriceCheck journalist

Price charged

$1,595.43

Insurance paid

$0.00

You paid

$0.00

Fr████████████████████████████████████████████████████████████████████████████████████
Provider: Ya██████████████████████
Address: New Haven, ███████████, CT
PriceCheck journalist

Price charged

$1,595.43

Insurance paid

$0.00

You paid

$0.00

Fr██████████████████████████████████████████████████████████████████████████████████████████████████████
Provider: Gr█████████████████
Address: Greenwich, ████████████████, CT
PriceCheck journalist

Price charged

$1,600.00

Insurance paid

$0.00

You paid

$0.00

Pr████████████████████████████
Provider: We█████████████████████████
Address: Valhalla, █████████████, NY
PriceCheck journalist

Price charged

$1,650.00

Insurance paid

$0.00

You paid

$0.00

Pr███████████████████████████████████████████████████████████████████████████████████████████
Provider: Ne███████████████████████████████████
Address: New York, ██████████████████████, NY
Community member

Price charged

$1,697.50

Insurance paid

$268.61

You paid

$1,067.15

I'm on a PPO 1000 plan, with a $1000 deductible and 100% coverage on preventative colonoscopies. This is my 3rd colonoscopy since turning 50 and the previous two were covered 100% as preventative. This was deemed to be diagnostic by UHC and therefore not covered at 100%, even though the exact same procedure code was used as the previous one in 2014. They tell me that since polyps were found 5 years ago, that this one is not considered preventative. I've appealed and lost and am unable to find anyone to help me dispute this.
Insurer: UnitedHealthcare
Provider: Keemp Surgery Center
Address: Everett, 3927, Rucker Avenue, WA
PriceCheck journalist

Price charged

$1,776.00

Insurance paid

$0.00

You paid

$0.00

Estimate only. Hospital fees only; anesthesia, doctor, lab fees extra.
Provider: Teexas Health Harris Methodist Stephenville
Address: Stephenville, 411 N. Belknap St., TX
Community member

Price charged

$1,800.00

Insurance paid

$1,530.00

You paid

$0.00

Insurer: Aetna
Provider: Soouth Bend Clinic
Address: South Bend, 211, North Eddy Street, IN

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What Medicare pays here?

Colonoscopy
Region Price
Alabama $179.85
Alaska $256.00
Arizona $190.45
Arkansas $180.15
Anaheim/Santa Ana, CA $208.05
Los Angeles, CA $202.65
Marin/Napa/Solano, CA $207.05
Oakland/Berkeley, CA $209.23
Rest of California $195.46
San Francisco, CA $217.33
San Mateo, CA $216.97
Santa Clara, CA $216.52
Ventura, CA $204.17
Colorado $196.76
Connecticut $208.49
DC + MD/VA Suburbs $217.07
Delaware $198.92
Fort Lauderdale, FL $208.92
Miami, FL $222.70
Rest of Florida $197.98
Atlanta, GA $196.25
Rest of Georgia $190.03
Hawaii/Guam $199.38
Idaho $180.91
Chicago, IL $213.32
East St. Louis, IL $204.09
Rest of Illinois $193.49
Suburban Chicago, IL $208.62
Indiana $179.74
Iowa $179.74
Kansas $183.17
Kentucky $184.66
New Orleans, LA $197.43
Rest of Louisiana $191.39
Rest of Maine $184.75
Southern Maine $189.93
Baltimore/Surr. Cntys, MD $208.35
Rest of Maryland $199.40
Metropolitan Boston $202.21
Rest of Massachusetts $202.41
Detroit, MI $205.76
Rest of Michigan $190.34
Minnesota $185.06
Mississippi $176.61
Metropolitan Kansas City, MO $193.93
Metropolitan St Louis, MO $193.35
Rest of Missouri $186.51
Montana $205.43
Nebraska $178.18
Nevada $194.73
New Hampshire $198.54
Northern NJ $209.72
Rest of New Jersey $204.25
New Mexico $194.25
Manhattan, NY $222.24
NYC Suburbs/Long I., NY $231.32
Poughkpsie/N NYC Suburbs, NY $206.30
Queens, NY $231.85
Rest of New York $185.21
North Carolina $185.71
North Dakota $187.35
Ohio $190.00
Oklahoma $187.57
Portland, OR $195.84
Rest of Oregon $189.36
Metropolitan Philadelphia, PA $208.35
Rest of Pennsylvania $191.62
Puerto Rico $195.23
Rhode Island $201.17
South Carolina $182.20
South Dakota $184.84
Tennessee $181.08
Austin, TX $192.06
Beaumont, TX $187.67
Brazoria, TX $194.47
Dallas, TX $193.39
Fort Worth, TX $190.75
Galveston, TX $195.32
Houston, TX $196.99
Rest of Texas $187.81
Utah $193.26
Vermont $189.17
Virgin Islands $195.23
Virginia $192.59
Rest of Washington $194.02
Seattle (King Cnty), WA $205.89
West Virginia $191.17
Wisconsin $181.53
Wyoming $192.98
Bakersfield, CA $195.50
Chico, CA $194.57
El Centro, CA $194.70
Fresno, CA $194.57
Hanford-Corcoran, CA $194.68
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $206.08
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $206.08
Madera, CA $194.57
Merced, CA $194.57
Modesto, CA $194.57
Napa, CA $208.04
Oxnard-Thousand Oaks-Ventura, CA $203.09
Redding, CA $194.57
Riverside-San Bernardino-Ontario, CA $197.85
Sacramento--Roseville--Arden-Arcade, CA $196.49
Salinas, CA $196.92
San Diego-Carlsbad, CA $197.61
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $213.98
San Francisco-Oakland-Hayward (Marin Cnty), CA $211.35
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $213.98
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $213.98
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $206.85
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $216.14
San Luis Obispo-Paso Robles-Arroyo Grande, CA $195.18
Santa Cruz-Watsonville, CA $201.04
Santa Maria-Santa Barbara, CA $199.14
Santa Rosa, CA $198.45
Stockton-Lodi, CA $194.57
Vallejo-Fairfield, CA $208.04
Visalia-Porterville, CA $194.57
Yuba City, CA $194.57
Rest Of California, CA $194.57
Hawaii, GUam $197.58
Metropolitan Boston, MA $210.76