All procedures / Diagnostic Colonoscopy / New York–Newark, NY–NJ
Across 18 hospitals in the New York–Newark, NY–NJ area that publish federally required price files, the median negotiated rate under commercial insurance is $3,617 (middle half of hospitals: $2,251–$4,135) and the median self-pay (cash) price is $4,068 for a diagnostic colonoscopy (CPT family 45378). The Medicare outpatient baseline for the same procedure family is $950.
Source: hospital machine-readable files (45 CFR §180), file dates 2025-05-07 to 2026-04-01 · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-31 · Page updated 2026-10-31
Area covered: hospitals in New York City's five boroughs, Westchester, Nassau and Suffolk counties (NY) and Essex, Bergen, Hudson, Middlesex, Union, Passaic, Monmouth, Ocean and Morris counties (NJ). Hospitals outside these places are not in this table, even if they serve the area.
| Hospital | Insured median | PPO | HMO | Commercial | Medicare Adv. | ACA Exchange | Medicare | Cash | List (gross) |
|---|---|---|---|---|---|---|---|---|---|
| St Joseph'S Medical Center Yonkers · CMS 1★ · file updated 2025-05-07file >12 mo old | $1,296 | $1,2911.4× Medicare | — | $2,1502.3× Medicare | $9971.0× Medicare | — | $9971.0× Medicare | $997 | $4,275 |
| Nassau University Medical Center East Meadow · CMS 1★ · file updated 2025-10-28file >12 mo old | $1,714 | — | — | $1,7141.8× Medicare | $1,0781.1× Medicare | $1,1541.2× Medicare | — | $2,281 | $3,259 |
| The University Hospital Newark · CMS 1★ · file updated 2026-03-10 | $1,890 | $2,0832.2× Medicare | — | $1,6971.8× Medicare | $1,0391.1× Medicare | — | $1,0391.1× Medicare | $1,195 | $2,984 |
| Carewell Health Medical Center East Orange · CMS 1★ · file updated 2025-06-17file >12 mo old | $2,103 | $2,3162.4× Medicare | — | $1,8902.0× Medicare | $1,0221.1× Medicare | — | — | $2,472 | $2,908 |
| Saint Michael'S Medical Center Newark · CMS 4★ · file updated 2026-03-17 | $2,206 | $2,2062.3× Medicare | $2,2062.3× Medicare | $3,0553.2× Medicare | — | $1,4551.5× Medicare | $1,0781.1× Medicare | $1,078 | $4,090 |
| Robert Wood Johnson University Hospital At Rahway Rahway · CMS 4★ · file updated 2026-03-04 | $2,386 | $2,3862.5× Medicare | $2,2652.4× Medicare | $3,6353.8× Medicare | $9961.0× Medicare | — | $9961.0× Medicare | $4,627 | — |
| Newark Beth Israel Medical Center Newark · CMS 2★ · file updated 2026-03-04 | $3,617 | $2,6782.8× Medicare | $3,6173.8× Medicare | $4,3184.5× Medicare | $1,0221.1× Medicare | — | $1,0221.1× Medicare | $4,881 | — |
| Community Medical Center Toms River · CMS 1★ · file updated 2026-03-04 | $3,617 | $3,5823.8× Medicare | $3,6173.8× Medicare | $4,0204.2× Medicare | $9961.0× Medicare | — | $9961.0× Medicare | $3,786 | — |
| Jersey City Medical Center Jersey City · CMS 3★ · file updated 2026-03-04 | $3,617 | $2,9733.1× Medicare | $3,6173.8× Medicare | $4,0204.2× Medicare | $1,0731.1× Medicare | — | $1,0731.1× Medicare | $5,339 | — |
| Monmouth Medical Center Long Branch · CMS 3★ · file updated 2026-03-04 | $3,617 | $3,3343.5× Medicare | $3,6173.8× Medicare | $4,0204.2× Medicare | $1,0091.1× Medicare | — | $1,0091.1× Medicare | $5,419 | — |
| Cooperman Barnabas Medical Center Livingston · CMS 3★ · file updated 2026-03-04 | $3,617 | $2,8293.0× Medicare | $3,6173.8× Medicare | $4,3184.5× Medicare | $1,0221.1× Medicare | — | $1,0221.1× Medicare | $6,839 | — |
| Monmouth Medical Center-Southern Campus Lakewood · CMS 3★ · file updated 2026-03-03 | $3,701 | $3,7013.9× Medicare | $3,6173.8× Medicare | $4,0204.2× Medicare | $9961.0× Medicare | — | $9961.0× Medicare | $4,350 | — |
| Robert Wood Johnson University Hospital New Brunswick · CMS 2★ · file updated 2026-03-04 | $4,131 | $4,1314.3× Medicare | $3,9224.1× Medicare | $4,8165.1× Medicare | $1,0571.1× Medicare | — | $1,0571.1× Medicare | $5,741 | — |
| Montefiore New Rochelle Hospital New Rochelle · CMS 1★ · file updated 2026-04-01 | $4,136 | — | $4,7245.0× Medicare | $3,5493.7× Medicare | $1,1601.2× Medicare | $2,2542.4× Medicare | $1,1601.2× Medicare | — | — |
| Maimonides Medical Center Brooklyn · CMS 2★ · file updated 2026-04-01 | $4,574 | $4,1814.4× Medicare | $4,5744.8× Medicare | $4,5744.8× Medicare | $1,1601.2× Medicare | $4,5744.8× Medicare | — | — | — |
| New York-Presbyterian/Queens Flushing · CMS 5★ · file updated n/a | $5,450 | — | — | $5,4505.7× Medicare | $1,1111.2× Medicare | — | — | — | — |
| Nyu Langone Hospitals New York · CMS 5★ · file updated 2026-01-01 | $5,781 | $5,8406.1× Medicare | $6,4856.8× Medicare | $1,4431.5× Medicare | $1,0781.1× Medicare | $2,1362.2× Medicare | $1,0781.1× Medicare | $351 | $1,851 |
| New York-Presbyterian Hospital New York · CMS 5★ · file updated n/a | $6,803 | — | — | $6,8037.2× Medicare | $1,1111.2× Medicare | — | — | — | — |
Each figure is the median of that hospital's published rates for the procedure's code family under that plan type. "Insured median" is the median of the hospital's commercial-plan rates (PPO, HMO, EPO, POS, ACA marketplace and plans not labelled by type); the headline figure is the median of that column. Hospitals label plan types differently, so compare the Insured median column across hospitals rather than a single plan-type column. "×Medicare" compares to the CMS national outpatient rate. Blank cells mean the hospital's file discloses no dollar rate for that plan type.
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