cleartau

endoscopy

How much does a diagnostic colonoscopy cost?

A colonoscopy ordered to investigate symptoms or follow up on a prior finding.

Compare published hospital prices for diagnostic colonoscopy, including cash prices, negotiated ranges, and related billing codes.

National average published cash price: $2,215; range $27 to $58,404 with a median around $1,601.

Colonoscopy for symptoms or follow-up. Billed differently from screening colonoscopy and not necessarily covered at no cost-share.

Also known as: colonoscopy, colonoscopy cost, diagnostic colonoscopy, how much does a colonoscopy cost

Hospitals compared
2,589
With cash prices
2,198
With negotiated rates
5

Data last refreshed:

Code family: CPTSetting: OUTPATIENT

Base diagnostic colonoscopy. Add-on procedures (biopsy, polyp removal) are billed separately.

What this price includes

Hospital-published charge for the base diagnostic colonoscopy code. Whether it represents the facility, the GI physician's professional fee, or a packaged price varies by hospital. Anesthesia is typically separate. If a polyp is found and removed, expect an additional charge under a different CPT.

Billing codes in this group

SystemCodeDescriptionRelationship
CPT45378PRIMARY

Hospital prices

Showing 125 of 2,589
HospitalCash minCash medianNegotiated rangePayers
DADEVILLE, AL
$27$27No negotiated dataNo payer names published
WETUMPKA, AL
$27$27No negotiated dataNo payer names published
NOCONA GENERAL HOSPITALLikely erroneous
NOCONA, TX
$28$28No negotiated dataNo payer names published
THOUSAND OAKS, CA
$31$31No negotiated dataNo payer names published
$31$31No negotiated dataNo payer names published
GOOD SAMARITAN HOSPITALLikely erroneous
SAN JOSE, CA
$71$71No negotiated dataNo payer names published
AUBURN, NY
$75$75No negotiated dataNo payer names published
AUBURN, NY
$75$75No negotiated dataNo payer names published
DETROIT, MI
$77$77No negotiated dataNo payer names published
LODI, CA
$84$84No negotiated dataNo payer names published
HANFORD, CA
$87$87No negotiated dataNo payer names published
REEDLEY, CA
$87$87No negotiated dataNo payer names published
TULARE, CA
$87$87No negotiated dataNo payer names published
$87$87No negotiated dataNo payer names published
SAINT HELENA, CA
$90$90No negotiated dataNo payer names published
VALLEJO, CA
$90$90No negotiated dataNo payer names published
DETROIT, MI
$90$90No negotiated dataNo payer names published
DETROIT, MI
$92$92No negotiated dataNo payer names published
ERIE, PA
$92$92No negotiated dataNo payer names published
SONORA, CA
$93$93No negotiated dataNo payer names published
DETROIT, MI
$93$93No negotiated dataNo payer names published
COMMERCE TOWNSHIP, MI
$93$93No negotiated dataNo payer names published
SEMINOLE, TX
$97$97No negotiated dataNo payer names published
$105$105No negotiated dataNo payer names published
WESTFIELD, NY
$113$113No negotiated dataNo payer names published

On this page: cash price for 25/25, negotiated rates for 0/25, payer names published for 0/25 hospitals. 9 flagged as likely incomplete or erroneous.

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Common questions

How much does a diagnostic colonoscopy cost?

Nationally, hospitals in the cleartau dataset publish an average cash price of $2,215 for diagnostic colonoscopy across 2,198 hospitals with cash prices. A colonoscopy ordered to investigate symptoms or follow up on a prior finding. These figures are for the Outpatient CPT comparison group. Published cash prices range from $27 to $58,404, with a median around $1,601. Use the table to compare hospitals, cash prices, negotiated rates, and coverage. Actual patient responsibility can vary by insurance benefits, deductible status, setting, and separate professional or ancillary bills.

What does the diagnostic colonoscopy price include?

Outpatient CPT: Hospital-published charge for the base diagnostic colonoscopy code. Whether it represents the facility, the GI physician's professional fee, or a packaged price varies by hospital. Anesthesia is typically separate. If a polyp is found and removed, expect an additional charge under a different CPT. With biopsy / polypectomy: Hospital-published charge for this CPT code. Whether it represents the facility, the GI physician's professional fee, or a packaged price varies by hospital. Pathology lab fees for examining removed tissue typically arrive as a separate bill.

Which billing codes are used for diagnostic colonoscopy?

The current mapping includes 45378, 45380 (With biopsy) and 45385 (With snare polypectomy). These CPT codes are grouped only when they describe the same clinical comparison. If the page has multiple tabs, switch tabs before comparing prices because outpatient, inpatient, and severity-based bundles can mean different things.