Diagnostic colonoscopy
Colonoscopy ordered for symptoms or follow-up.
A colonoscopy ordered to investigate symptoms or follow up on a prior finding. Billed differently from screening colonoscopy and not always covered at no cost-share. If a polyp is found and removed during the procedure, expect an additional charge under a different CPT.
Typical cost
Cash · across 216 hospitals
$1,797median
$640 – $8,207 (10th–90th percentile)
Across hospitals with published core package prices plus CMS benchmarks where physician, anesthesia, or pathology components are usually billed separately. Partial estimates that cannot be completed this way are excluded.
What's included
Each component is a category of charge that contributes to the total bill. Items marked “billed separately” are still part of the episode, but you'll receive that bill from a different provider.
Diagnostic colonoscopy
Base procedureCPT 45378 · CPT 45380 · CPT 45385
Anesthesia
AnesthesiaBilled separatelyTypically billed separately.
CPT 00811
Medicare professional benchmark: — facility / — non-facility (CMS PFS 2026)
Endoscopy suite / facility
FacilityOptionalREVENUE 0750
Pathology lab fee
PathologyOptionalBilled separatelyOnly applies if tissue is removed and sent for examination.
Provider prices — cash
Showing 50 of 2221 hospitals - nationwide
Median cash-pay price across components that hospitals have published for this package. Completeness reflects how many of the package's expected components had matching data. Partial rows missing only a benchmarked professional component show a separate published-plus-CMS estimate. Public pages show up to 50 hospitals at a time; use ZIP search to narrow the list.
Provider prices — negotiated
Showing 8 hospitals - NJ, NY
Lowest negotiated rate the hospital or insurer has published for this package. Each row is labeled with its source — Hospital MRF or Payer Transparency in Coverage file. Use the insurer selector to switch between the cross-payer rollup and per-insurer rates. Rows from TiC files older than 3 months are dimmed. Partial rows missing only a benchmarked professional component show a separate published-plus-CMS estimate. Public pages show a comparison-sized sample; bulk provider exports belong in the data API.
| Hospital | Min negotiated | Payer types | Completeness |
|---|---|---|---|
| Robert Wood Johnson University HospitalNew Brunswick, NJ Partial: 1 of 2Hospital MRFPartial | — | CommercialMedicaid MCO | 50% |
| Lenox Hill HospitalNew York, NY Partial: 1 of 2Hospital MRFPartial | — | CommercialMedicaid MCO | 50% |
| NewYork-Presbyterian HospitalNew York, NY Partial: 1 of 2Hospital MRFPartial | — | BCBSCommercialMedicaid MCO | 50% |
| NYU Langone Health - SuffolkPatchogue, NY Partial: 1 of 2Hospital MRFPartialThin evidenceSingle source | — | — | 50% |
| NYU Langone Hospital BrooklynBrooklyn, NY Partial: 1 of 2Hospital MRFPartialThin evidenceSingle source | — | — | 50% |
| NYU Langone Hospital Long IslandMineola, NY Partial: 1 of 2Hospital MRFPartialThin evidenceSingle source | — | — | 50% |
| NYU Langone Orthopedic HospitalNew York, NY Partial: 1 of 2Hospital MRFPartialThin evidenceSingle source | — | — | 50% |
| NYU Langone HealthNew York, NY Partial: 1 of 2Hospital MRFPartialThin evidenceSingle source | — | — | 50% |
Common questions
- How much does diagnostic colonoscopy cost?
- Diagnostic colonoscopy cash prices on cleartau range from $640 to $8,207 (10th–90th percentile) across 216 US hospitals, with a median of $1,797. Individual hospital prices vary widely; the per-hospital table below shows the spread.
- What's included in the diagnostic colonoscopy package?
- A colonoscopy ordered to investigate symptoms or follow up on a prior finding. Billed differently from screening colonoscopy and not always covered at no cost-share. If a polyp is found and removed during the procedure, expect an additional charge under a different CPT.
- What's typically billed separately for diagnostic colonoscopy?
- These components are usually billed by a different provider on a separate invoice: anesthesia, pathology lab fee. They're still part of the episode of care.
- How does the diagnostic colonoscopy package price get calculated?
- Cleartau sums per-component representative prices across the procedure, facility, anesthesia, and (where applicable) implant lines. The package median equals the sum of per-component medians; min and max work the same way. When a hospital publishes a formula (e.g. "150% of Medicare") instead of a dollar amount, the formula is resolved against the matching CMS fee schedule before aggregation.
Also known as
colonoscopy package · colonoscopy with biopsy package · diagnostic colonoscopy package
Looking for individual billing codes? See the Diagnostic colonoscopy clinical concept for raw-code price comparisons.