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.

PackagesOutpatient

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.

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 procedure
CPT 45378 · CPT 45380 · CPT 45385
Anesthesia
AnesthesiaBilled separately
Typically billed separately.
CPT 00811
Endoscopy suite / facility
Facility
REVENUE 0750
Pathology lab fee
PathologyOptionalBilled separately
Only applies if tissue is removed and sent for examination.
CPT 88305

Provider prices — cash

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.

Hospital	Median	Range	Completeness
EMANUEL MEDICAL CENTERTURLOCK, CA	$14	$14 – $14	33%
DOCTORS MEDICAL CENTERMODESTO, CA	$14	$14 – $14	33%
RIVER'S EDGE HOSPITAL & CLINICST PETER, MN	$24	$24 – $24	33%
LAKE MARTIN COMMUNITY HOSPITALDADEVILLE, AL	$27	$27 – $27	33%
ELMORE COMMUNITY HOSPITALWETUMPKA, AL	$27	$27 – $27	33%
NOCONA GENERAL HOSPITALNOCONA, TX	$28	$28 – $28	33%
COLUMBUS COMMUNITY HOSPITAL, INCCOLUMBUS, NE	$29	$29 – $29	33%
LOS ROBLES HOSPITAL & MEDICAL CENTERTHOUSAND OAKS, CA	$31	$31 – $31	33%
THOUSAND OAKS SURGICAL HOSPITAL	$31	$31 – $31	33%
WINNER REGIONAL HEALTHCARE CENTER - CAHWINNER, SD	$32	$32 – $32	33%
OCHILTREE GENERAL HOSPITALPERRYTON, TX	$45	$45 – $45	33%
ST. BERNARDS FIVE RIVER MEDICAL CENTER	$49	$49 – $49	33%
BANNER LASSEN MEDICAL CENTERSUSANVILLE, CA	$61	$61 – $61	33%
YOAKUM COMMUNITY HOSPITALYOAKUM, TX	$61	$61 – $61	33%
EAST MORGAN COUNTY HOSPITALBRUSH, CO	$64	$64 – $64	33%
OGALLALA COMMUNITY HOSPITALOGALLALA, NE	$65	$65 – $65	33%
GOOD SAMARITAN HOSPITALSAN JOSE, CA	$71	$71 – $71	33%
AUBURN COMMUNITY HOSPITALAUBURN, NY	$75	$75 – $75	33%
AUBURN COMMUNITY HOSPITALAUBURN, NY	$75	$75 – $75	33%
DETROIT RECEIVING HOSPITALDETROIT, MI	$77	$77 – $77	33%
ADVENTIST HEALTH LODI MEMORIALLODI, CA	$84	$84 – $84	33%
ADVENTIST HEALTH HANFORDHANFORD, CA	$87	$87 – $87	33%
ADVENTIST HEALTH REEDLEYREEDLEY, CA	$87	$87 – $87	33%
ADVENTIST HEALTH TULARETULARE, CA	$87	$87 – $87	33%
ADVENTIST HEALTH SELMA	$87	$87 – $87	33%
ADVENTIST HEALTH ST HELENASAINT HELENA, CA	$90	$90 – $90	33%
ADVENTIST HEALTH VALLEJOVALLEJO, CA	$90	$90 – $90	33%
SINAI-GRACE HOSPITALDETROIT, MI	$90	$90 – $90	33%
CHILDREN'S HOSPITAL OF MICHIGANDETROIT, MI	$92	$92 – $92	33%
SAINT VINCENT HOSPITALERIE, PA	$92	$92 – $92	33%
ADVENTIST HEALTH SONORASONORA, CA	$93	$93 – $93	33%
HARPER UNIVERSITY HOSPITALDETROIT, MI	$93	$93 – $93	33%
HURON VALLEY-SINAI HOSPITALCOMMERCE TOWNSHIP, MI	$93	$93 – $93	33%
MEMORIAL HOSPITALSEMINOLE, TX	$97	$97 – $97	33%
REHABILITATION INSTITUTE OF MICHIGAN	$105	$105 – $105	33%
AHN WESTFIELD MEMORIAL HOSPITALWESTFIELD, NY	$113	$113 – $113	33%
WESTFIELD MEMORIAL HOSPITAL, INCWESTFIELD, NY	$113	$113 – $113	33%
CANONSBURG GENERAL HOSPITALCANONSBURG, PA	$113	$113 – $113	33%
FORBES HOSPITALMONROEVILLE, PA	$113	$113 – $113	33%
ALLEGHENY VALLEY HOSPITALNATRONA, PA	$118	$118 – $118	33%
GROVE CITY MEDICAL CENTERGROVE CITY, PA	$118	$118 – $118	33%
ADVENTIST HEALTH WHITE MEMORIALLOS ANGELES, CA	$119	$119 – $119	33%
ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLOMONTEBELLO, CA	$119	$119 – $119	33%
ALLEGHENY GENERAL HOSPITALPITTSBURGH, PA	$123	$123 – $123	33%
SULLIVAN COUNTY COMMUNITY HOSPITALSULLIVAN, IN	$133	$133 – $133	33%
AHN WEXFORD HOSPITALWEXFORD, PA	$133	$133 – $133	33%
WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORDWEATHERFORD, OK	$134	$134 – $134	33%
WEST PENN HOSPITALPITTSBURGH, PA	$138	$138 – $138	33%
NEOSHO MEMORIAL REGIONAL MEDICAL CENTERCHANUTE, KS	$150	$150 – $150	33%
HOWARD MEMORIAL HOSPITALNASHVILLE, AR	$150	$150 – $150	33%
OISHEI CHILDREN'S HOSPITALCheektowaga, NY	$155	$155 – $155	33%
DEGRAFF MEDICAL PARKNorth Syracuse, NY	$155	$155 – $155	33%
BUFFALO GENERAL MEDICAL CENTERBuffalo, NY	$155	$155 – $155	33%
OISHEI CHILDREN'S HOSPITAL	$155	$155 – $155	33%
DEGRAFF MEDICAL PARK	$155	$155 – $155	33%
BUFFALO GENERAL MEDICAL CENTER	$155	$155 – $155	33%
PRAGUE REGIONAL MEMORIAL HOSPITALPRAGUE, OK	$157	$157 – $157	33%
MOUNTAINS COMMUNITY HOSPITALLAKE ARROWHEAD, CA	$161	$161 – $161	33%
ST. MARY'S HOSPITALTUCSON, AZ	$166	$166 – $166	33%
ST JOSEPH'S HOSPITALTUCSON, AZ	$166	$166 – $166	33%
ABRAZO CENTRAL CAMPUSPHOENIX, AZ	$166	$166 – $166	33%
ABRAZO ARROWHEAD HOSPITALGLENDALE, AZ	$166	$166 – $166	33%
ABRAZO ARIZONA HEART HOSPITAL	$166	$166 – $166	33%
ABRAZO WEST CAMPUSGOODYEAR, AZ	$166	$166 – $166	33%
HOLY CROSS HOSPITALNOGALES, AZ	$166	$166 – $166	33%
CHI MEMORIAL HOSPITAL- GEORGIAFORT OGLETHORPE, GA	$167	$167 – $167	33%
MEMORIAL HEALTHCARE SYSTEM, INCCHATTANOOGA, TN	$167	$167 – $167	33%
UNIVERSITY OF KANSAS HOSPITALKANSAS CITY, KS	$170	$170 – $170	33%
RIVERLAND MEDICAL CENTERFERRIDAY, LA	$176	$176 – $176	33%
NORTHERN COLORADO LONG TERM ACUTE HOSPITAL	$179	$179 – $179	33%
SPARROW SPECIALTY HOSPITAL	$179	$179 – $179	33%
KERN VALLEY HEALTHCARE DISTRICTLAKE ISABELLA, CA	$180	$180 – $180	33%
KINGMAN HEALTHCARE CENTERKINGMAN, KS	$183	$183 – $183	67%
MERCY GENERAL HOSPITALSACRAMENTO, CA	$184	$184 – $184	33%
MERCY HOSPITAL OF FOLSOMFOLSOM, CA	$184	$184 – $184	33%
MERCY SAN JUAN MEDICAL CENTERCARMICHAEL, CA	$184	$184 – $184	33%
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTO, CA	$184	$184 – $184	33%
CHANDLER REGIONAL MEDICAL CENTERCHANDLER, AZ	$191	$191 – $191	33%
MERCY GILBERT MEDICAL CENTERGILBERT, AZ	$191	$191 – $191	33%
DIGNITY HEALTH - ARIZONA GENERAL HOSPITALLAVEEN, AZ	$191	$191 – $191	33%
DIGNITY HEALTH ARIZONA GENERAL HOSPITALMESA, AZ	$191	$191 – $191	33%
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITALTYLER, TX	$193	$193 – $193	33%
UT HEALTH EAST TEXAS ATHENS HOSPITALATHENS, TX	$193	$193 – $193	33%
UNIVERSITY OF MICHIGAN HEALTH - WESTWYOMING, MI	$194	$194 – $194	33%
NACOGDOCHES MEMORIAL HOSPITALNACOGDOCHES, TX	$197	$197 – $197	33%
HEARTLAND REGIONAL MEDICAL CENTERMARION, IL	$203	$203 – $203	33%
SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMAHENDERSON, NV	$205	$205 – $205	33%
SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUSHENDERSON, NV	$205	$205 – $205	33%
SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUSLAS VEGAS, NV	$205	$205 – $205	33%
HOLLAND COMMUNITY HOSPITALHOLLAND, MI	$210	$210 – $210	33%
HARRISON COMMUNITY HOSPITALCADIZ, OH	$229	$229 – $229	33%
WAVERLY HEALTH CENTERWAVERLY, IA	$233	$233 – $233	33%
INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITALBRIGHTON, CO	$234	$234 – $234	33%
SAINT JOSEPH HOSPITALDENVER, CO	$234	$234 – $234	33%
GOOD SAMARITAN MEDICAL CENTER LLCLAFAYETTE, CO	$234	$234 – $234	33%
RUSSELL MEDICAL CENTERALEXANDER CITY, AL	$234	$234 – $234	33%
LAFAYETTE REGIONAL HEALTH CENTERLEXINGTON, MO	$234	$234 – $234	33%
NYU LANGONE HOSPITAL - SUFFOLKPATCHOGUE, NY	$241	$241 – $241	33%
LONG ISLAND COMMUNITY HOSPITALPATCHOGUE, NY	$241	$241 – $241	33%
LOGAN HEALTH MEDICAL CENTERKALISPELL, MT	$243	$243 – $243	33%
D W MCMILLAN MEMORIAL HOSPITALBREWTON, AL	$247	$247 – $247	33%
ATMORE COMMUNITY HOSPITALATMORE, AL	$247	$247 – $247	33%
UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUSGREAT BEND, KS	$252	$252 – $252	33%
OZARK HEALTHCLINTON, AR	$255	$255 – $255	33%
DAVIESS COMMUNITY HOSPITALWASHINGTON, IN	$258	$258 – $258	33%
ADVENTIST HEALTH TEHACHAPI VALLEYTEHACHAPI, CA	$260	$260 – $260	67%
ASPIRE HOSPITALCONROE, TX	$263	$263 – $263	33%
HAMILTON COUNTY HOSPITALSYRACUSE, KS	$265	$265 – $265	33%
SETON MEDICAL CENTER HARKER HEIGHTSHARKER HEIGHTS, TX	$270	$270 – $270	33%
OHIO COUNTY HOSPITALHARTFORD, KY	$271	$271 – $271	33%
RIVERVIEW HEALTH NOBLESVILLE HOSPITAL	$272	$272 – $272	33%
VHS HARLINGEN HOSPITAL COMPANY LLCHARLINGEN, TX	$275	$275 – $275	33%
HENDRICKS REGIONAL HEALTHDANVILLE, IN	$277	$277 – $277	33%
PIKEVILLE MEDICAL CENTERPIKEVILLE, KY	$277	$277 – $277	33%
MEDINA MEMORIAL HOSPITALMEDINA, NY	$280	$280 – $280	33%
MEDINA MEMORIAL HOSPITALMEDINA, NY	$280	$280 – $280	33%
WAYNE COUNTY HOSPITALMONTICELLO, KY	$280	$280 – $280	33%
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUSEL PASO, TX	$281	$281 – $281	33%
SIERRA MEDICAL CENTEREL PASO, TX	$281	$281 – $281	33%
THE HOSPITALS OF PROVIDENCE - EAST CAMPUSEL PASO, TX	$281	$281 – $281	33%
THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUSEL PASO, TX	$281	$281 – $281	33%
ACADIA GENERAL HOSPITALCROWLEY, LA	$282	$282 – $282	33%
UT HEALTH EAST TEXAS QUITMAN HOSPITALQUITMAN, TX	$285	$285 – $285	33%
MURRAY-CALLOWAY COUNTY HOSPITALMURRAY, KY	$287	$287 – $287	33%
EAST CARROLL PARISH HOSPITALLAKE PROVIDENCE, LA	$288	$288 – $288	33%
JOHNSON REGIONAL MEDICAL CENTERCLARKSVILLE, AR	$291	$291 – $291	33%
ANGEL MEDICAL CENTERFRANKLIN, NC	$291	$291 – $291	33%
ERLANGER BLEDSOE HOSPITALPIKEVILLE, TN	$291	$291 – $291	33%
WESLEY MEDICAL CENTERWICHITA, KS	$296	$296 – $296	33%
SLIDELL MEMORIAL HOSPITALSLIDELL, LA	$298	$298 – $298	33%
SLIDELL MEMORIAL HOSPITAL EAST	$298	$298 – $298	33%
SELBY GENERAL HOSPITALMARIETTA, OH	$304	$304 – $304	33%
COVENANT MEDICAL CENTERSAGINAW, MI	$314	$314 – $314	33%
UT HEALTH EAST TEXAS PITTSBURG HOSPITALPITTSBURG, TX	$314	$314 – $314	33%
SALEM HOSPITALSALEM, OR	$316	$316 – $316	33%
ADVENTIST HEALTH HOWARD MEMORIALWILLITS, CA	$320	$320 – $320	67%
MEDICAL CITY WEATHERFORDWEATHERFORD, TX	$329	$329 – $329	33%
ST. LUKE'S HEALTH MEMORIAL HOSPITAL SAN AUGUSTINE	$329	$329 – $329	33%
PAMPA REGIONAL MEDICAL CENTERPAMPA, TX	$329	$329 – $329	33%
ST LUKE'S SUGAR LAND HOSPITALSUGAR LAND, TX	$329	$329 – $329	33%
CHI ST LUKES LAKESIDE HOSPITALTHE WOODLANDS, TX	$329	$329 – $329	33%
ST LUKE'S HOSPITAL AT THE VINTAGEHOUSTON, TX	$329	$329 – $329	33%
RESOLUTE HEALTH HOSPITALNEW BRAUNFELS, TX	$329	$329 – $329	33%
MEDICAL CITY ALLIANCEFORT WORTH, TX	$329	$329 – $329	33%
MEDICAL CITY SURGICAL HOSPITAL ALLIANCE	$329	$329 – $329	33%
THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWORFT WAYNE, IN	$333	$333 – $333	33%
ST MARY'S HOSPITALCOTTONWOOD, ID	$335	$335 – $335	33%
LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHCEL PASO, TX	$338	$338 – $338	33%
LAS PALMAS DEL SOL HEALTHCARE TRANSPLANT	$338	$338 – $338	33%
T J SAMSON COMMUNITY HOSPITALGLASGOW, KY	$339	$339 – $339	33%
BAKERSFIELD MEMORIAL HOSPITALBAKERSFIELD, CA	$339	$339 – $339	33%
ST JOSEPH'S MEDICAL CENTER OF STOCKTONSTOCKTON, CA	$339	$339 – $339	33%
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINO, CA	$339	$339 – $339	33%
MARIAN REGIONAL MEDICAL CENTERSANTA MARIA, CA	$339	$339 – $339	33%
NORTHRIDGE HOSPITAL MEDICAL CENTERNORTHRIDGE, CA	$339	$339 – $339	33%
WOODLAND MEMORIAL HOSPITALWOODLAND, CA	$339	$339 – $339	33%
ST BERNARDINE MEDICAL CENTERSAN BERNARDINO, CA	$339	$339 – $339	33%
CALIFORNIA HOSPITAL MEDICAL CENTER LALOS ANGELES, CA	$339	$339 – $339	33%
SIERRA NEVADA MEMORIAL HOSPITALGRASS VALLEY, CA	$339	$339 – $339	33%
ST MARY MEDICAL CENTERLONG BEACH, CA	$339	$339 – $339	33%
SEQUOIA HOSPITALREDWOOD CITY, CA	$339	$339 – $339	33%
FRENCH HOSPITAL MEDICAL CENTERSAN LUIS OBISPO, CA	$339	$339 – $339	33%
DOMINICAN HOSPITALSANTA CRUZ, CA	$339	$339 – $339	33%
MERCY HOSPITALBAKERSFIELD, CA	$339	$339 – $339	33%
MERCY MEDICAL CENTERMERCED, CA	$339	$339 – $339	33%
MORRIS HOSPITAL & HEALTHCARE CENTERSMORRIS, IL	$339	$339 – $339	33%
CHI HEALTH ST. FRANCISGRAND ISLAND, NE	$345	$345 – $345	33%
CHI HEALTH IMMANUELOMAHA, NE	$345	$345 – $345	33%
CHI HEALTH MIDLANDSPAPILLION, NE	$345	$345 – $345	33%
CHI HEALTH NEBRASKA HEARTLINCOLN, NE	$345	$345 – $345	33%
CHI HEALTH LAKESIDEOMAHA, NE	$345	$345 – $345	33%
HCA HOUSTON HEALTHCARE CLEAR LAKEWEBSTER, TX	$345	$345 – $345	33%
MEDICAL CITY DENTONDENTON, TX	$345	$345 – $345	33%
HCA HOUSTON HEALTHCARE WESTHOUSTON, TX	$345	$345 – $345	33%
MEDICAL CITY DALLAS HOSPITALDALLAS, TX	$345	$345 – $345	33%
MEDICAL CITY PLANOPLANO, TX	$345	$345 – $345	33%
MEDICAL CITY LEWISVILLELEWISVILLE, TX	$345	$345 – $345	33%
HCA HOUSTON HEALTHCARE KINGWOODKINGWOOD, TX	$345	$345 – $345	33%
MEDICAL CITY LAS COLINASIRVING, TX	$345	$345 – $345	33%
CHI ST JOSEPH HEALTH REGIONAL HOSPITALBRYAN, TX	$346	$346 – $346	33%
BAPTIST MEDICAL CENTERSAN ANTONIO, TX	$346	$346 – $346	33%
CHI ST LUKE'S HEALTH BRAZOSPORTLAKE JACKSON, TX	$346	$346 – $346	33%
METHODIST HOSPITAL ATASCOSAJOURDANTON, TX	$346	$346 – $346	33%
Baylor St Lukes Medical CenterHOUSTON, TX	$346	$346 – $346	33%
CHI ST LUKES HEALTH MEMORIAL LUFKINLUFKIN, TX	$346	$346 – $346	33%
METHODIST HOSPITALSAN ANTONIO, TX	$346	$346 – $346	33%
CHI ST LUKES HEALTH MEMORIAL LIVINGSTONLIVINGSTON, TX	$346	$346 – $346	33%
METHODIST CHILDRENS HOSPITAL	$346	$346 – $346	33%
ST LUKE'S THE WOODLANDS HOSPITALTHE WOODLANDS, TX	$346	$346 – $346	33%
BURLESON ST JOSEPH HEALTH CENTERCALDWELL, TX	$346	$346 – $346	33%
MADISON ST JOSEPH HEALTH CENTERMADISONVILLE, TX	$346	$346 – $346	33%
GRIMES ST JOSEPH HEALTH CENTERNAVASOTA, TX	$346	$346 – $346	33%
METHODIST HOSPITAL STONE OAKSAN ANTONIO, TX	$346	$346 – $346	33%
MOUNTAINVIEW HOSPITALLAS VEGAS, NV	$346	$346 – $346	33%
SOUTHERN HILLS HOSPITAL AND MEDICAL CENTERLAS VEGAS, NV	$346	$346 – $346	33%
WITHAM HEALTH SERVICESLEBANON, IN	$349	$349 – $349	33%
FRESNO SURGICAL HOSPITALFRESNO, CA	$351	$351 – $351	67%
NYU Langone HealthNew York, NY	$352	$352 – $352	33%
NYU LANGONE HOSPITAL BROOKLYNBrooklyn, NY	$352	$352 – $352	33%
NYU LANGONE HOSPITAL LONG ISLANDMineola, NY	$352	$352 – $352	33%

Provider prices — negotiated

Lowest negotiated rate hospitals have published for this package. Use the insurer selector to switch between the cross-payer rollup and per-insurer rates (from Transparency in Coverage files). Rows from TiC files older than 3 months are dimmed.

Insurer:

Hospital	Min negotiated	Payer types	Completeness
NYU Langone Health - SuffolkPatchogue, NY	$3,179	—	33%
NYU LANGONE HOSPITAL BROOKLYNBrooklyn, NY	$3,478	—	33%
NYU LANGONE HOSPITAL LONG ISLANDMineola, NY	$3,753	—	33%
NYU Langone Orthopedic HospitalNew York, NY	$4,111	—	33%
NYU Langone HealthNew York, NY	$4,293	—	33%

Common questions

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.

What's included