Diagnostic Colonoscopy Cost in Dallas–Fort Worth, TX (2026): Negotiated Rates by Insurance Type

Across 8 hospitals in the Dallas–Fort Worth, TX area that publish federally required price files, the median negotiated PPO rate is $3,033, the median HMO rate is $2,277, the median self-pay (cash) price is $1,451 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 2026-01-01 to 2026-04-14 · Medicare baseline: CMS OPPS Addendum B · Page built 2026-09-11

Median PPO
$3,033
negotiated rate
Median HMO
$2,277
negotiated rate
Median cash
$1,451
self-pay price
Medicare baseline
$950
CMS OPPS national
These are contract reference rates, not your bill. A plan-type median is not a quote for your specific plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status. Rates shown are facility charges only — physician/radiologist fees are billed separately.
HospitalPPOHMOCommercialMedicare Adv.ACA ExchangeMedicareCashList (gross)
Jps Health Network
Fort Worth · CMS 4★ · file updated 2026-04-01
$1,1261.2× Medicare$1,1261.2× Medicare$9781.0× Medicare$1,4011.5× Medicare$9811.0× Medicare
Usmd Hospital At Arlington L P
Arlington · file updated 2026-01-09
$2,2962.4× Medicare$2,2052.3× Medicare$8070.8× Medicare
Texas Health Huguley Hospital Fort Worth South
Fort Worth · CMS 3★ · file updated 2026-04-01
$2,7192.9× Medicare$1,2281.3× Medicare$2,7612.9× Medicare$1,8712.0× Medicare
Dallas Medical Center
Dallas · CMS 3★ · file updated 2026-03-17
$3,0333.2× Medicare$2,2772.4× Medicare$1,7451.8× Medicare$9301.0× Medicare$1,4411.5× Medicare$9581.0× Medicare$929$3,968
Baylor Scott And White Surgical Hospital Fortworth
Fort Worth · file updated 2026-04-14
$5,8926.2× Medicare$4,8185.1× Medicare$1,451$2,418
North Central Surgical Center Llp
Dallas · file updated 2026-04-14
$5,8926.2× Medicare$4,8185.1× Medicare$1,840$3,066
Baylor Scott And White Orthopedic And Spine Hospi
Arlington · file updated 2026-04-14
$5,8926.2× Medicare$4,8185.1× Medicare
Cook Childrens Medical Center
Fort Worth · file updated 2026-01-01

Each figure is the median of that hospital's published rates for the procedure's code family under that plan type. "×Medicare" compares to the CMS national outpatient rate. Blank cells mean the hospital's file discloses no dollar rate for that plan type.

Frequently asked questions

How much does a colonoscopy cost without insurance?
Published hospital cash prices in this metro vary widely — see the Cash column in the table. Freestanding endoscopy centers (not listed here) are often cheaper than hospital outpatient departments.
Are screening colonoscopies free with insurance?
Preventive screening colonoscopies are generally covered without cost-sharing under most plans, but a diagnostic colonoscopy (what this page shows) or a screening that turns diagnostic can be billed differently. Check your plan.
Why do prices differ so much between hospitals in the same city?
Each hospital negotiates rates separately with each insurer. The federally required price files this page is built from show the same procedure differing by multiples between hospitals a few miles apart.

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