How much does a colonoscopy with polyp removal cost in the US?

Across 1,005 hospitals that publish federally required price files, the median negotiated rate is $1,290, and the middle half of hospitals fall between $1,059 and $2,100. Self-pay cash prices have a median of $1,750 across the 605 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.

Why do Colonoscopy with Polyp Removal prices vary so much?

Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 7.7 times what the cheapest tenth did, and state medians run from $752 in Arizona to $2,829 in New Jersey.

Is the cash price cheaper than using insurance?

Sometimes. At 178 of the 605 hospitals that list a cash price (29%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

What is the Medicare rate shown here?

$1,223 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 1.1 times it.

All procedures / Colonoscopy with Polyp Removal

Colonoscopy with Polyp Removal Cost in the US (2026): What 1,005 Hospitals NegotiatedNPI VERIFIED

Across 1,005 US hospitals that publish federally required price files, the median negotiated rate for a colonoscopy with polyp removal is $1,290 — 1.1× the Medicare outpatient rate of $1,223. The middle half of hospitals negotiated between $1,059 and $2,100; the priciest tenth negotiated more than $3,359, 7.7× the cheapest tenth (under $434). Hospitals that list a self-pay price ask a median of $1,750 (605 hospitals).

Code CPT 45385 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-14 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07

National median

$1,290

all plan types · 1,005 hospitals

Middle half

$1,059–$2,100

25th–75th percentile of hospitals

Median cash price

$1,750

self-pay · 605 hospitals list one

Medicare baseline

$1,223

CMS OPPS national · July 2026

1,005 hospitals, one bar per price band

median $1,290Medicare $1,223

$0$2,500$5,000

Each bar counts hospitals whose median rate falls in that price band; the last, dashed bar holds the 37 at $5,000 or more. The cheapest tenth negotiated under $434, the priciest tenth over $3,359 — 7.7× apart for the same procedure.

These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.

This is the hospital's facility fee. The physician performing the procedure, anesthesia and any pathology are billed separately.

Coverage: 1,005 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 65 of these 1,005 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance type	Hospitals	Median	Middle half	× Medicare
Commercial (plan type not stated)	586	$2,420	$1,387 – $3,649	2.0×
PPO	595	$2,589	$1,371 – $4,037	2.1×
HMO	394	$2,124	$1,137 – $3,588	1.7×
EPO	83	$2,336	$1,438 – $4,041	1.9×
POS	47	$2,329	$1,928 – $3,609	1.9×
ACA Marketplace	372	$1,776	$1,338 – $2,414	1.5×
Medicare Advantage	551	$1,151	$826 – $1,282	0.9×
Medicare (as listed)	555	$1,205	$1,091 – $1,302	1.0×
Medicaid	589	$907	$459 – $1,391	0.7×
Workers' comp	86	$1,588	$1,240 – $2,018	1.3×

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

State	Hospitals	Median	Middle half	× Medicare	Median cash
Alabama	14	$1,055	$1,028 – $1,134	0.9×	$1,873
Arizona	11	$752	$752 – $1,311	0.6×	$1,219
Arkansas	15	$1,056	$377 – $1,205	0.9×	$1,975
California	35	$1,736	$1,454 – $4,714	1.4×	$1,831
Colorado	7	$1,315	$1,287 – $1,336	1.1×	$1,244
Florida	37	$1,325	$1,312 – $1,712	1.1×	$1,693
Georgia	24	$2,247	$1,598 – $2,616	1.8×	$1,343
Hawaii	7	$1,156	$1,024 – $1,282	0.9×	$969
Idaho	12	$1,851	$289 – $2,587	1.5×	$2,272
Illinois	35	$1,423	$1,282 – $2,687	1.2×	$2,670
Indiana	21	$1,853	$1,329 – $2,957	1.5×	$2,173
Iowa	34	$769	$488 – $1,218	0.6×	$1,177
Kansas	42	$1,114	$377 – $1,665	0.9×	$1,302
Kentucky	27	$1,123	$861 – $1,902	0.9×	$1,039
Louisiana	17	$1,072	$517 – $1,271	0.9×	$806
Maine	6	$1,605	$1,046 – $2,615	1.3×	$2,248
Massachusetts	8	$1,433	$1,380 – $1,893	1.2×	$2,372
Michigan	26	$1,056	$246 – $1,192	0.9×	$812
Minnesota	27	$1,359	$1,192 – $1,810	1.1×	$2,249
Mississippi	20	$1,093	$1,009 – $1,209	0.9×	$2,331
Missouri	29	$1,176	$1,012 – $1,216	1.0×	$3,399
Montana	9	$817	$388 – $1,228	0.7×	$1,416
Nebraska	27	$1,223	$520 – $2,230	1.0×	$2,174
Nevada	6	$1,343	$1,343 – $1,343	1.1×	$1,301
New Hampshire	6	$2,527	$1,645 – $3,432	2.1×	—
New Jersey	19	$2,829	$1,346 – $3,600	2.3×	$4,881
New Mexico	15	$1,416	$1,256 – $2,555	1.2×	$1,202
New York	37	$1,416	$1,214 – $2,185	1.2×	$1,152
North Carolina	18	$1,172	$1,141 – $1,221	1.0×	$1,636
North Dakota	10	$1,109	$594 – $1,795	0.9×	$1,168
Ohio	50	$1,401	$1,145 – $3,041	1.1×	$3,526
Oklahoma	25	$1,664	$1,136 – $2,240	1.4×	$2,292
Oregon	21	$2,075	$1,085 – $3,396	1.7×	$1,601
Pennsylvania	52	$1,237	$1,168 – $1,589	1.0×	$1,779
Rhode Island	5	$2,403	$924 – $2,441	2.0×	$2,170
South Carolina	24	$1,225	$1,167 – $2,479	1.0×	$2,585
South Dakota	7	$2,343	$1,596 – $3,357	1.9×	$2,806
Tennessee	18	$1,162	$1,130 – $1,211	1.0×	$2,646
Texas	91	$1,256	$736 – $1,711	1.0×	$1,451
Utah	19	$1,453	$1,322 – $3,858	1.2×	—
Vermont	7	$1,192	$1,051 – $1,825	1.0×	$1,689
Virginia	19	$2,389	$1,984 – $3,114	2.0×	$1,463
Washington	18	$1,348	$298 – $2,398	1.1×	$1,318
West Virginia	5	$1,055	$190 – $1,135	0.9×	$2,166
Wisconsin	27	$1,843	$1,251 – $3,240	1.5×	$1,546
Wyoming	6	$1,216	$1,127 – $1,807	1.0×	$1,828

middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $5,000

States with at least 5 hospitals in our data (46 states). 5 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does a colonoscopy with polyp removal cost in the US?: Across 1,005 hospitals that publish federally required price files, the median negotiated rate is $1,290, and the middle half of hospitals fall between $1,059 and $2,100. Self-pay cash prices have a median of $1,750 across the 605 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Colonoscopy with Polyp Removal prices vary so much?: Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 7.7 times what the cheapest tenth did, and state medians run from $752 in Arizona to $2,829 in New Jersey.
Is the cash price cheaper than using insurance?: Sometimes. At 178 of the 605 hospitals that list a cash price (29%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.
What is the Medicare rate shown here?: $1,223 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 1.1 times it.

Other endoscopy prices

Diagnostic Colonoscopy

median $1,020 · 1,023 hospitals

Upper Endoscopy (EGD)

median $994 · 1,015 hospitals

Upper Endoscopy with Biopsy

median $1,013 · 1,021 hospitals

See all 30 procedures →