Colonoscopy

A diagnostic procedure using a flexible camera to examine the interior lining of the colon. May include polyp removal (polypectomy) if polyps are found during the procedure.

Price Comparison

Average Cost (Uninsured)$4,500

Average Cost (Insured)$2,100

Fair Price Range$600 – $2,500

Medicare Reimbursement$780

Detailed Breakdown

Average Cost (Insured)

$2,100

Average Cost (Uninsured)

$4,500

Medicare Reimbursement Rate

$780

Fair Price Range

$600 – $2,500

Common CPT Codes

45378453804538445385

Negotiation Tips

Preventive screening colonoscopies must be covered at 100% with no cost-sharing under the ACA -- if you received a bill for a screening colonoscopy, dispute it with your insurer
If polyps were removed during a screening, the procedure may have been reclassified as diagnostic -- challenge this reclassification as many states prohibit it
Ambulatory surgery centers typically charge 40-60% less than hospitals for the same colonoscopy procedure
Compare anesthesia charges carefully -- propofol sedation often results in a separate anesthesia bill that can double the cost

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