Diagnostic Colonoscopy: cost by metro

Endoscopy · outpatient (same-day) · billed as CPT 45378 · priced across 28 metros

What does a Diagnostic Colonoscopy cost? Across 28 major U.S. metros, the typical insurer-negotiated price for a Colonoscopy (CPT 45378) ranges from about $258 to $6,185 by metro, based on hospitals' own price-transparency files. Self-pay cash prices, where hospitals publish them, are often lower. Pick your metro for the local range and a hospital-by-hospital breakdown. These are price references from public data — not a quote, a bill, or medical or financial advice.

Colonoscopy price by metro

The typical insurer-negotiated price for a Colonoscopy, by metro — lowest first. Open a metro for the full three-level breakdown and every hospital.

Metro Typical negotiated Range Cash
Indianapolis, IN $258 $258–$555
Detroit, MI $829 $11–$867
Cincinnati, OH $906 $906–$940 $5,694
Pittsburgh, PA $956 $181–$1,000 $1,500
St. Louis, MO $999 $914–$1,630 $1,948
Phoenix, AZ $1,008 $1,008–$2,897
Tampa, FL $1,029 $1,020–$1,052
Riverside, CA $1,108 $295–$3,145
Milwaukee, WI $1,128 $903–$3,119
Sacramento, CA $1,158 $1,045–$1,158 $3,679
San Francisco, CA $1,158 $1,158 $3,679
Memphis, TN $1,344 $1,344
Hartford, CT $1,769 $1,518–$3,371
Philadelphia, PA $1,781 $548–$2,120 $3,100
Kansas City, MO $1,863 $504–$2,562
New York, NY $1,909 $1,802–$3,595 $3,675
Austin, TX $2,013 $550–$3,734
Seattle, WA $2,092 $1,471–$2,739
Nashville, TN $2,178 $1,535–$2,435
Dallas, TX $2,342 $907–$5,016
Houston, TX $2,433 $2,332–$2,436
San Jose, CA $3,144 $1,158–$4,408
Cleveland, OH $3,205 $127–$4,083 $2,726
Denver, CO $3,751 $174–$4,260
Chicago, IL $3,780 $3,780
Virginia Beach, VA $5,790 $4,564–$5,790
Jacksonville, FL $6,076 $6,048–$6,185
Birmingham, AL $6,185 $867–$6,185

Source: hospitals' own machine-readable Standard Charges files, published under the U.S. Hospital Price Transparency rule (45 CFR §180.50). Most recent hospital file in this dataset: July 2026. Prices are references, not quotes or bills, and never medical or financial advice — where a hospital reports no price, nothing is shown rather than a guess.

About Colonoscopy pricing

A Colonoscopy is billed as CPT 45378 and is usually a outpatient (same-day) service. Prices vary widely by metro and by hospital, which is why every figure here is tied to a specific hospital's own published file. 8 of these 28 metros have at least one hospital publishing a self-pay cash price.

The chargemaster (list) price is the hospital's undiscounted sticker rate. Almost no one actually pays it — insurers negotiate it down and self-pay patients are usually offered the cash price — but it shows how large the discount off list can be.

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