Diagnostic Colonoscopy: cost by metro
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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