How Much Does a Colonoscopy with Biopsy Cost in 2026?

Real prices from hospital transparency data. Updated March 2026.

Low End (10th %ile)
$806
Cash/negotiated rate
Typical (Median)
$2,859
Most common range
High End (90th %ile)
$3,678
Before negotiation
Medicare Reference
$308
National reference
Price spread for CPT 45380: Hospital pricing ranges from $806 to $3,678. Compared with Medicare ($308), this is roughly 3x-12x.

What Is a Colonoscopy with Biopsy?

Colonoscopy with biopsy examines the colon and removes tissue samples for diagnosis.

When Is It Ordered?

Doctors commonly order this for cancer screening, bleeding, abnormal stool tests, and chronic GI symptoms.

How Long Does It Take?

30-60 minutes plus recovery.

How to Prepare

Full bowel prep is required. Arrange a ride home.

Price Comparison: Hospital Data vs Medicare

$308
Medicare reference
$2,859
Median hospital price
$3,678
High-end hospital price
$5,170
Gross charge reference

How to Save on a Colonoscopy w/ Biopsy

Potential savings: 20-50% by comparing facilities before scheduling.
  1. Request the CPT-specific cash rate and negotiated estimate.
  2. Ask whether any part can be done in a lower-cost outpatient setting.
  3. Verify in-network status and pre-authorization requirements.

Hospital Prices for CPT 45380

Table below shows a sample of hospitals with reported prices for this procedure.

HospitalCityStateCash PriceNegotiatedGross Charge
VIBRA HOSPITAL OF AMARILLO, LLC AMARILLO TX N/A $2 N/A
VIBRA HOSPITAL OF FARGO LLC FARGO ND N/A $5 N/A
VIBRA HOSPITAL OF DENVER LLC THORNTON CO N/A $8 N/A
BRISTOL HOSPITAL INCORPORATED BRISTOL CT $21 N/A $256
UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC MURRIETA CA N/A $30 N/A
ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA N/A N/A $40
VIBRA OF SOUTHEASTERN MICHIGAN LLC TAYLOR MI N/A $42 N/A
SHANNON MEDICAL CENTER SAN ANGELO TX $57 $73 $115
MOUNTAIN RIVER BIRTHING AND SURGERY CENTER LLC BLACKFOOT ID $72 $888 $103
CROUSE HEALTH HOSPITAL INC SYRACUSE NY $98 $88 $98
PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON ANACORTES WA N/A $116 $798
DOCTORS HOSPITAL OF LAREDO LAREDO TX N/A $155 N/A
FORT DUNCAN MEDICAL CENTER, L.P. EAGLE PASS TX N/A $155 N/A
AUBURN COMMUNITY HOSPITAL AUBURN NY $174 N/A N/A
TRI-CITY HOSPITAL OCEANSIDE CA N/A $188 $436
ADVENTIST HEALTH SYSTEM-SUNBELT INC WAUCHULA FL N/A $200 N/A
SWEDISHAMERICAN HOSPITAL ROCKFORD IL $205 $976 $1,205
MOBILE INFIRMARY ASSOCIATION MOBILE AL N/A $213 N/A
HENDRICKS COUNTY HOSPITAL DANVILLE IN $216 $369 $618
MINIMALLY INVASIVE SURGERY HOSPITAL LENEXA KS $216 $369 $618
HOLLAND COMMUNITY HOSPITAL HOLLAND MI $228 $353 $380
FAYETTE MEDICAL CENTER FAYETTE AL $232 $255 $387
PROFESSIONAL RESOURCES MANAGEMENT PSYCHIATRIC SERVICES, LLC LUVERNE AL $232 $255 $387
VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC ROCHDALE MA N/A $260 N/A
AGH LAVEEN LLC LAVEEN AZ N/A $330 $1,982
LANCASTER HOSPITAL CORPORATION PALMDALE CA N/A $330 N/A
TEMECULA VALLEY HOSPITAL, INC. TEMECULA CA N/A $330 N/A
GALENCARE, INC. SAINT PETERSBURG FL N/A $333 N/A
NORTHSIDE HOSPITAL INC LAWRENCEVILLE GA N/A $333 N/A
PAULDING MEDICAL CENTER, INC. HIRAM GA N/A $333 N/A
SARASOTA DOCTORS HOSPITAL INC SARASOTA FL N/A $333 N/A
SPARKS FAMILY HOSPITAL INC SPARKS NV N/A $333 N/A
KANSAS SURGERY & RECOVERY CENTER LLC WICHITA KS $336 N/A $3,119
MORTON COUNTY HOSPITAL ELKHART KS $342 N/A N/A
EAST CARROLL PARISH HOSPITAL LAKE PROVIDENCE LA $343 $366 $457
MARIN GENERAL HOSPITAL GREENBRAE CA $350 N/A $354
MEMORIAL HOSPITAL, INC. MANCHESTER KY N/A $353 N/A
REID HOSPITAL & HEALTH CARE SERVICES INC RICHMOND IN N/A $353 N/A
UNIVERSITY MEDICAL CENTER, INC LOUISVILLE KY N/A $353 N/A
BAYHEALTH MEDICAL CENTER, INC DOVER DE $370 $204 N/A
BAYHEALTH MEDICAL CENTER, INC MILFORD DE $370 $204 $2,690
DOCTORS MEMORIAL HOSPITAL INC PERRY FL $384 $376 $640
SOUTH BROWARD HOSPITAL DISTRICT PEMBROKE PINES FL $384 $376 $640
THE PAVILION AT HEALTHPARK LLC FORT MYERS FL $384 $376 $640
APOLLO BEHAVIORAL HEALTH HOSPITAL LLC BATON ROUGE LA N/A $385 N/A
APPALACHIAN REGIONAL HEALTHCARE INC HARLAN KY N/A $385 N/A
DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC NEWBURGH IN N/A $385 N/A
STONEBRIDGE HEALTH SYSTEMS LLC CAMERON LA N/A $385 N/A
MORRIS HOSPITAL MORRIS IL $389 $1,150 $1,437
ELADH LP LOS ANGELES CA $411 $105 $2,161
BAXTER COUNTY REGIONAL HOSPITAL INC MOUNTAIN HOME AR N/A $431 N/A
COMMUNITY HOSPITAL INC TALLASSEE AL N/A $431 N/A
CONWAY REGIONAL MEDICAL CENTER INC CONWAY AR N/A $431 N/A
FORREST CITY ARKANSAS HOSPITAL COMPANY, LLC FORREST CITY AR N/A $431 N/A
BBH BMC LLC BIRMINGHAM AL $433 $106 $2,276
HC PARTNERSHIP BIRMINGHAM AL $433 $106 $2,276
UNIVERSITY OF KENTUCKY LEXINGTON KY $438 N/A $220
UHS OF TEXOMA INC DENISON TX N/A $438 N/A
MIAMI JEWISH HEALTH SYSTEMS INC MIAMI FL $469 $275 $469
KAISER FOUNDATION HOSPITALS MANTECA CA $532 $106 $2,801
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $532 $106 $2,801
VICTOR VALLEY HOSPITAL ACQUISITION INC VICTORVILLE CA N/A N/A $532
OCALA BEHAVIORAL HEALTH LLC OCALA FL N/A $539 $3,600
ADVANCED CARE HOSPITAL OF WHITE COUNTY SEARCY AR N/A $545 N/A
BAPTIST HEALTH LITTLE ROCK AR N/A $545 N/A
HONORHEALTH PHOENIX AZ N/A $569 N/A
WOODRIDGE OF WEST MEMPHIS, LLC WEST MEMPHIS AR N/A $569 N/A
BARBARA ANN KARMANOS CANCER HOSPITAL DETROIT MI $572 $633 $1,144
AURORA BEHAVIORAL HEALTHCARE - TEMPE, LLC TEMPE AZ N/A $582 N/A
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC MAUMELLE AR N/A $582 N/A
THOREK MEMORIAL HOSPITAL CHICAGO IL N/A N/A $594
DISTRICT HOSPITAL PARTNERS L P WASHINGTON DC N/A $596 N/A
BANNER BAYWOOD MEDICAL CENTER MESA AZ N/A $597 N/A
BANNER IRONWOOD MEDICAL CENTER QUEEN CREEK AZ N/A $597 N/A
BAPTIST HEALTH LITTLE ROCK AR N/A $597 N/A

State-by-State Pricing for Colonoscopy w/ Biopsy

Explore where hospitals in each state report prices for CPT 45380.

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky

Browse all state price guides

Frequently Asked Questions

How much does a Colonoscopy w/ Biopsy cost without insurance?

Based on published hospital data, Colonoscopy w/ Biopsy prices typically range from $806 to $3,678. Always ask for the self-pay or cash rate before scheduling.

Why do Colonoscopy w/ Biopsy prices vary so much by hospital?

Hospitals negotiate different payer contracts, apply different facility fees, and use different chargemaster pricing strategies. That creates large price gaps for the same CPT code.

What does Medicare pay for CPT 45380?

In this dataset, the Medicare facility reference is $308 for CPT 45380.

How can I lower my Colonoscopy w/ Biopsy bill?

Compare multiple facilities, ask for the cash price up front, and request a written estimate with all facility and professional fees.

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