Price spread for CPT 45378: Hospital pricing ranges from $713 to $2,379. Compared with Medicare ($250), this is roughly 3x-10x.
What Is a Diagnostic Colonoscopy?
A diagnostic colonoscopy examines the large bowel for causes of symptoms like bleeding or chronic bowel changes.
When Is It Ordered?
Doctors commonly order this for GI bleeding, persistent bowel changes, positive stool tests, and unexplained anemia.
How Long Does It Take?
30-60 minutes plus recovery.
How to Prepare
Bowel prep is required and sedation is typically used.
How to Save on a Diagnostic Colonoscopy
Potential savings: 20-50% by comparing facilities before scheduling.
- Request the CPT-specific cash rate and negotiated estimate.
- Ask whether any part can be done in a lower-cost outpatient setting.
- Verify in-network status and pre-authorization requirements.
Hospital Prices for CPT 45378
Table below shows a sample of hospitals with reported prices for this procedure.
| Hospital | City | State | Cash Price | Negotiated | Gross Charge |
|---|---|---|---|---|---|
| VIBRA OF SOUTHEASTERN MICHIGAN LLC | TAYLOR | MI | N/A | $2 | N/A |
| VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC | MANDAN | ND | N/A | $5 | N/A |
| VIBRA HOSPITAL OF DENVER LLC | THORNTON | CO | N/A | $9 | N/A |
| BRISTOL HOSPITAL INCORPORATED | BRISTOL | CT | $21 | N/A | $229 |
| VIBRA HOSPITAL OF FARGO LLC | FARGO | ND | N/A | $22 | N/A |
| ST LUKES METHODIST HOSPITAL | CEDAR RAPIDS | IA | N/A | N/A | $40 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | $44 | $56 | $88 |
| UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC | MURRIETA | CA | N/A | $50 | N/A |
| PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON | ANACORTES | WA | N/A | $53 | $757 |
| MCLAREN GREATER LANSING | LANSING | MI | $58 | $771 | $116 |
| MOUNTAIN RIVER BIRTHING AND SURGERY CENTER LLC | BLACKFOOT | ID | $72 | $865 | $103 |
| ANAHEIM GLOBAL MEDICAL CENTER INC | ANAHEIM | CA | $83 | N/A | $3,454 |
| CROUSE HEALTH HOSPITAL INC | SYRACUSE | NY | $91 | $81 | $91 |
| AUBURN COMMUNITY HOSPITAL | AUBURN | NY | $102 | N/A | N/A |
| DOCTORS HOSPITAL OF LAREDO | LAREDO | TX | N/A | $143 | N/A |
| FORT DUNCAN MEDICAL CENTER, L.P. | EAGLE PASS | TX | N/A | $143 | N/A |
| MOBILE INFIRMARY ASSOCIATION | MOBILE | AL | N/A | $152 | N/A |
| TRI-CITY HOSPITAL | OCEANSIDE | CA | N/A | $173 | $401 |
| HOLLAND COMMUNITY HOSPITAL | HOLLAND | MI | $210 | $319 | $350 |
| FAYETTE MEDICAL CENTER | FAYETTE | AL | $213 | $255 | $355 |
| PROFESSIONAL RESOURCES MANAGEMENT PSYCHIATRIC SERVICES, LLC | LUVERNE | AL | $213 | $255 | $355 |
| BAYHEALTH MEDICAL CENTER, INC | DOVER | DE | $236 | $184 | N/A |
| BAYHEALTH MEDICAL CENTER, INC | MILFORD | DE | $236 | $184 | $2,690 |
| SWEDISHAMERICAN HOSPITAL | ROCKFORD | IL | $236 | $821 | $1,389 |
| VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC | ROCHDALE | MA | N/A | $260 | N/A |
| MEMORIAL HOSPITAL, INC. | MANCHESTER | KY | N/A | $264 | N/A |
| REID HOSPITAL & HEALTH CARE SERVICES INC | RICHMOND | IN | N/A | $264 | N/A |
| UNIVERSITY MEDICAL CENTER, INC | LOUISVILLE | KY | N/A | $264 | N/A |
| ADVENTIST HEALTH SYSTEM-SUNBELT INC | WAUCHULA | FL | N/A | $273 | N/A |
| MORTON COUNTY HOSPITAL | ELKHART | KS | $275 | N/A | $2,585 |
| HENDRICKS COUNTY HOSPITAL | DANVILLE | IN | N/A | $275 | N/A |
| MINIMALLY INVASIVE SURGERY HOSPITAL | LENEXA | KS | N/A | $275 | N/A |
| VAIL CLINIC INC | VAIL | CO | $283 | $982 | $377 |
| APOLLO BEHAVIORAL HEALTH HOSPITAL LLC | BATON ROUGE | LA | N/A | $288 | N/A |
| APPALACHIAN REGIONAL HEALTHCARE INC | HARLAN | KY | N/A | $288 | N/A |
| DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC | NEWBURGH | IN | N/A | $288 | N/A |
| STONEBRIDGE HEALTH SYSTEMS LLC | CAMERON | LA | N/A | $288 | N/A |
| EAST CARROLL PARISH HOSPITAL | LAKE PROVIDENCE | LA | $288 | $307 | $384 |
| AGH LAVEEN LLC | LAVEEN | AZ | N/A | $295 | $1,982 |
| LANCASTER HOSPITAL CORPORATION | PALMDALE | CA | N/A | $295 | N/A |
| TEMECULA VALLEY HOSPITAL, INC. | TEMECULA | CA | N/A | $295 | N/A |
| BROADLAWNS MEDICAL CENTER | DES MOINES | IA | $300 | $300 | $300 |
| BAXTER COUNTY REGIONAL HOSPITAL INC | MOUNTAIN HOME | AR | N/A | $328 | N/A |
| COMMUNITY HOSPITAL INC | TALLASSEE | AL | N/A | $328 | N/A |
| CONWAY REGIONAL MEDICAL CENTER INC | CONWAY | AR | N/A | $328 | N/A |
| FORREST CITY ARKANSAS HOSPITAL COMPANY, LLC | FORREST CITY | AR | N/A | $328 | 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 |
| UHS OF TEXOMA INC | DENISON | TX | N/A | $335 | N/A |
| MORRIS HOSPITAL | MORRIS | IL | $339 | $997 | $1,252 |
| UNIVERSITY OF KENTUCKY | LEXINGTON | KY | $341 | N/A | $202 |
| WITHAM MEMORIAL HOSPITAL | LEBANON | IN | $349 | $468 | $498 |
| MARIN GENERAL HOSPITAL | GREENBRAE | CA | $353 | N/A | $83 |
| DOCTORS MEMORIAL HOSPITAL INC | PERRY | FL | $355 | $348 | $592 |
| SOUTH BROWARD HOSPITAL DISTRICT | PEMBROKE PINES | FL | $355 | $348 | $592 |
| THE PAVILION AT HEALTHPARK LLC | FORT MYERS | FL | $355 | $348 | $592 |
| MIAMI JEWISH HEALTH SYSTEMS INC | MIAMI | FL | $369 | $213 | $437 |
| PROCTOR COMMUNITY HOSPITAL | PEORIA | IL | $414 | N/A | $2,398 |
| KAISER FOUNDATION HOSPITALS | MANTECA | CA | $417 | $81 | $2,197 |
| PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC | GARDEN GROVE | CA | $417 | $81 | $2,197 |
| HONORHEALTH | PHOENIX | AZ | N/A | $433 | N/A |
| WOODRIDGE OF WEST MEMPHIS, LLC | WEST MEMPHIS | AR | N/A | $433 | N/A |
| BBH BMC LLC | BIRMINGHAM | AL | $440 | $81 | $2,317 |
| ELADH LP | LOS ANGELES | CA | $440 | $81 | $2,317 |
| HC PARTNERSHIP | BIRMINGHAM | AL | $440 | $81 | $2,317 |
| ADVANCED CARE HOSPITAL OF WHITE COUNTY | SEARCY | AR | N/A | $487 | N/A |
| BAPTIST HEALTH | LITTLE ROCK | AR | N/A | $487 | N/A |
| AURORA BEHAVIORAL HEALTHCARE - TEMPE, LLC | TEMPE | AZ | N/A | $521 | N/A |
| UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC | MAUMELLE | AR | N/A | $521 | N/A |
| POUDRE VALLEY HEALTH CARE INC | FORT COLLINS | CO | $522 | $254 | $1,044 |
| BANNER BAYWOOD MEDICAL CENTER | MESA | AZ | N/A | $534 | N/A |
| BANNER IRONWOOD MEDICAL CENTER | QUEEN CREEK | AZ | N/A | $534 | N/A |
State-by-State Pricing for Diagnostic Colonoscopy
Explore where hospitals in each state report prices for CPT 45378.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Frequently Asked Questions
How much does a Diagnostic Colonoscopy cost without insurance?
Based on published hospital data, Diagnostic Colonoscopy prices typically range from $713 to $2,379. Always ask for the self-pay or cash rate before scheduling.
Why do Diagnostic Colonoscopy 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 45378?
In this dataset, the Medicare facility reference is $250 for CPT 45378.
How can I lower my Diagnostic Colonoscopy 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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