Colonoscopy Costs and Pricing Information
Welcome to ColonoscopyCosts.com where you can:
- Learn about Colonoscopy
- Determine average Colonoscopy costs for your metropolitan area
- Compare Colonoscopy prices at hospitals & imaging centers in your community
The cost of a Colonoscopy varies by the type of Colonoscopy procedure you have performed. To help give you an idea of what the average Colonoscopy cost is please review the table below. To determine what your cost might be make sure you identify the cost in the proper Patient Insurance Type column because the price of the procedure will depend upon if you are insured, a Medicare or Medicaid patient, or uninsured. As you can also see, procedure pricing varies greatly by patient type and facility type.
| Type of Surgical Facility | |||
| Hospital | Ambulatory Surgical Center | Endoscopy Center | |
| Insured Cost | |||
| Facility Cost | $1,314 | $ 664 | $ 662 |
| Professional Cost | $400 | $400 | $345 |
| Total Estimated Cost | $1,714 | $1,604 | $1,007 |
| List Price | |||
| Facility Cost | $5,626 | $2,346 | $2,337 |
| Professional Cost | $667 | $667 | $575 |
| Total Estimated Cost | $6,293 | $3,013 | $2,912 |
Note: There is a very good chance that the Anesthesiologist will bill separately for their services (averaging approximately $250) which will also result in additional costs to you, in the form of deductible, copayment or coinsurance. Be sure to ask your health plan and physician. Also, if polyp removal is required during the procedure there will be add'l costs (usually averaging approximately $200-$300)
Helpful Hints About Your Payment Responsibility
If you are uninsured or have a high deductible health plan/HSA, you are most likely responsible for the entire cost of the procedure. If you have a more traditional health plan, your share of the cost will likely be in the form of a copayment (a fixed dollar amount) or a coinsurance (a percentage of the amount due). With most health plans, the patient is responsible for a portion of the bills received from each healthcare professional. Use the table and associated notes above to determine who is likely to be involved in this procedure and subsequently likely to bill you and the health plan separately for their services. Using this information, ask the health plan and the physician what bills will result from your procedure and from whom, so that you can compare costs and prepare financially.
Cost Savings Tips
As can been seen in this cost summary, Colonoscopy Costs vary dramatically by patient insurance type and by facility type. Below you will find a few cost savings tips that may help you save up to 50% on your Colonoscopy Procedure:
- Shop around your area for the best possible Colonoscopy price. There are usually a number of different facilities in your area that perform Colonoscopy’s and they don’t all charge the same.
- Independent Imaging Centers are often much cheaper and more open to negotiating Colonoscopy prices than hospitals.
- If you're uninsured or participate in a Health Savings Account make sure that you ask for the best possible Colonoscopy price. A facilities best price is often much less than a facilities "List Price."
- If you're uninsured, most Independent Imaging Facilities offer 15% - 50% discount when the full discounted amount is paid by cash or credit within 60 days of the procedure.
Cannot Afford The Procedure?
New Choice Health - Medical Cost Comparison
Save Up to 40% on an MRI!
Find and compare MRI prices at local medical facilities with NewChoiceHealth
www.NewChoiceHealth.com
If your financial situation presents a challenge for making full payment for a Colonoscopy procedure make sure you ask for assistance. Be honest and up front about your situation and work with the hospital or imaging center to determine the various alternatives to reducing the cost of the Colonoscopy or spreading out the cost to make it easier to manage with your current cash flow. Some possible payment options include:
- Payment Plans: Hospitals and imaging centers often do not accept payment plans, but exceptions are often made in extreme financial hardship cases. So if the cost of a Colonoscopy puts you in a financially vulnerable position do not hesitate to ask for some type of payment plan.
- Charity Care Qualifications: If your family income and assets are within 200% of Federal Poverty Guidelines, financial assistance may be provided. Imaging centers and hospitals often consider these on a case-by-case basis. If you meet the initial screening criteria the facility may need to review your federal income tax returns, current pay stubs, and/or denial of third party benefits.
- Employees Group Benefit Program: If you are a participating employee in a Group Benefit Program at work, you and your employer can arrange to have the cost of your Colonoscopy paid for under the program by your employer's group insurance carrier on an "extra-contractual" basis. The terms vary from plan to plan, but group benefit programs invariably provide for such "extra-contractual" arrangements. The expense is tax-deductible to the employer so make sure you speak with your employer before you pay for your Colonoscopy.
- Tax Credits: If you do end up having to pay for the cost of a Colonoscopy you may be eligible for a medical tax credit. Make sure you keep your paperwork and receipt and speak with an accountant. This may be very helpful for people who are retired and may save you hundreds of dollars in taxes.
The information contained on this page is for information purposes only and should not be taken as medical advice. Please consult your physician on any medical conditions, diagnostic testing, or any general medical issue.