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CostHelper > Health & Personal Care  > Tests, X-Rays & Imaging > Colonoscopy

Colonoscopy Cost


How Much Does a Colonoscopy Cost?

 
average costWith Insurance Coverage: Copay, Coinsurance and Deductibleshigh costHigh: Without Insurance Average $3,081
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A colonoscopy is a screening test for colon cancer. It is recommended that people of average risk get a colonoscopy or other type of screening every 10 years starting at age 50. People at high risk should begin screening earlier, and sometimes more often, according to the American Cancer Society[1] .

Typical costs:

  • For those not covered by health insurance, the cost of colonoscopy varies by provider and geographic region, usually ranging from $2,010 to $3,764, with an average of $3,081, according to Blue Cross Blue Shield of North Carolina.
  • A colonoscopy often is covered by health insurance if the patient has symptoms that warrant it or if the patient meets age and risk criteria. According to the 2012 Colorectal Cancer Legislation Report Card[2] , 31 states have laws mandating colonoscopy coverage.
  • For patients covered by health insurance, out-of-pocket costs can range from zero to more than $1,000, depending on deductibles, copay and coinsurance amounts. For example, a Medicare patient at Dartmouth-Hitchcock Medical Center[3] would pay $1,477, including deductibles and coinsurance. However, some insurance plans, such as the Blue Cross Blue Shield of Michigan[4] Community Blue PPO plan, cover "wellness" screenings 100 percent, with no deductible or copay, usually with some restrictions.
Related articles: Mammogram, Pap Test, Virtual Colonoscopy, Biopsy

What should be included:
  • During the procedure, the patient is sedated, then the doctor uses a flexible tube with a camera and light on it -- a colonoscope -- to examine the rectum and inside the full length of the colon.
  • If anything suspicious is found, the doctor can take a sample for biopsy.
  • The American Gastroenterological Association[5] has an overview of the procedure.
  • The American Academy of Family Physicians[6] has a primer on colorectal cancer screening.
Additional costs:
  • If polyps need to be removed during the procedure, the cost increases.
  • A new procedure called "virtual colonoscopy," an X-ray test that checks for colon cancer, is available. However, it is more expensive and does not detect very small polyps as reliably as a conventional colonoscopy. It is not yet considered an equal alternative to the colonoscopy.
Discounts:
  • Some government programs, hospitals and organizations provide free or low-cost screening colonoscopy for uninsured or underinsured individuals. For example, these programs provide services in New York City[7] .
  • Flexible sigmoidoscopy, which does not require sedation and can be performed in a doctor's office in 20 minutes or less, costs about $100 to $300, with an average of $200, according to The Kentucky Cancer Consortium[8] and the Action Plan on Colorectal Cancer for the State of Texas. However, it can cost significantly more -- up to about $1,500 if performed in a hospital, which would charge a facility fee. The disadvantage of flexible sigmoidoscopy is that the doctor only is able to view half of the colon, and it is recommended every five years instead of every 10. Studies have shown that the colonoscopy can detect cancers and pre-cancerous lesions that sigmoidoscopy cannot; however, cost and invasiveness make colonoscopy impractical for some.
Shopping for a colonoscopy:
  • If you have a regular doctor, ask for a referral to a gastroenterologist. Otherwise, a gastroenterologist should be board certified in internal medicine by the American Board of Internal Medicine[9] and should have at least an additional two to three years of training on the GI tract.
  • Risk factors for colon cancer include being over 50, a family history of the disease and a personal history of inflammatory bowel disease, according to the American Cancer Society[10] .
  • The most common side effect of a colonoscopy is cramping and discomfort. Rarely, complications such as perforation of the bowel, requiring surgical repair, can occur.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments

Page 6 of 6   -   << Previous   1   2   3   4   5   6   

Colonoscopy
Amount: $3,010.00
Posted by: LeeTx in Midland, TX.Posted: February 3rd, 2017 03:02PM
Clinic or Doctor: Insurance Carrier: Self-pay
'List Price' was $2400 Dr. + $9600 Hospital; I pre-paid so got 75% off. Was called for a 3 year recheck (had 2 polyps removed, 1 pre-cancerous) and 2017 Dr. 'list' was $3200, no price from hospital as yet.
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colostomy
Amount: $0.00
Posted by: Eugene C Englehart in white haven, PA.Posted: January 18th, 2017 03:01PM
Type of Policy: basic
want to know co pay of colostomy
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Colonoscopy
Amount: $2,000.00
Posted by: Cartel buster in Winter Springs, FL.Posted: December 27th, 2016 11:12AM
Clinic or Doctor: CapolaInsurance Carrier: Humana
Type of Policy: Health
If you have no Polyp you are covered . If you have a Polyp it could cost you $3000. Know your codes before you see a doctor.
Any information you give to your carrier can and will be used against you.
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Colonoscopy
Amount: $0.00
Posted by: [email protected] in Hick town, VA.Posted: November 21st, 2016 02:11PM
Clinic or Doctor: Local DrInsurance Carrier: Tricare
Hospital/insurance rip-off's! I thank God for Tricare. Recently had a Colonoscopy, bill was $5400 (everything included), Insurance paid $640, I paid 0!
Ask first how much it cost as it can be reduced. You may be required to pay 20%, WOW that's still more than the procedure! Its a shame how people are screwed over so much!
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Preventative Colnoscopy
Amount: $651.60
Posted by: Insured but not covered in San Antonio, TX.Posted: October 23rd, 2016 03:10PM
Clinic or Doctor: San Antonio GastroInsurance Carrier: United Heath Care
Type of Policy: Gold Plan w/$3K deductible
Description: Charge: Patient Bal:
Colonscopy, $1200 $336.52
one sm polyp
Anesthesia $700 $258.30
Level IV Path $225 $56.87
(lab)
55 years old, first "preventative" screening. Date of procedure, August 2016.
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HAP MEDICARE ADVANTAGE CHARGED ME OVER $600.00
Amount: $600.00
Posted by: Health Alliance Plan Rip Off For Colonoscopy in Troy, MI.Posted: September 24th, 2016 03:09PM
Clinic or Doctor: Dr. WeberInsurance Carrier: Health Alliance Plan
Type of Policy: Medicare Advantage
I went for a colonoscopy screening. I called my insurance company who informed me "It was covered." The doctor found and removed one polyp on the screening. This then changed the bill to over $600.00 out of my pocket. I challenged the bill and my insurance denied me. It was a screening. The doctor had to use the same anesthesia, same room, same time except for the 5 minutes he removed the polyp and because of a small polyp HAP insurance charged me over $600.00. HAP is a horrible company. They should honor what they told me when I called them. There is no lawful justification for this $600.00 charge except to rip off the medicare recipient. And, absolutely never again will they have the ability to bill me for a colonoscopy because I will never get another colonoscopy.
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Cost of Colonoscopy-North Carolina
Amount: $0.00
Posted by: R. Trundle in Salisbury-Concord, NC.Posted: July 28th, 2016 02:07AM
Clinic or Doctor: Insurance Carrier: United Health Care UNH
Type of Policy: Medicare
Impossible to get (actual) cost with any assurance of accuracy. I am 84. Suggestion is that UNH-Medicare will not pay. Cannot verify. Everyone in medical system "Runs for Cover" will not answer. Disgusting.
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Colonoscopy
Amount: $0.00
Posted by: Still here in San Diego, CA.Posted: September 25th, 2015 03:09PM
Type of Policy: Aetna HMO
This was what is was like before big brother got involved in our Medicare I was 32 yo at work and started bleeding Took to hosp bleeding stopped scheduled me for colonoscopy in one of the best hosp in Ca. Did test had stage 3 rectal ca. Have me 12% chance 5yrs. Here's catch I'm still here yeah! My 2 sons age 27 and 28 are way overdue for colonoscopy as told by my GI because of my extremely young age and being a first gen relative. Ins says no not pay until 50. That is what our leader has done for us read the horror stories The govt has no business in medical care at all it wasn't perfect or cheap but it was 100x better than now. God bless u all
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Colonoscopy
Amount: $0.00
Posted by: Susan778@ in Atlanta, GA.Posted: August 14th, 2015 02:08PM
Clinic or Doctor: Wellstar near AtlantaInsurance Carrier: BCBS of Ga. Gold (85/15)
Type of Policy: PPO
I need to have my first colonoscopy since I'm age 58 and long overdue. Was told by my insurance company, when I called to check on coverage a head of time, they will pay a simple first time colonoscopy at 100 percent. BUT...if they find anything, it's then considered "surgery". At that point, the costs are "anybody's best guess". I'm just thinking, REALLY?!! In this day and age. I agree with some others who've posted here, when you go into the hospital or clinic with NO IDEA of what you will owe when you come out of a routine procedure, well, it's crazy!!
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colonoscopy without anesthesia
Amount: $0.00
Posted by: user in texas in houston', TX.Posted: July 23rd, 2015 05:07PM
Clinic or Doctor: Insurance Carrier: medicare
My Dr forgot to set up a anesthesia and my Dr told me he could give me something that would put me to sleep. It didn't work. It was horrible and extremely painful and I was begging them to stop, screaming and crying. The nurse told me to shut up and quit being a baby. My Dr said he was almost finished but it went on for another 15 min at least. I was completely traumatized and didn't say anything to my husband until after we left. The next day I called the hospital and told the customer service what happened. They apologized over and over and I didn't pay anything. They took what medicare paid them and didn't bill me for anything. I have not had another done since even though I had a cancerous polyp removed. I wish now I had sued the hospital since I still have flashbacks of that mess they did. Never do a colonoscopy without anesthesia is my advice.
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preventive colonoscopy & colonography, w/ noncancerous polyps
Amount: $25,000.00
Posted by: md in houston, TX.Posted: July 15th, 2015 02:07PM
Clinic or Doctor: md andersonInsurance Carrier: united
Type of Policy: ppo
I paid $1800, insurance paid rest. I asked for ballpark estimates prior to, sorry depends on the billing codes. Do recommend colongraphy on a first pass, most people do not have polyps and you get an overall screen of the abdomen that has implications beyond cancer. Done at MD Anderson, surprised by some of the fumbles. Wrote a complaint. I am not done with this investigation, the price was too high, and the insurance company did not seem to care. Will be shopping around next time.
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Preventative corectal cancer screening NOT covered
Amount: $1,300.00
Posted by: CallMeMom in Raleigh, NC.Posted: July 15th, 2015 10:07AM
Clinic or Doctor: Insurance Carrier: United Health Care
At first I was told my colonoscopy screening would be covered at 100%. However, UHC has since told me that they won't cover it because I hadn't turned 50. My primary care physician wanted me to have the preventative screening because of a family history of colon cancer.
I paid $400 facility/surgery center fee, $700 for the doctor's fee which included light sedation, and $200 for labs (I assume for the pathology on the polyps that were removed).
The ACA guidelines now say that an initial screening over age 50 has to be covered at 100% even if polyps or anything else is found. All future colonoscopies however will be considered diagnostic.
The issue I'm having is whether a high risk patient can get their insurance to pay for the screening before age 50.
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Out of Pocket Cost of Colonoscopy
Amount: $1,000.00
Posted by: Conweb in Dover, DE.Posted: May 4th, 2015 05:05AM
Clinic or Doctor: RamaniInsurance Carrier: BCBSIL
Type of Policy: 400 deductable 80/20
I did my homework or so I thought....and was totaled inclucding facility anestesia dr and pathology aprox 400 out of pocket. Now finding out all 4 oop cost total almost 1000$....I pay 200 a month and have to still pay this....sickening when you find out peeps without insurance are charged so little. April of 2015 was my proceedure and I had 8 polops
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Cost in Vermont 2014 w/MVP
Amount: $0.00
Posted by: Vermonter in Burlington, VT.Posted: April 2nd, 2015 04:04AM
Clinic or Doctor: Fletcher AllenInsurance Carrier: MVP
Type of Policy: Preferred EPO w/ copay
Cost $0 covered 100%
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Cost In Vermont 2012 w/Cigna
Amount: $1,800.00
Posted by: Vermonter in Burlington, VT.Posted: April 2nd, 2015 04:04AM
Clinic or Doctor: Fletcher AllenInsurance Carrier: Cigna
Type of Policy: PPO/$2500 deductible
Total billed was $16,500. The Doctor and hospital each billed about $7,500 and the labs were about $1500.
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colonoscopy/endoscopy on a child
Amount: $3,929.10
Posted by: inver in hackensack, NJ.Posted: March 16th, 2015 04:03PM
Clinic or Doctor: Hackensack UMCInsurance Carrier: horizon/blue cross
Type of Policy: ppo
10 year old daughter had to have colonoscopy/endoscopy. Procedure done at same time. Hospital cost, before insurance $15,000. Insurance allowed cost was $6900. I have a $5000 deductible. Only part of my deductible had been met for the year so cost to me was $3900. THIS IS NOT INCLUDING PATHOLOGIST AND ANESTHESIOLOGIST. Apparently, if the procedure was "routine", meaning patient over 50, colonoscopy would be covered 100%. The hospital bill is shocking. Why am I being charged 2xs for the room?
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Endoscopy Costs !! I can't believe these prices !!!
Amount: $850.00
Posted by: Matthew Henrick in Westbrook, ME.Posted: January 10th, 2015 10:01AM
Clinic or Doctor: Maine Centers for HealthcareInsurance Carrier: Cash
Type of Policy: Self Pay
I run a GI center in Portland Maine "Maine Centers for Healthcare". We give patients with no insurance a cost of $850 + reasonable lab costs..... if even needed. I'm seeing prices here of $10,000 for the same procedure. I can't believe what I'm reading. This is abuse.
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Colonoscopy, self paid
Amount: $2,832.00
Posted by: Paul Spadoni in Gig Harbor, WA.Posted: October 30th, 2014 08:10PM
Clinic or Doctor: Franciscan Digestive Care of TacomaInsurance Carrier: None
Type of Policy: None
I tried to pay everything in advance for my wife's procedure to get the greatest discounts. We were charged $2284 on the day of the colonoscopy and were told that was an estimate--we could be charged more or have some refunded.
They found a polyp, and we had to pay an additional $548 for the removal and lab fees. The cost for removal and lab fees would have been higher, but some of the initial payment was credited toward this. I guess this is in line with others have paid, and there are only two clinics in the area that do this procedure, so I wasn't able to do much shopping around. Maybe next time I will do some comparison shopping at clinics outside the region, but I'm not optimistic I will be able to save much. I think I'll try this company to see if they can find me a better price: http://medibid.com/
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Colonoscopy - not including costs of the ER which got me here
Amount: $15,244.26
Posted by: Al Bertstein in Torrance, CA.Posted: September 17th, 2014 11:09AM
Clinic or Doctor: Torrance F*cking Memorial, Torrance CAInsurance Carrier: United Healthcare
Type of Policy: PPO
$10,016.26 for the Exam, "Surgery" and Lab work.
$760 for the Anesthesia.
$2,804 for the Doctor's specific work.
I will not need to pay all this but easily accumulated to the $2,500 out of pocket maximum. But really how did this all cost over $10k I just don't understand?
This was all after a scare of pain on my lower left side. My regular doctor ordered it as a "precaution" and here I am again in debt thanks to healthcare costs.
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colonoscopy polyps removed
Amount: $15,000.00
Posted by: party pooper in twin lakes, WI.Posted: September 3rd, 2014 07:09PM
Clinic or Doctor: doctorInsurance Carrier: blue cross blue shield
Type of Policy: blue cross ppo
I have sticker shock the original bill was 14156.27 doctor 6217.50 laboratory 4386.00 drugs714.77 after insurance payout I still owe1570.08. The good out of the bad the procedure went well I have a valuable lesson to learn do your homework and research well before you chose a hospital or clinic.p.s aurora Burlington hospital
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Miffed
Amount: $10.80
Posted by: Dennis Jager in St. Petersburg, FL.Posted: May 28th, 2014 08:05PM
Clinic or Doctor: HospitalInsurance Carrier: Mich Blue Cross/ Blue Shield
Type of Policy: Hospital Dr.
63 years old, First clonoscopy, No polups, BC/BS told Hospital that I was covered but when I came back with no problems they denied coverage. Said that "cancer screening" wasnt a benefit. Bill is $10,800. Can anyone direct me to help??
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First Colonoscopy, one polyp removed
Amount: $950.00
Posted by: Grace in Bay Area in San Francisco, CA.Posted: May 22nd, 2014 07:05PM
Clinic or Doctor: Dr. Jesse Liu, SF Endoscopy CtrInsurance Carrier: Anthem Bronze
Type of Policy: Covered California
Like most people, I asked Anthem and the Endosc Ctr several times if this was 100% covered. "Yes, if this is your first time over 50+ years old." Doctor found 1 rectal polyp.
SF Endoscopy Center $2,530 covered.
Anesthesia $1,040 covered.
Colon Biopsy by Dr. $950 not covered.
Now I am stuck with the $950 bill. I will call to see if there is anything I can do to reduce the bill. What a shock!
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colonoscopy
Amount: $150.00
Posted by: TOME in Nanning, Other.Posted: April 10th, 2014 05:04PM
Clinic or Doctor: Peoples Hospital of GuangxiInsurance Carrier: None
Type of Policy: None
My entire cost was US $150.00, paid up front, all cash, no insurance. The US medical system is a rip-off. US hospitals should be forced to post all charges online and in the hospital BEFORE any procedure is performed.
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External Resources:
  1.  www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-detection
  2.  c208372.r72.cf0.rackcdn.com/FINAL%202012%20Report%20Card.pdf
  3.  patients.dartmouth-hitchcock.org/billing_questions/charges_for_healthcare_services.html
  4.  www.bcbsm.com/pdf/medicare/2013/R001893_MA_PreventiveBenefits_CB12476_MAR12_10_web.pdf
  5.  www.gastro.org/patient-center/procedures/colonoscopy
  6.  familydoctor.org/familydoctor/en/diseases-conditions/colorectal-cancer.html
  7.  www.nyc.gov/html/doh/downloads/pdf/csi/coloncancerkit-clin-lowcostprog.pdf
  8.  www.kycancerc.org/
  9.  www.abim.org/
  10.  www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-risk-factors
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