Colonoscopy, Diagnostic

CPT 4537840 Colorado hospitals reporting a negotiated rateCMS-required shoppable

Diagnostic colonoscopy to examine the colon for polyps, bleeding, or other findings. Often follows an abnormal stool test or symptoms.

Typical insured price · Colorado

$247to$2,099

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $1,474.

$247$2,099

Cash price (median)

$1,668

What you'd pay self-pay

Gross charge (median)

$2,519

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 40 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 45378
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 40
CMS shoppable: Yes — required disclosure

How they price Colonoscopy, Diagnostic

Across 40 Colorado hospitals that publish a commercial negotiated rate for CPT 45378, the typical insured price for Colonoscopy, Diagnostic runs $247 to $2,099 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $1,474 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $1,668, against a median gross charge of $2,519.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Screening vs diagnostic coding — a screening colonoscopy under USPSTF recommendations is typically zero cost-share for commercial plans and Medicare; if the same procedure is recoded as diagnostic (e.g. polyp removal during the visit), normal cost-sharing applies.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

41 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Commonspirit St Mary Corwin Hospital Pueblo Compare Metro Rest of Colorado Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 10	Rest of Colorado	$175	—	$175 – $175	—	10
Commonspirit St Elizabeth Hospital Fort Morgan Compare Metro Rest of Colorado Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 8	Rest of Colorado	$175	—	$175 – $175	—	8
Commonspirit Orthocolorado Hospital Compare Metro Denver Metro Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 9	Denver Metro	$175	—	$175 – $175	—	9
Commonspirit Mercy Hospital Durango Compare Metro Rest of Colorado Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 10	Rest of Colorado	$175	—	$175 – $175	—	10
Commonspirit St Francis Hospital Interquest Compare Metro Colorado Springs Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 9	Colorado Springs	$175	—	$175 – $175	—	9
Commonspirit St Anthony North Hospital Compare Metro Denver Metro Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 11	Denver Metro	$175	—	$175 – $175	—	11
Commonspirit St Anthony Summit Medical Center Compare Metro Rest of Colorado Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 8	Rest of Colorado	$175	—	$175 – $175	—	8
Commonspirit St Anthony Hospital Lakewood Compare Metro Denver Metro Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 6	Denver Metro	$175	—	$175 – $175	—	6
Commonspirit St Francis Hospital Compare Metro Colorado Springs Median negotiated $175 Your carrier's rate — 25th–75th $175 – $175 Cash — Payers 10	Colorado Springs	$175	—	$175 – $175	—	10
Commonspirit Longmont United Hospital Compare Metro Boulder Median negotiated $179 Your carrier's rate — 25th–75th $179 – $179 Cash — Payers 11	Boulder	$179	—	$179 – $179	—	11
Children S Hospital Colorado Colorado Springs Compare Metro Colorado Springs Median negotiated $269 Your carrier's rate — 25th–75th $269 – $269 Cash — Payers 1	Colorado Springs	$269	—	$269 – $269	—	1
Boulder Community Health Foothills Hospital Gross charge $360 Compare Metro Boulder Median negotiated $335 Your carrier's rate — 25th–75th $256 – $519 Cash $180 Payers 31	Boulder	$335	—	$256 – $519	$180	31
Grand River Health Rifle Gross charge $1,313 Compare Metro Rest of Colorado Median negotiated $903 Your carrier's rate — 25th–75th $903 – $903 Cash $657 Payers 1	Rest of Colorado	$903	—	$903 – $903	$657	1
Community Hospital Grand Junction Gross charge $3,556 Compare Metro Rest of Colorado Median negotiated $976 Your carrier's rate — 25th–75th $976 – $1,057 Cash $1,991 Payers 7	Rest of Colorado	$976	—	$976 – $1,057	$1,991	7
Lincoln Community Hospital Hugo Gross charge $5,381 Compare Metro Rest of Colorado Median negotiated $986 Your carrier's rate — 25th–75th $986 – $986 Cash $5,381 Payers 14	Rest of Colorado	$986	—	$986 – $986	$5,381	14
Uchealth Yampa Valley Medical Center Steamboat Springs Compare Metro Rest of Colorado Median negotiated $1,022 Your carrier's rate — 25th–75th $916 – $2,784 Cash — Payers 8	Rest of Colorado	$1,022	—	$916 – $2,784	—	8
Pikes Peak Regional Hospital Woodland Park Gross charge $1,840 Compare Metro Colorado Springs Median negotiated $1,122 Your carrier's rate — 25th–75th $837 – $1,564 Cash $1,472 Payers 12	Colorado Springs	$1,122	—	$837 – $1,564	$1,472	12
Uchealth Longs Peak Hospital Longmont Gross charge $5,291 Compare Metro Boulder Median negotiated $1,167 Your carrier's rate — 25th–75th $913 – $2,496 Cash $1,852 Payers 14	Boulder	$1,167	—	$913 – $2,496	$1,852	14
Uchealth Greeley Hospital Gross charge $2,519 Compare Metro Rest of Colorado Median negotiated $1,392 Your carrier's rate — 25th–75th $912 – $2,021 Cash $1,511 Payers 12	Rest of Colorado	$1,392	—	$912 – $2,021	$1,511	12
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $1,421 Your carrier's rate — 25th–75th $916 – $2,535 Cash — Payers 7	Rest of Colorado	$1,421	—	$916 – $2,535	—	7
Uchealth Memorial Hospital Central Colorado Springs Gross charge $3,706 Compare Metro Colorado Springs Median negotiated $1,527 Your carrier's rate — 25th–75th $957 – $2,301 Cash $1,668 Payers 14	Colorado Springs	$1,527	—	$957 – $2,301	$1,668	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $3,706 Compare Metro Colorado Springs Median negotiated $1,527 Your carrier's rate — 25th–75th $957 – $2,301 Cash $1,668 Payers 14	Colorado Springs	$1,527	—	$957 – $2,301	$1,668	14
Commonspirit St Thomas More Hospital Ca on City Compare Metro Rest of Colorado Median negotiated $1,540 Your carrier's rate — 25th–75th $1,540 – $1,540 Cash — Payers 1	Rest of Colorado	$1,540	—	$1,540 – $1,540	—	1
Family Health West Hospital Fruita Compare Metro Rest of Colorado Median negotiated $1,590 Your carrier's rate — 25th–75th $1,590 – $1,590 Cash — Payers 1	Rest of Colorado	$1,590	—	$1,590 – $1,590	—	1
Uchealth Poudre Valley Hospital Fort Collins Gross charge $2,519 Compare Metro Fort Collins Median negotiated $1,595 Your carrier's rate — 25th–75th $916 – $2,267 Cash $1,763 Payers 16	Fort Collins	$1,595	—	$916 – $2,267	$1,763	16
Uchealth Medical Center of the Rockies Loveland Gross charge $2,519 Compare Metro Fort Collins Median negotiated $1,595 Your carrier's rate — 25th–75th $916 – $2,267 Cash $1,763 Payers 16	Fort Collins	$1,595	—	$916 – $2,267	$1,763	16
Denver Health Medical Center Gross charge $1,778 Compare Metro Denver Metro Median negotiated $1,597 Your carrier's rate — 25th–75th $981 – $3,478 Cash $622 Payers 7	Denver Metro	$1,597	—	$981 – $3,478	$622	7
Uchealth Estes Valley Medical Center Estes Park Gross charge $1,688 Compare Metro Fort Collins Median negotiated $1,604 Your carrier's rate — 25th–75th $1,191 – $1,637 Cash $1,266 Payers 15	Fort Collins	$1,604	—	$1,191 – $1,637	$1,266	15
National Jewish Health Denver Gross charge $2,740 Compare Metro Denver Metro Median negotiated $1,781 Your carrier's rate — 25th–75th $1,262 – $2,055 Cash $1,918 Payers 8	Denver Metro	$1,781	—	$1,262 – $2,055	$1,918	8
Uchealth University of Colorado Hospital Aurora Gross charge $5,297 Compare Metro Denver Metro Median negotiated $2,093 Your carrier's rate — 25th–75th $916 – $2,807 Cash $1,854 Payers 15	Denver Metro	$2,093	—	$916 – $2,807	$1,854	15
Uchealth Grandview Hospital Colorado Springs Gross charge $5,291 Compare Metro Colorado Springs Median negotiated $2,116 Your carrier's rate — 25th–75th $1,703 – $3,193 Cash $1,852 Payers 13	Colorado Springs	$2,116	—	$1,703 – $3,193	$1,852	13
Uchealth Highlands Ranch Hospital Gross charge $5,291 Compare Metro Denver Metro Median negotiated $2,267 Your carrier's rate — 25th–75th $1,862 – $3,122 Cash $1,587 Payers 12	Denver Metro	$2,267	—	$1,862 – $3,122	$1,587	12
Hca Healthone Mountain Ridge Thornton Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,534 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,534 – $4,764	—	6
Hca Healthone Presbyterian St Luke S Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,746 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,746 – $4,764	—	6
Hca Healthone Aurora Medical Center of Aurora Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,534 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,534 – $4,764	—	6
Hca Healthone Sky Ridge Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,534 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,534 – $4,764	—	6
Hca Healthone Swedish Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,534 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,534 – $4,764	—	6
Hca Healthone Rose Medical Center Compare Metro Denver Metro Median negotiated $2,716 Your carrier's rate — 25th–75th $1,534 – $4,764 Cash — Payers 6	Denver Metro	$2,716	—	$1,534 – $4,764	—	6
Banner Fort Collins Medical Center Compare Metro Fort Collins Median negotiated $8,957 Your carrier's rate — 25th–75th $6,473 – $11,440 Cash — Payers 2	Fort Collins	$8,957	—	$6,473 – $11,440	—	2
Banner North Colorado Medical Center Compare Metro Rest of Colorado Median negotiated $8,957 Your carrier's rate — 25th–75th $6,473 – $11,440 Cash — Payers 2	Rest of Colorado	$8,957	—	$6,473 – $11,440	—	2
Prowers Medical Center Lamar Gross charge $526 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $316 Payers —	Rest of Colorado	—	—	—	$316	—

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Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Colonoscopy, Diagnostic cost in Colorado?

Across 40 Colorado hospitals that publish a commercial negotiated rate, the median is $1,474. The middle half of hospitals fall between $247 and $2,099 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Colonoscopy, Diagnostic under 65 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Colonoscopy, Diagnostic if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $1,668. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does CPT 45378 mean?

CPT 45378 is the CPT (Current Procedural Terminology) code for Colonoscopy, Diagnostic. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Why might a "free" screening colonoscopy end up billed as diagnostic?

Most commercial plans must cover a routine screening colonoscopy with no cost-sharing — and under federal guidance that generally stays true even if a polyp is found and removed during the screening. But if you're being scoped because of symptoms, or as follow-up to a prior finding, the procedure is usually diagnostic from the start and your deductible and coinsurance apply. Medicare works differently: a reduced coinsurance can still apply when a screening includes polyp removal. Coding errors also happen — ask how the procedure will be coded and confirm your plan's screening policy before scheduling.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.