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Colonoscopy, Diagnostic

CPT 45378133 Texas 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

$1,012to$2,493

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medianshalf of reporting hospitals’ median rates fall in this window with a median of $2,247.

$1,012$2,493

Log scale · this page only

Cash price (median)

$1,899

What you'd pay self-pay

Gross charge (median)

$3,165

The chargemaster sticker

vs Medicare

Coming with enrichment

Sourced from 133 Colorado hospitals publishing under 45 CFR §180.50.

Choose your insurance carrier

Medicare Advantage? Find your plan under More carriers; your MA rate differs from these chips.

Straight Medicare or uninsured? Carrier rates don’t apply; see the cash and methodology notes.

More carriers and specialty networks

Most patients pick a Major carrier. The networks below are repricers, employer plans, and specialty payers; choose one only if it’s printed on your insurance card.

At a glance

Code
CPT 45378
Code system
CPT (Current Procedural Terminology)
Typical setting
an outpatient setting
Hospitals reporting
133
CMS shoppable
Yes — required disclosure

How they price Colonoscopy, Diagnostic

Across 133 Texas hospitals that publish a commercial negotiated rate for CPT 45378, the typical insured price for Colonoscopy, Diagnostic runs $1,012 to $2,493 (the 25th-to-75th percentile of per-hospital medians). The Texas median is $2,247 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $1,899, against a median gross charge of $3,165.

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.

Every reporting hospital on one scale

Where to get it

Ranked by price: by your carrier’s rate once you pick one, otherwise by the median. The ruler plots each hospital’s price band and median on a shared scale; the colors compare each price to the Texas median.

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

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Goodall Witcher Healthcare

Gross charge $1,612

Metro
Rest of Texas
Median negotiated
$76far below the state median
Your carrier's rate
25th–75th
$75 – $82
Cash
$1,128
Payers
4
Seymour Hospital

Gross charge $532

Metro
Rest of Texas
Median negotiated
$80far below the state median
Your carrier's rate
25th–75th
$70 – $95
Cash
$372
Payers
7
Heart of Texas Memorial Hospital

Gross charge $3,740

Metro
Rest of Texas
Median negotiated
$85far below the state median
Your carrier's rate
25th–75th
$60 – $85
Cash
$1,870
Payers
3
Clay County Memorial Hospital

Gross charge $3,276

Metro
Rest of Texas
Median negotiated
$179far below the state median
Your carrier's rate
25th–75th
$123 – $448
Cash
$3,276
Payers
8
Dell Seton Medical Center at the University of Texas
Metro
Austin
Median negotiated
$329far below the state median
Your carrier's rate
25th–75th
$329 – $733
Cash
Payers
4
Ascension Seton Highland Lakes
Metro
Rest of Texas
Median negotiated
$329far below the state median
Your carrier's rate
25th–75th
$329 – $733
Cash
Payers
4
Ascension Seton Edgar B Davis
Metro
Austin
Median negotiated
$329far below the state median
Your carrier's rate
25th–75th
$329 – $733
Cash
Payers
4
Ascension Seton Cedar Park Hospital
Metro
Austin
Median negotiated
$439far below the state median
Your carrier's rate
25th–75th
$329 – $773
Cash
Payers
4
Dell Children S Medical Center
Metro
Austin
Median negotiated
$439far below the state median
Your carrier's rate
25th–75th
$329 – $773
Cash
Payers
4
Pampa Regional Medical Center

Gross charge $2,422

Metro
Rest of Texas
Median negotiated
$542far below the state median
Your carrier's rate
25th–75th
$384 – $918
Cash
$692
Payers
6
Matagorda Regional Medical Center
Metro
Rest of Texas
Median negotiated
$627far below the state median
Your carrier's rate
25th–75th
$481 – $670
Cash
Payers
2
Limestone Medical Center

Gross charge $1,951

Metro
Rest of Texas
Median negotiated
$766far below the state median
Your carrier's rate
25th–75th
$569 – $1,152
Cash
$1,171
Payers
6
Ascension Seton Medical Center Austin
Metro
Austin
Median negotiated
$884far below the state median
Your carrier's rate
25th–75th
$329 – $884
Cash
Payers
12
Ascension Seton Southwest Hospital
Metro
Austin
Median negotiated
$884far below the state median
Your carrier's rate
25th–75th
$329 – $884
Cash
Payers
12
Ascension Seton Northwest Hospital
Metro
Austin
Median negotiated
$884far below the state median
Your carrier's rate
25th–75th
$329 – $884
Cash
Payers
12
Ascension Seton Hays
Metro
Austin
Median negotiated
$884far below the state median
Your carrier's rate
25th–75th
$329 – $884
Cash
Payers
13
Ascension Providence Hospital
Metro
Waco
Median negotiated
$911far below the state median
Your carrier's rate
25th–75th
$540 – $1,251
Cash
Payers
6
Christus Saint Michael Hospital Atlanta
Metro
Rest of Texas
Median negotiated
$922far below the state median
Your carrier's rate
25th–75th
$864 – $1,657
Cash
Payers
21
Christus Santa Rosa Hospital San Marcos
Metro
Austin
Median negotiated
$928far below the state median
Your carrier's rate
25th–75th
$884 – $2,076
Cash
Payers
11
Baylor Scott White Institute for Rehabilitation Dallas

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Advanced Dallas Hospital and Clinics

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Perimeter Behavioral Hospital of Dallas

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Kindred Hospital Dallas Central

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
The Nexus Dallas Children S Hospital

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Knapp Medical Center

Gross charge $12,577

Metro
McAllen–Edinburg–Mission
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$894 – $993
Cash
$929
Payers
21
Baylor Scott White Heart and Vascular Hospital Dallas

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Select Specialty Hospital Dallas Plano

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Dallas Medical Center

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Select Specialty Hospital Dallas Downtown

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Encompass Health Rehabilitation Hospital of Dallas

Gross charge $3,968

Metro
Dallas–Fort Worth
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
16
Lubbock Heart Surgical Hospital

Gross charge $2,548

Metro
Lubbock
Median negotiated
$930far below the state median
Your carrier's rate
25th–75th
$930 – $1,390
Cash
$2,548
Payers
6
Harlingen Medical Center

Gross charge $5,358

Metro
Brownsville–Harlingen
Median negotiated
$985far below the state median
Your carrier's rate
25th–75th
$930 – $1,208
Cash
$929
Payers
13
Vhs Harlingen Hospital Company Llc

Gross charge $5,358

Metro
Brownsville–Harlingen
Median negotiated
$985far below the state median
Your carrier's rate
25th–75th
$930 – $1,208
Cash
$929
Payers
13
William P Clements Jr University Hospital

Gross charge $2,575

Metro
Dallas–Fort Worth
Median negotiated
$1,012far below the state median
Your carrier's rate
25th–75th
$370 – $2,125
Cash
$1,288
Payers
16
Mission Regional Medical Center

Gross charge $8,302

Metro
McAllen–Edinburg–Mission
Median negotiated
$1,020far below the state median
Your carrier's rate
25th–75th
$930 – $1,208
Cash
$929
Payers
10
Christus Santa Rosa Hospital Westover Hills

Gross charge $2,250

Metro
San Antonio
Median negotiated
$1,047far below the state median
Your carrier's rate
25th–75th
$856 – $2,594
Cash
$743
Payers
27
Columbus Community Hospital

Gross charge $1

Metro
Rest of Texas
Median negotiated
$1,060far below the state median
Your carrier's rate
25th–75th
$928 – $1,060
Cash
$1
Payers
1
Houston Physicians Hospital

Gross charge $2,505

Metro
Houston Metro
Median negotiated
$1,092far below the state median
Your carrier's rate
25th–75th
$919 – $1,376
Cash
$2,505
Payers
8
Dallas Regional Medical Center

Gross charge $3,552

Metro
Dallas–Fort Worth
Median negotiated
$1,162far below the state median
Your carrier's rate
25th–75th
$930 – $1,534
Cash
$929
Payers
12
Peterson Regional Medical Center
Metro
Rest of Texas
Median negotiated
$1,367below the state median
Your carrier's rate
25th–75th
$737 – $1,954
Cash
Payers
4
Permian Regional Medical Center Andrews County Ho

Gross charge $3,487

Metro
Rest of Texas
Median negotiated
$1,498below the state median
Your carrier's rate
25th–75th
$1,175 – $2,267
Cash
$1,744
Payers
7
Pam Rehabilitation Hospital of Corpus Christi

Gross charge $3,926

Metro
Corpus Christi
Median negotiated
$1,501below the state median
Your carrier's rate
25th–75th
$858 – $2,945
Cash
$3,926
Payers
20
Post Acute Medical Specialty Hospital Corpus Ch

Gross charge $3,926

Metro
Corpus Christi
Median negotiated
$1,501below the state median
Your carrier's rate
25th–75th
$858 – $2,945
Cash
$3,926
Payers
20
Christus Southeast Texas Saint Elizabeth

Gross charge $3,027

Metro
Beaumont–Port Arthur
Median negotiated
$1,665below the state median
Your carrier's rate
25th–75th
$920 – $2,354
Cash
$999
Payers
28
The Medical Center of Southeast Texas

Gross charge $3,027

Metro
Beaumont–Port Arthur
Median negotiated
$1,665below the state median
Your carrier's rate
25th–75th
$920 – $2,354
Cash
$999
Payers
28
River Crest Hospital
Metro
Rest of Texas
Median negotiated
$1,712below the state median
Your carrier's rate
25th–75th
$1,395 – $2,140
Cash
Payers
9
Shannon Medical Center
Metro
Rest of Texas
Median negotiated
$1,712below the state median
Your carrier's rate
25th–75th
$1,395 – $2,140
Cash
Payers
9
Nocona General Hospital

Gross charge $2,406

Metro
Rest of Texas
Median negotiated
$1,718below the state median
Your carrier's rate
25th–75th
$1,451 – $2,016
Cash
$28
Payers
6
Texas Health Heart Vascular Hospital Arlington

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$1,928below the state median
Your carrier's rate
25th–75th
$1,057 – $2,637
Cash
$1,899
Payers
14
Texas Health Arlington Memorial

Gross charge $3,031

Metro
Dallas–Fort Worth
Median negotiated
$1,994below the state median
Your carrier's rate
25th–75th
$1,219 – $2,628
Cash
$1,818
Payers
15
Texas Health Center for Diagnostics Surgery

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$1,994below the state median
Your carrier's rate
25th–75th
$1,290 – $2,637
Cash
$1,899
Payers
15
Texas Health Harris Methodist Hurst Euless Bedford

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$1,994below the state median
Your carrier's rate
25th–75th
$1,140 – $2,754
Cash
$1,899
Payers
15
Texas Health Presbyterian Hospital Dallas

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,034below the state median
Your carrier's rate
25th–75th
$1,374 – $2,637
Cash
$1,899
Payers
15
Texas Health Denton

Gross charge $3,098

Metro
Dallas–Fort Worth
Median negotiated
$2,034below the state median
Your carrier's rate
25th–75th
$1,374 – $2,637
Cash
$1,859
Payers
14
Texas Health Plano

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,097below the state median
Your carrier's rate
25th–75th
$1,289 – $2,754
Cash
$1,899
Payers
15
Texas Health Harris Methodist Hospital Southlake

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,097below the state median
Your carrier's rate
25th–75th
$1,351 – $2,754
Cash
$1,899
Payers
14
Texas Health Flower Mound

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,097below the state median
Your carrier's rate
25th–75th
$1,351 – $2,754
Cash
$1,899
Payers
14
Texas Health Alliance

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,097below the state median
Your carrier's rate
25th–75th
$1,289 – $2,754
Cash
$1,899
Payers
14
Texas Health Frisco

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,097below the state median
Your carrier's rate
25th–75th
$1,289 – $2,754
Cash
$1,899
Payers
15
Texas Health Harris Methodist Hospital Southwest F

Gross charge $3,098

Metro
Dallas–Fort Worth
Median negotiated
$2,108below the state median
Your carrier's rate
25th–75th
$1,374 – $2,638
Cash
$1,859
Payers
14
Texas Health Harris Methodist Fort Worth

Gross charge $3,098

Metro
Dallas–Fort Worth
Median negotiated
$2,108below the state median
Your carrier's rate
25th–75th
$1,374 – $2,638
Cash
$1,859
Payers
14
Texas Health Azle

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,219below the state median
Your carrier's rate
25th–75th
$1,488 – $2,754
Cash
$1,899
Payers
14
Texas Health Kaufman

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,219below the state median
Your carrier's rate
25th–75th
$1,488 – $2,777
Cash
$1,899
Payers
15
Texas Health Harris Methodist Hospital Stephenvill

Gross charge $3,165

Metro
Rest of Texas
Median negotiated
$2,219below the state median
Your carrier's rate
25th–75th
$1,488 – $2,785
Cash
$1,899
Payers
14
Texas Health Cleburne

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,219below the state median
Your carrier's rate
25th–75th
$1,488 – $2,777
Cash
$1,899
Payers
14
Texas Health Presbyterian Hospital Allen

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,219below the state median
Your carrier's rate
25th–75th
$1,289 – $2,754
Cash
$1,899
Payers
15
Medical City Arlington
Metro
Dallas–Fort Worth
Median negotiated
$2,247about the state median
Your carrier's rate
25th–75th
$1,948 – $3,016
Cash
Payers
12
Falls Community Hospital and Clinic

Gross charge $3,279

Metro
Waco
Median negotiated
$2,295above the state median
Your carrier's rate
25th–75th
$831 – $2,623
Cash
$2,623
Payers
6
Baylor Scott White Medical Center Marble Falls

Gross charge $3,279

Metro
Rest of Texas
Median negotiated
$2,295above the state median
Your carrier's rate
25th–75th
$831 – $2,623
Cash
$2,623
Payers
6
Medical City Lewisville
Metro
Dallas–Fort Worth
Median negotiated
$2,343above the state median
Your carrier's rate
25th–75th
$1,795 – $2,756
Cash
Payers
12
Pam Health Rehabilitation Hospital of Beaumont

Gross charge $3,138

Metro
Beaumont–Port Arthur
Median negotiated
$2,353above the state median
Your carrier's rate
25th–75th
$2,353 – $2,471
Cash
$3,138
Payers
7
Pam Health Rehabilitation Hospital of Clear Lake

Gross charge $3,141

Metro
Houston Metro
Median negotiated
$2,356above the state median
Your carrier's rate
25th–75th
$1,272 – $2,434
Cash
$3,141
Payers
11
Medical City Plano
Metro
Dallas–Fort Worth
Median negotiated
$2,356above the state median
Your carrier's rate
25th–75th
$1,826 – $3,016
Cash
Payers
11
Medical City Mental Health and Wellness Center Frisco
Metro
Dallas–Fort Worth
Median negotiated
$2,356above the state median
Your carrier's rate
25th–75th
$1,917 – $3,016
Cash
Payers
10
Medical City Green Oaks Hospital
Metro
Dallas–Fort Worth
Median negotiated
$2,356above the state median
Your carrier's rate
25th–75th
$2,214 – $4,926
Cash
Payers
3
Medical City Las Colinas Hospital
Metro
Dallas–Fort Worth
Median negotiated
$2,356above the state median
Your carrier's rate
25th–75th
$1,758 – $2,756
Cash
Payers
10
Medical City Weatherford Hospital
Metro
Dallas–Fort Worth
Median negotiated
$2,356above the state median
Your carrier's rate
25th–75th
$1,665 – $2,756
Cash
Payers
8
Baylor Scott White Surgical Hospital at Sherman

Gross charge $1,928

Metro
Rest of Texas
Median negotiated
$2,370above the state median
Your carrier's rate
25th–75th
$1,673 – $3,228
Cash
$1,157
Payers
2
Baylor Scott White Medical Center Sunnyvale

Gross charge $4,333

Metro
Dallas–Fort Worth
Median negotiated
$2,370above the state median
Your carrier's rate
25th–75th
$2,226 – $3,006
Cash
$2,600
Payers
2
Medical City Denton Hospital
Metro
Dallas–Fort Worth
Median negotiated
$2,425above the state median
Your carrier's rate
25th–75th
$2,127 – $3,016
Cash
Payers
12
Hca Houston Healthcare Medical Center
Metro
Houston Metro
Median negotiated
$2,434above the state median
Your carrier's rate
25th–75th
$2,085 – $2,876
Cash
Payers
10
Hca Houston Healthcare Kingwood
Metro
Houston Metro
Median negotiated
$2,434above the state median
Your carrier's rate
25th–75th
$2,030 – $2,900
Cash
Payers
13
Medical City Dallas Hospital
Metro
Dallas–Fort Worth
Median negotiated
$2,435above the state median
Your carrier's rate
25th–75th
$1,719 – $3,016
Cash
Payers
12
Hca Houston Healthcare Clear Lake
Metro
Houston Metro
Median negotiated
$2,444above the state median
Your carrier's rate
25th–75th
$2,081 – $2,931
Cash
Payers
15
Methodist Mansfield Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Richardson Medical Center Campus for Continuing Care
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Charlton Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Celina Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Hospital
Metro
San Antonio
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Southlake Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Hospital Stone Oak Rehabilitation Center
Metro
San Antonio
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,530 – $3,031
Cash
Payers
14
Methodist Midlothian Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Richardson Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,505 – $3,031
Cash
Payers
14
Methodist Stone Oak Hospital
Metro
San Antonio
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,530 – $3,031
Cash
Payers
14
Methodist Hospital Atascosa
Metro
San Antonio
Median negotiated
$2,449above the state median
Your carrier's rate
25th–75th
$1,548 – $3,031
Cash
Payers
13
Medical City Surgical Hospital Alliance
Metro
Dallas–Fort Worth
Median negotiated
$2,459above the state median
Your carrier's rate
25th–75th
$1,963 – $2,756
Cash
Payers
10
Hill Country Memorial Hospital
Metro
Rest of Texas
Median negotiated
$2,461above the state median
Your carrier's rate
25th–75th
$1,548 – $3,041
Cash
Payers
7
Medical City North Hills
Metro
Dallas–Fort Worth
Median negotiated
$2,467above the state median
Your carrier's rate
25th–75th
$1,894 – $2,756
Cash
Payers
11
Medical City Fort Worth Hospital
Metro
Dallas–Fort Worth
Median negotiated
$2,486above the state median
Your carrier's rate
25th–75th
$2,124 – $3,016
Cash
Payers
12
Texas Orthopedic Hospital
Metro
Houston Metro
Median negotiated
$2,493above the state median
Your carrier's rate
25th–75th
$2,034 – $3,369
Cash
Payers
12
Children S Medical Center Plano

Gross charge $3,570

Metro
Dallas–Fort Worth
Median negotiated
$2,535above the state median
Your carrier's rate
25th–75th
$2,356 – $2,678
Cash
$2,678
Payers
24
Children S Medical Center Dallas

Gross charge $3,570

Metro
Dallas–Fort Worth
Median negotiated
$2,535above the state median
Your carrier's rate
25th–75th
$2,356 – $2,678
Cash
$2,678
Payers
24
Hendrick Medical Center Brownwood

Gross charge $3,667

Metro
Rest of Texas
Median negotiated
$2,604above the state median
Your carrier's rate
25th–75th
$2,348 – $3,117
Cash
$3,667
Payers
6
Texas Health Specialty Hospital Fort Worth

Gross charge $3,165

Metro
Dallas–Fort Worth
Median negotiated
$2,659above the state median
Your carrier's rate
25th–75th
$2,247 – $2,785
Cash
$1,899
Payers
9
Citizens Medical Center

Gross charge $4,272

Metro
Rest of Texas
Median negotiated
$2,662above the state median
Your carrier's rate
25th–75th
$1,480 – $2,836
Cash
$2,136
Payers
8
Rio Grande State Center
Metro
Brownsville–Harlingen
Median negotiated
$2,699above the state median
Your carrier's rate
25th–75th
$1,879 – $4,104
Cash
Payers
11
Rio Grande Regional Hospital
Metro
McAllen–Edinburg–Mission
Median negotiated
$2,699above the state median
Your carrier's rate
25th–75th
$1,879 – $4,104
Cash
Payers
11
Pam Health Rehabilitation Hospital of Houston Heights

Gross charge $3,728

Metro
Houston Metro
Median negotiated
$2,796above the state median
Your carrier's rate
25th–75th
$2,796 – $2,796
Cash
$3,728
Payers
5
Pam Health Rehabilitation Hospital of El Paso

Gross charge $3,728

Metro
El Paso
Median negotiated
$2,796above the state median
Your carrier's rate
25th–75th
$2,703 – $2,796
Cash
$3,728
Payers
6
Hendrick Medical Center

Gross charge $6,596

Metro
Rest of Texas
Median negotiated
$2,902above the state median
Your carrier's rate
25th–75th
$1,909 – $4,452
Cash
$6,596
Payers
10
Las Palmas Medical Center
Metro
El Paso
Median negotiated
$2,989above the state median
Your carrier's rate
25th–75th
$1,604 – $3,817
Cash
Payers
9
Valley Regional Medical Center
Metro
Brownsville–Harlingen
Median negotiated
$2,993above the state median
Your carrier's rate
25th–75th
$1,894 – $4,650
Cash
Payers
11
Driscoll Children S Hospital Rio Grande Valley
Metro
McAllen–Edinburg–Mission
Median negotiated
$2,993above the state median
Your carrier's rate
25th–75th
$1,894 – $4,650
Cash
Payers
11
Post Acute Medical Specialty Hospital of Texarkana

Gross charge $4,146

Metro
Rest of Texas
Median negotiated
$3,109above the state median
Your carrier's rate
25th–75th
$3,109 – $3,317
Cash
$4,146
Payers
10
Pam Health Specialty Hospital of San Antonio Medical Center

Gross charge $4,083

Metro
San Antonio
Median negotiated
$3,164above the state median
Your carrier's rate
25th–75th
$3,062 – $3,420
Cash
$4,083
Payers
10
Pam Health Specialty Hospital of San Antonio

Gross charge $4,083

Metro
San Antonio
Median negotiated
$3,164above the state median
Your carrier's rate
25th–75th
$3,062 – $3,420
Cash
$4,083
Payers
10
Pam Specialty Hospital of San Antonio Medical Cen

Gross charge $4,083

Metro
San Antonio
Median negotiated
$3,164above the state median
Your carrier's rate
25th–75th
$3,062 – $3,420
Cash
$4,083
Payers
10
Pam Health Rehabilitation Hospital of Allen

Gross charge $4,285

Metro
Dallas–Fort Worth
Median negotiated
$3,214above the state median
Your carrier's rate
25th–75th
$3,214 – $3,481
Cash
$4,285
Payers
8
Round Rock Medical Center
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
St David S Rehabilitation Hospital
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
North Austin Medical Center
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,256 – $3,623
Cash
Payers
14
St David S Georgetown Hospital
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
Encompass Health Rehabilitation Hospital of Round Rock
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
St David S Medical Center
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
Cornerstone Specialty Hospitals Round Rock
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
Pam Health Rehabilitation Hospital of Round Rock
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
St David S Children S Hospital
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
St David S North Austin Medical Center
Metro
Austin
Median negotiated
$3,230above the state median
Your carrier's rate
25th–75th
$2,375 – $3,623
Cash
Payers
14
Pam Rehabilitation Hospital of Victoria

Gross charge $4,561

Metro
Rest of Texas
Median negotiated
$3,420above the state median
Your carrier's rate
25th–75th
$3,420 – $3,705
Cash
$4,561
Payers
8
Pam Health Specialty Hospital of Victoria North

Gross charge $4,578

Metro
Rest of Texas
Median negotiated
$3,433above the state median
Your carrier's rate
25th–75th
$3,433 – $3,662
Cash
$4,578
Payers
13
North Central Surgical Center Hospital

Gross charge $3,066

Metro
Dallas–Fort Worth
Median negotiated
$3,833above the state median
Your carrier's rate
25th–75th
$2,829 – $4,193
Cash
$1,840
Payers
3
Baylor Surgical Hospital at Las Colinas

Gross charge $1,533

Metro
Dallas–Fort Worth
Median negotiated
$3,833above the state median
Your carrier's rate
25th–75th
$2,829 – $4,193
Cash
$920
Payers
3
Baylor Scott White Medical Center Trophy Club

Gross charge $1,346

Metro
Dallas–Fort Worth
Median negotiated
$3,886above the state median
Your carrier's rate
25th–75th
$2,843 – $4,651
Cash
$808
Payers
3
United Regional Health Care System

Gross charge $6,877

Metro
Rest of Texas
Median negotiated
Your carrier's rate
25th–75th
Cash
$6,533
Payers
Coon Memorial Hospital

Gross charge $1,136

Metro
Rest of Texas
Median negotiated
Your carrier's rate
25th–75th
Cash
$1,136
Payers

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Prices by metro: Houston MetroDallas–Fort WorthSan AntonioAustinEl PasoMcAllen–Edinburg–MissionCorpus ChristiLubbockBeaumont–Port ArthurBrownsville–HarlingenWacoRest of Texas

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 Texas?

Across 133 Texas hospitals that publish a commercial negotiated rate, the median is $2,247. The middle half of hospitals fall between $1,012 and $2,493 — 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. Texas hospitals publish negotiated rates for Colonoscopy, Diagnostic under 195 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 Texas hospitals is $1,899. 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.