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I need a colonoscopy

A preventive screening colonoscopy.

Typical US price before insurance

$2,514

$1,486typical range$3,894

This is an allowed amount — the price actually negotiated with insurers, not the inflated list price. Source: Health Care Cost Institute — HealthPrices.org (2021–2022 vintage (HCCI does not publish the exact data year)).

As ACA preventive care, a screening colonoscopy is often covered at no cost to you — but if a polyp is removed it can be reclassified as diagnostic and billed.

What Medicare pays for the same care $1,115

Private insurers pay 2.3× what Medicare pays for this.

All-in: $950 to the hospital plus $165 to the doctor (OPPS/APC, 2024). Divide the two figures above and you get our ratio — check our arithmetic. Source: CMS.

What you'd actually pay

Your coverage

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Where you live

Your state

$2,514

The national average price.

State prices from RAND's hospital price study — how much your state's hospitals charge private insurers relative to Medicare. This is a statewide price level, not a per-procedure state price. Maryland isn't shown: it sets hospital rates for all payers, so the comparison doesn't apply there.

This is an estimate, not a bill. It applies published average deductibles and a 20% coinsurance (KFF's measured average for a hospital admission) to a national average price. Your actual plan, hospital and diagnosis will move this number. Not medical or financial advice.