Average Screening Colonoscopy High Risk cost
20 hospitals in Virginia and North Carolina publish prices for this procedure. Here's what we found.
Average and range computed from cash prices each hospital publishes under the federal hospital price transparency rule (45 CFR 180.50). Insurance-negotiated rates vary by plan; see hospital pages for the per-plan rates.
How much this varies
20 hospitals across 2 states publish prices for this procedure. Because costs, quality, and insurance networks vary by market, pick your state below to see what hospitals in your area charge.
Which colonoscopy code applies?
Colonoscopy is billed under several different codes depending on who covers it and why it's being done. The code on your bill is determined by your provider at the time of service. Here's what each code means.
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Covered under Medicare. The procedure is preventive — no symptoms, no family history of colon cancer, no prior polyps, no inflammatory bowel disease.
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G0105 Medicare screening colonoscopy, high risk (this page)
Covered under Medicare. The procedure is preventive but Medicare considers the patient high-risk — family history of colon cancer, personal history of polyps, or inflammatory bowel disease.
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45378 Diagnostic colonoscopy
Commercial insurance or self-pay. The procedure is being performed because of symptoms — bleeding, persistent abdominal pain, unexplained weight loss, anemia — not as a preventive screen.
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45380 Colonoscopy with biopsy
Any insurance. During the colonoscopy, the provider sampled tissue for the pathology lab. The biopsy and pathology read are usually billed as separate line items in addition to this code.
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Any insurance. During the colonoscopy, the provider removed one or more polyps. Pathology on the removed polyps is usually billed as a separate line item.
Important: A procedure that begins as a screening can be billed as a diagnostic if the provider finds polyps or other tissue requiring biopsy or removal during the scope. The code on your bill reflects what was actually done, not what was originally scheduled. This is a common reason a quoted screening price doesn't match the final bill.
Observations about coding conventions, sourced to CMS and AMA code definitions. Not medical advice. Not legal advice.
Screening test prices vary because most insurance plans are required to cover preventive screenings at no cost to you — but only when they're coded as preventive. If your doctor codes the same test as diagnostic (for example, following up on a concerning symptom), you may owe the full negotiated rate. Hospitals also price screenings differently based on whether they're done at the hospital itself, an outpatient clinic, or a mobile screening unit. Before you schedule, ask your doctor how the test will be coded, confirm with your insurance that it will be covered as preventive, and ask the facility whether they offer a cash price if you'd prefer to avoid an insurance claim entirely.
Pricing by state
Prices vary by state. Select your state to see hospitals near you.
Where do you need this done?
Select your area and we'll show you every hospital's price, quality rating, and insurance rate.
Don't see your area? We're expanding to new cities. In the meantime, these prices can still help — call your hospital's billing department and ask: "What is your cash price for screening colonoscopy high risk?" Then compare it to the range above.
Related screening procedures
Other procedures in the same category, with their own published-price comparisons.
Common questions
How much does screening colonoscopy high risk cost?
Prices vary significantly by state. Pick your state below to see the range in your market. Across the 2 states we cover, 20 hospitals publish prices for this procedure. Prices also vary by insurance plan and whether you pay cash or use insurance.
Which hospital is cheapest for screening colonoscopy high risk?
The cheapest hospital depends on where you live. Prices vary significantly between markets, and most patients can't realistically travel across states for a procedure. Select your state and city above to see the lowest-priced hospitals near you.
Why do hospitals charge different prices for the same screening colonoscopy high risk?
Hospital prices vary based on ownership type, location, negotiated insurance rates, and facility overhead. The CMS Hospital Price Transparency Rule requires every hospital to publish all prices, making these differences visible for the first time.
Data compiled by HospitalCost from 17 federal sources including CMS Hospital Price Transparency files, Hospital Compare, HCAHPS, and Medicare Cost Reports. Updated April 2026.