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Cash prices California Outpatient

Colonoscopy cost in California without insurance

In California, the median cash price for Colonoscopy is $2,080.00 across 103 hospitals, from $286.50 to $7,000.00. The lowest is at Pioneers Memorial Hospital (Brawley). The US median is $1,808.00.

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

A colonoscopy examines the whole colon with a flexible camera, and one procedure usually produces several bills: the facility, the gastroenterologist, anesthesia, and pathology if tissue is removed. The key price detail is that a planned exam can become a biopsy (45380) or polyp removal (45385) during the procedure, which changes the code and adds a pathology charge.

Collected Nov 8, 2026 One price per hospital: its lowest outpatient cash price for the code

Colonoscopy prices in California by type

45378 is a diagnostic colonoscopy with nothing removed and is used in the state table; 45380 adds biopsies and 45385 adds polyp removal with a snare. G0121 and G0105 are Medicare screening codes for average-risk and high-risk patients, 45330 is a flexible sigmoidoscopy of the lower colon only, and 82274 is the at-home stool test (FIT).

ProcedureHospitalsRangeMedianUS median
Colonoscopy Colonoscopy, diagnostic · code 45378 103 $286.50–$7,000.00 $2,080.00 $1,808.00
Colonoscopy with biopsy Colonoscopy with tissue sample · code 45380 81 $498.00–$61,772.00 $2,325.95 $1,928.58
Colonoscopy with polyp removal Colonoscopy with polyp removal · code 45385 79 $460.75–$61,772.00 $2,288.00 $2,074.75
Screening colonoscopy Screening colonoscopy for a person at average risk (Medicare code) · code G0121 69 $313.00–$4,976.81 $2,366.00 $1,658.13
High-risk screening colonoscopy Screening colonoscopy, high risk of colorectal cancer (Medicare code) · code G0105 70 $369.00–$8,744.40 $2,407.77 $1,676.50
Sigmoidoscopy Flexible sigmoidoscopy, diagnostic (lower colon only) · code 45330 99 $183.09–$8,744.40 $1,829.60 $1,203.93
FIT stool test Stool test for hidden blood by immunoassay (FIT) · code 82274 181 $7.50–$385.27 $48.95 $53.38
Stool blood test (FOBT) Stool test for hidden blood (guaiac FOBT) · code 82270 198 $3.30–$745.88 $39.00 $26.48
Procedure The service and its billing code (CPT or HCPCS). Opens the comparison of every hospital that prices it. More
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Middle 80% Cash prices of most hospitals: a tenth of hospitals charge less than the first number (P10), a tenth charge more than the second (P90). More
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
US median The median cash price across all US hospitals that publish one for this code.

Outpatient cash prices in California. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.

Lowest Colonoscopy prices in California

Colonoscopy cost by metro area in California

Colonoscopy cost in other states

Paying cash: what to do

  • Ask for a self-pay quote that covers the facility, the gastroenterologist and anesthesia, and ask which of them bill separately.
  • Ask for prices for 45380 and 45385 as well, since no one knows in advance whether a biopsy or polyp removal will be needed.
  • Ambulatory surgery centers often charge less than hospital outpatient departments for the same colonoscopy, so ask the gastroenterologist where they perform it.