Colonoscopy cost in Gadsden, AL
In Gadsden, AL, 2 hospitals list a cash price for colonoscopy, diagnostic: from $830.00 to $3,481.49, with a median of $2,155.75. The lowest listed price is at Riverview Regional Medical Center — $1,325.75 less than the median here. Across Alabama, the median is $2,431.51 at 19 hospitals.
Cash prices at 2 facilities for code 45378, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Gadsden, AL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Riverview Regional Medical Center lowest Gadsden, AL · (256) 543-5200 Hc Colonoscopy,Diagnostic | $830.00 | $3,850.35 | $325.58–$3,850.35 | 78% | Sep 1, 2026 source file |
| Riverview Regional Medical Center lowest Gadsden, AL · (256) 543-5200 Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068 | $830.00 | $3,850.35 | $325.58–$3,850.35 | 78% | Sep 1, 2026 source file |
| Riverview Regional Medical Center lowest Gadsden, AL · (256) 543-5200 Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071 | $830.00 | $3,850.35 | $325.58–$3,850.35 | 78% | Sep 1, 2026 source file |
| Gadsden Regional Medical Center Gadsden, AL · (256) 494-4000 DIAGNOSTIC COLONOSCOPY | $3,481.49 | $29,012.39 | $294.47–$24,660.53 | 88% | Apr 1, 2026 source file |
Outpatient: lowest $830.00, median $2,155.75, highest $3,481.49 — a 4.2× difference within the same market.
Cash or insurance?
At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
A colonoscopy uses a long, flexible camera to look at the inside of the entire colon (large intestine). The diagnostic version, with no tissue taken, is used to look into symptoms like bleeding or changes in bowel habits and is also used for screening.
What the price covers
The facility price covers the procedure room and recovery. The gastroenterologist's fee, anesthesia and the bowel-prep medicine are usually billed or bought separately.