Surgery and procedures CPT 45391 Outpatient

Colonoscopy with ultrasound cost in Atlanta, GA

In Atlanta-Sandy Springs-Roswell, GA, 17 hospitals list a cash price for colonoscopy with endoscopic ultrasound: from $1,270.35 to $3,599.00, with a median of $1,411.50. The lowest listed price is at Piedmont Rockdale and 7 other hospitals — $141.15 less than the median here. Across Georgia, the median is $1,411.50 at 24 hospitals.

  • The median here, $1,411.50, is 33% below the US median of $2,097.43.
  • That is 1.2× Medicare's 2026 national rate for the same service ($1,222.56).
  • 7 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 17 facilities across 13 cities for code 45391, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 1, 2026.

Lowest$1,270.35Piedmont Rockdale + 7 more
Median$1,411.50half of hospitals charge less
Highest$3,599.00in this market
Difference2.8×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Atlanta-Sandy Springs-Roswell, GA.

median
Lowest $1,270.35Highest $3,599.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Piedmont Rockdale lowest Conyers, GA · (770) 918-3000 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $509.83–$4,234.50 70%
Piedmont Walton lowest Monroe, GA · (770) 267-8461 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $398.89–$4,234.50 70%
Piedmont Newnan lowest Newnan, GA · (770) 400-2300 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $398.89–$4,234.50 70%
Piedmont Mountainside lowest Jasper, GA · (706) 692-2441 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $459.87–$4,234.50 70%
Piedmont Atlanta lowest Atlanta, GA · (404) 605-5000 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $507.29–$4,234.50 70%
Piedmont Fayette lowest Fayetteville, GA · (770) 719-7000 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $409.48–$4,234.50 70%
Piedmont Henry lowest Stockbridge, GA · (678) 604-1000 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $359.09–$4,234.50 70%
Piedmont Newton lowest Covington, GA · (770) 786-7053 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,270.35 $4,234.50 $434.46–$4,234.50 70%
Piedmont Eastside Snellville, GA · (770) 979-0200 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,411.50 $4,705.00 $917.48–$4,705.00 70%
Piedmont Cartersville Cartersville, GA · (470) 490-1000 HC Colonoscopy W Eus Exam File of Jul 1, 2026 · source file $1,411.50 $4,705.00 $554.25–$4,705.00 70%
Emory University Hospital Midtown Atlanta, GA · (404) 686-2450 Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
Emory Johns Creek Hospital Johns Creek, GA · (678) 474-7000 Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
Emory Decatur Hospital Decatur, GA · (404) 501-1000 Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
Emory Hillandale Hospital Lithonia, GA · (404) 501-8040 Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
Saint Josephs Hospital of Atlanta Atlanta, GA · (678) 843-7001 Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
DeKalb Medical at Decatur Decatur, GA Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
Emory University Hospital Atlanta, GA · (404) 686-8500 Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) File of Apr 1, 2026 · source file $3,599.00 $3,599.00 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $1,270.35, median $1,411.50, highest $3,599.00 — a 2.8× difference within the same market.

As an inpatient, the same code is billed by 17 facilities here, median $1,411.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 10 of 10 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 colonoscopy with ultrasound is, what the price covers and why prices differ: Colonoscopy with ultrasound explained.