Colonoscopy with ultrasound cost in Boston, MA
In Boston-Cambridge-Newton, MA-NH, 11 hospitals list a cash price for colonoscopy with endoscopic ultrasound: from $787.95 to $4,044.00, with a median of $1,825.00. The lowest listed price is at Boston Medical Center Brighton and 1 other hospital — $1,037.05 less than the median here. Across Massachusetts, the median is $2,652.50 at 16 hospitals.
- The median here, $1,825.00, is 13% below the US median of $2,097.43.
- That is 1.5× Medicare's 2026 national rate for the same service ($1,222.56).
- 5 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 6 cities for code 45391, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Jan 28, 2026 and May 18, 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 Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Boston Medical Center Brighton lowest Boston, MA · (617) 789-3000 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux File of Mar 13, 2026 · source file | $787.95 | $1,751.00 | $475.07–$1,929.98 | 55% |
| Boston Medical Center South lowest Brockton, MA · (508) 427-3000 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux File of Mar 13, 2026 · source file | $787.95 | $1,751.00 | $394.86–$2,151.17 | 55% |
| Emerson Hospital Concord, MA · (978) 369-1400 COLONOSCOPY W/ENDOSCOPE US (S) File of May 18, 2026 · source file | $1,296.68 | $1,728.90 | $1,103.87–$2,401.29 | 25% |
| Emerson Hospital Concord, MA · (978) 369-1400 COLONOSCOPY W/ENDOSCOPE US (P) File of May 18, 2026 · source file | $1,728.91 | $2,305.21 | $1,103.87–$2,401.29 | 25% |
| Tufts Medical Center Boston, MA · (617) 636-5000 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Stru File of Apr 1, 2026 · source file | $1,775.20 | $2,536.00 | $665.95–$2,536.00 | 30% |
| Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 COLONOSCOPY; W/ENDOSCOPY US File of Jan 28, 2026 · source file | $1,787.10 | $2,553.00 | $944.61–$3,672.00 | 30% |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Colonoscopy W/ Eus File of Mar 20, 2026 · source file | $1,825.00 | $1,825.00 | $208.52–$1,825.00 | — |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux File of Mar 13, 2026 · source file | $1,973.70 | $4,386.00 | $431.24–$3,728.10 | 55% |
| Winchester Hospital Winchester, MA · (781) 729-9000 HC COLONOSCOPY FLEX W ENDO US LMTD RTM SIGM DC TC AC CECUM File of Apr 1, 2026 · source file | $2,101.00 | $2,101.00 | — | — |
| New England Baptist Hospital Boston, MA · (617) 754-5800 HC COLONOSCOPY FLEX W ENDO US LMTD RTM SIGM DC TC AC CECUM File of Apr 1, 2026 · source file | $3,340.00 | $3,340.00 | — | — |
| Beth Israel Deaconess Medical Center Boston, MA · (617) 667-7000 HC COLONOSCOPY FLEX W ENDO US LMTD RTM SIGM DC TC AC CECUM File of Apr 1, 2026 · source file | $3,491.00 | $3,491.00 | — | — |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · (781) 744-5100 HC COLONOSCOPY FLEX W ENDO US LMTD RTM SIGM DC TC AC CECUM File of Apr 1, 2026 · source file | $4,044.00 | $4,044.00 | — | — |
Outpatient: lowest $787.95, median $1,825.00, highest $4,044.00 — a 5.1× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $1,825.00. 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 6 of 7 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.