Surgery and procedures CPT 45391 Outpatient

Colonoscopy with endoscopic ultrasound in Cleveland, OH

In Cleveland, OH, 3 hospitals list a cash price for Colonoscopy with endoscopic ultrasound: from $345.80 to $4,916.75, with a median of $2,246.15. The lowest listed price is at Metrohealth System.

Cash prices at 3 facilities across 2 cities for code 45391, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jun 16, 2026.

Lowest$345.80Metrohealth System
Median$2,246.15half pay less
Highest$4,916.75in this market
Difference14.2×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 Cleveland, OH.

median
Lowest $345.80Highest $4,916.75

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Metrohealth System lowest Cleveland, OH Colonoscopy, Flexible, Proximal To Splenic Flexure; W/Endoscopic Us Exam $345.80 $988.00 65% Apr 1, 2026
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Metrohealth System Cleveland, OH Hc Colonoscopy W/Endoscopic U/S $966.70 $2,762.00 65% Apr 1, 2026
source file
The Cleveland Clinic Foundation Cleveland, OH COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $3,525.60 $5,424.00 35% Jun 16, 2026
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Summa Health System Akron, OH Hc Gi Colonoscopy W/Endoscope Us $4,916.75 $4,916.75 Apr 1, 2026
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Outpatient: lowest $345.80, median $2,246.15, highest $4,916.75 — a 14.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $2,246.15. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

What it is

This procedure combines a colonoscopy with an endoscopic ultrasound, using a special scope with an ultrasound probe on the tip. It shows the layers of the bowel wall and nearby structures, and is used to look at growths or how deep a tumor reaches.

What the price covers

The facility price covers the procedure room and recovery. The specialist's fee, anesthesia and any pathology are usually billed separately.