Surgery and procedures CPT 45391 Outpatient

Colonoscopy with ultrasound cost in Cleveland, OH

In Cleveland, OH, 12 hospitals list a cash price for colonoscopy with endoscopic ultrasound: from $966.70 to $3,525.60, with a median of $3,201.00. The lowest listed price is at Metrohealth System — $2,234.30 less than the median here. Across Ohio, the median is $3,130.93 at 38 hospitals.

  • The median here, $3,201.00, is 53% above the US median of $2,097.43.
  • That is 2.6× Medicare's 2026 national rate for the same service ($1,222.56).
  • Every hospital here lists a cash price below its full list price.

Cash prices at 12 facilities across 9 cities for code 45391, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$966.70Metrohealth System
Median$3,201.00half of hospitals charge less
Highest$3,525.60in this market
Difference3.6×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 $966.70Highest $3,525.60

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Hc Colonoscopy W/Endoscopic U/S File of Apr 1, 2026 · source file $966.70 $2,762.00 — 65%
University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,018.75 $4,025.00 $1,247.75–$4,025.00 25%
Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,018.75 $4,025.00 $805.00–$3,815.70 25%
UH Regional Hospitals Chardon, OH · (440) 285-6246 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,113.95–$3,841.20 25%
University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,132.12–$3,841.20 25%
UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)+1 more line at this price File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,132.12–$3,841.20 25%
Parma Community General Hospital Parma, OH · (440) 743-3000 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,132.12–$3,841.20 25%
UH St John Medical Center Westlake, OH · (440) 835-8000 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,045.66–$3,841.20 25%
University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $943.23–$3,963.00 25%
Lake West Hospital Willoughby, OH · (440) 953-9600 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,132.12–$3,841.20 25%
University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) File of Jul 14, 2026 · source file $3,201.00 $4,268.00 $1,132.12–$3,841.20 25%
The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX File of Jun 16, 2026 · source file $3,525.60 $5,424.00 $298.08–$6,112.00 35%
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

Outpatient: lowest $966.70, median $3,201.00, highest $3,525.60 — a 3.6× difference within the same market.

As an inpatient, the same code is billed by 12 facilities here, median $3,201.00. 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 11 of 11 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.