Surgery and procedures CPT 45391 Outpatient

Colonoscopy with endoscopic ultrasound in Omaha, NE-IA

In Omaha, NE-IA, 5 hospitals list a cash price for Colonoscopy with endoscopic ultrasound: from $352.31 to $1,215.00, with a median of $779.94. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa.

Cash prices at 5 facilities across 4 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 Feb 14, 2026 and Aug 10, 2026.

Lowest$352.31Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Median$779.94half pay less
Highest$1,215.00in this market
Difference3.4×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 Omaha, NE-IA.

median
Lowest $352.31Highest $1,215.00

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa lowest Missouri Valley, IA PC COLONOSCOPY W ENDO US $352.31 $719.00 51% Feb 28, 2026
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Bellevue Medical Center LLC Bellevue, NE Ultrasound exam of large bowel using a flexible endoscope $547.37 $842.10 35% Aug 10, 2026
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Nebraska Medical Center Omaha, NE Ultrasound exam of large bowel using a flexible endoscope $547.37 $842.10 35% Aug 10, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA END-Colonoscopy/ultrasound $1,012.50 $3,375.00 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE END-Colonoscopy/ultrasound $1,215.00 $3,375.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE END-Colonoscopy/ultrasound $1,215.00 $3,375.00 64% Feb 14, 2026
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Outpatient: lowest $352.31, median $779.94, highest $1,215.00 — a 3.4× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $1,113.75. 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.