Colonoscopy with ultrasound cost in Roanoke, VA
In Roanoke, VA, 4 hospitals list a cash price for colonoscopy with endoscopic ultrasound: from $1,462.65 to $1,484.35, with a median of $1,462.65. The lowest listed price is at Carilion Franklin Memorial Hospital and 2 other hospitals. Across Virginia, the median is $1,462.65 at 6 hospitals.
Cash prices at 4 facilities across 2 cities for code 45391, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Roanoke, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Carilion Franklin Memorial Hospital lowest Rocky Mt, VA HB COLONOSCOPY FLEX W/ENDO US | $1,462.65 | $4,179.00 | $226.47–$5,863.57 | 65% | — source file |
| Carilion Medical Center doing business as Carilion Roanoke Community Hospital lowest Roanoke, VA HB COLONOSCOPY FLEX W/ENDO US | $1,462.65 | $4,179.00 | $226.47–$4,355.55 | 65% | — source file |
| Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital lowest Roanoke, VA HB COLONOSCOPY FLEX W/ENDO US | $1,462.65 | $4,179.00 | $226.47–$4,355.55 | 65% | — source file |
| Carilion Giles Community Hospital Roanoke, VA HB COLONOSCOPY FLEX W/ENDO US | $1,484.35 | $4,241.00 | $226.47–$6,168.62 | 65% | — source file |
Outpatient: lowest $1,462.65, median $1,462.65, highest $1,484.35.
Cash or insurance?
At 4 of 4 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 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.