Sigmoidoscopy cost in Iowa
In Iowa, 23 hospitals publish a cash price for flexible sigmoidoscopy, diagnostic (lower colon only): from $145.50 to $12,646.90, with a median of $1,755.40. The lowest price is at Avera Merrill Pioneer (Rock Rapids). The highest price is 86.9× the lowest.
- The median here, $1,755.40, is 46% above the US median of $1,203.93.
- That is 1.8× Medicare's 2026 national rate for the same service ($950.10).
- Iowa ranks 35th of 47 states by median, cheapest first.
- 1 of 23 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 45330. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 24, 2026. See them on a map
Lowest$145.50Avera Merrill Pioneer
Median$1,755.40half of hospitals charge less
Highest$12,646.90in Iowa
Lowest saves$1,609.90vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Avera Merrill Pioneer lowest Rock Rapids · Rock Rapids, IA | $145.50 | $150.00 | — source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Diagnostic Sigmoidoscopy | $189.00 | $189.00 | Sep 1, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $239.20 | $368.00 | Sep 21, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $424.80 | $531.00 | Oct 21, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $467.20 | $584.00 | Jul 27, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $516.04 | $532.00 | Apr 1, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $521.25 | $695.00 | Oct 20, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA FLEXIBLE SIGMOIDOSCPY | $1,175.55 | $1,383.00 | Apr 24, 2026 source file |
| Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA END-Proctosig Flex Diagnostic w/w-o Specimens | $1,235.40 | $4,118.00 | Feb 15, 2026 source file |
| WinnMed Decorah · Decorah, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,711.50 | $2,445.00 | Oct 13, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA ED 45330 SIGMOIDOSCOPY DIAG | $1,744.00 | $2,180.00 | Mar 4, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,755.40 | $2,620.00 | Oct 16, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC | $1,761.90 | $2,517.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC | $1,761.90 | $2,517.00 | Mar 11, 2026 source file |
| Dallas County Hospital Perry · Des Moines-West Des Moines, IA PR-SIGMOIDOSCOPY FLEXIBLE, DIAGNOSTIC | $2,074.00 | $3,191.00 | May 29, 2026 source file |
| Hancock County Health System Britt · Britt, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $2,100.00 | $2,800.00 | Oct 20, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Sigmoidoscopy Flexible Diagnostic W/Collection of Specimen(S) by Brushing/Washing | $2,705.30 | — | Mar 31, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Diagnostic exam of lower portion of large bowel using a flexible endoscope | $2,752.50 | $3,670.00 | Sep 2, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA DIAGNOSTIC SIGMOIDOSCOPY | $3,183.00 | $3,979.00 | Oct 8, 2024 source file |
| Regional Medical Center Manchester · Manchester, IA DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $5,525.60 | $6,907.00 | Feb 20, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Sigmoidoscopy Flexible Diagnostic W/Collection of Specimen(S) by Brushing/Washing | $7,150.10 | — | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Sigmoidoscopy Flexible Diagnostic W/Collection of Specimen(S) by Brushing/Washing | $11,736.98 | — | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Sigmoidoscopy Flexible Diagnostic W/Collection of Specimen(S) by Brushing/Washing | $12,646.90 | — | Mar 31, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 4 | $189.00 | $1,249.40 |
| Iowa City, IA | 3 | $521.25 | $1,761.90 |
| Britt, IA | 1 | $2,100.00 | $2,100.00 |
| Carroll, IA | 1 | $1,755.40 | $1,755.40 |
| Clinton, IA | 1 | $11,736.98 | $11,736.98 |
| Decorah, IA | 1 | $1,711.50 | $1,711.50 |
| Denison, IA | 1 | $467.20 | $467.20 |
| Dubuque, IA | 1 | $2,705.30 | $2,705.30 |
| Greenfield, IA | 1 | $2,752.50 | $2,752.50 |
| Harwarden, IA | 1 | $1,175.55 | $1,175.55 |
| Lake City, IA | 1 | $3,183.00 | $3,183.00 |
| Manchester, IA | 1 | $5,525.60 | $5,525.60 |
| Mason City, IA | 1 | $12,646.90 | $12,646.90 |
| Omaha, NE-IA | 1 | $1,235.40 | $1,235.40 |
| Rock Rapids, IA | 1 | $145.50 | $145.50 |
| Sheldon, IA | 1 | $1,744.00 | $1,744.00 |
| Shenandoah, IA | 1 | $239.20 | $239.20 |
| Sioux Center, IA | 1 | $516.04 | $516.04 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What sigmoidoscopy is, what the price covers and why prices differ: Sigmoidoscopy explained.
Flexible sigmoidoscopy, diagnostic (lower colon only) in other states
- Alabama$1,150.60
- Alaska$1,620.84
- Arizona$2,618.00
- Arkansas$677.64
- California$1,829.60
- Colorado$756.44
- Connecticut$3,217.67
- Delaware$1,480.08
- District of Columbia$2,239.64, 1 hospital
- Florida$2,801.60
- Georgia$1,331.00
- Hawaii$1,259.30
- Idaho$1,082.00
- Illinois$1,065.00
- Indiana$2,076.98
- Kansas$876.00
- Kentucky$2,608.70
- Louisiana$504.78
- Maine$558.13, 4 hospitals
- Maryland$2,784.86, 1 hospital
- Massachusetts$1,850.58
- Michigan$2,399.00
- Minnesota$944.38
- Mississippi$759.79
- Missouri$1,246.20
- Montana$1,088.90
- Nebraska$1,455.24
- Nevada$1,011.00
- New Hampshire$603.74
- New Jersey$1,216.56
- New Mexico$965.10
- New York$1,994.00
- North Carolina$1,217.40
- North Dakota$1,103.25
- Ohio$2,563.60
- Oklahoma$1,014.60
- Oregon$1,069.17
- Pennsylvania$1,158.00
- Puerto Rico$1,850.00, 2 hospitals
- Rhode Island$2,331.60
- South Carolina$1,812.00
- South Dakota$1,144.80
- Tennessee$672.75
- Texas$924.13
- Utah$819.32, 2 hospitals
- Vermont$1,255.84
- Virginia$1,130.85
- Washington$1,571.88
- West Virginia$859.59
- Wisconsin$819.51
- Wyoming$1,618.20
Median cash price across the state's hospitals.