Surgery and procedures CPT 45378 Virginia Outpatient

Colonoscopy cost in Virginia

In Virginia, 42 hospitals publish a cash price for colonoscopy, diagnostic: from $931.50 to $12,388.44, with a median of $1,415.00. The lowest price is at Sentara Halifax Regional Hospital (South Boston). The highest price is 13.3× the lowest.

  • The median here, $1,415.00, is 22% below the US median of $1,808.81.
  • That is 1.5× Medicare's 2026 national rate for the same service ($950.10).
  • Virginia ranks 14th of 48 states by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Outpatient cash prices, one line per hospital — its lowest listed price for code 45378. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 29, 2026. See them on a map

Lowest$931.50Sentara Halifax Regional Hospital
Median$1,415.00half of hospitals charge less
Highest$12,388.44in Virginia
Lowest saves$483.50vs the median

Hospitals in Virginia, cheapest first

HospitalCash priceList priceFile date
Sentara Halifax Regional Hospital lowest South Boston · South Boston, VA Diagnostic Colonoscopy $931.50 $1,863.00 Apr 1, 2026
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Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Dec 15, 2025
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Carilion Giles Community Hospital Roanoke · Roanoke, VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Dec 15, 2025
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Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Dec 15, 2025
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Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Dec 15, 2025
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Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Apr 17, 2026
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Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Dec 15, 2025
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Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB COLONOSCOPY FLEX DX $1,130.85 $3,231.00 Dec 15, 2025
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Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Obici Hospital Suffolk · Suffolk, VA Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Diagnostic Colonoscopy $1,164.50 $2,329.00 Apr 1, 2026
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Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Colorectal Ca Screen High Risk $1,277.70 $2,555.40 Mar 11, 2026
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Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Diagnostic colonoscopy $1,386.50 $2,773.00 Dec 30, 2024
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Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Diagnostic colonoscopy $1,386.50 $2,773.00 Dec 30, 2024
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Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,443.50 $2,887.00 Apr 1, 2026
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Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,443.50 $2,887.00 Apr 1, 2026
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Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,443.50 $2,887.00 Apr 1, 2026
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Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,443.50 $2,887.00 Apr 1, 2026
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Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,443.50 $2,887.00 Apr 1, 2026
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Bath Community Hospital Hot Springs · Hot Springs, VA COLONOSCOPY $1,721.39 $2,295.18 Mar 25, 2026
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Twin County Regional Healthcare Galax · Galax, VA Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $2,758.37 $6,895.93 Jul 10, 2026
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Rappahannock General Hospital Kilmarnock · Kilmarnock, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $2,948.81 $4,914.68 Apr 1, 2026
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Sovah Health - Martinsville Martinsville · Martinsville, VA Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $2,989.60 $7,474.00 Jul 10, 2026
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Wythe County Community Hospital Wytheville · Wytheville, VA Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $3,080.31 $7,700.77 Jul 10, 2026
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Clinch Valley Health Richlands · Bluefield, WV-VA Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $3,285.24 $8,213.10 Jul 14, 2026
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC Colonoscopy Flx Dx W/Collj Spec When Pfrmd $3,570.00 $5,950.00 Apr 1, 2026
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Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $3,655.68 $9,139.20 Jul 14, 2026
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Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC Colonoscopy Flx Dx W/Collj Spec When Pfrmd $3,772.08 $6,286.80 Apr 1, 2026
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Bon Secours St Francis Medical Center Midlothian · Richmond, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $3,969.41 $6,615.68 Apr 1, 2026
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Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $4,411.68 $7,352.80 Apr 1, 2026
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Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $4,723.20 $7,872.00 Apr 1, 2026
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Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $4,832.76 $8,054.60 Apr 1, 2026
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Sovah Health - Danville Danville · Danville, VA Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $5,315.60 $13,967.50 Jul 11, 2026
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Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $5,372.37 $8,953.95 Apr 1, 2026
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Bon Secours Southside Medical Center Petersburg · Richmond, VA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $12,388.44 $20,647.40 Apr 1, 2026
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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

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Virginia Beach-Chesapeake-Norfolk, VA-NC 9 $1,164.50 $1,164.50
Washington-Arlington-Alexandria, DC-VA-MD-WV 9 $1,164.50 $1,443.50
Roanoke, VA 5 $1,130.85 $1,130.85
Richmond, VA 4 $3,969.41 $4,567.44
Bluefield, WV-VA 2 $1,130.85 $2,208.04
Blacksburg-Christiansburg-Radford, VA 1 $1,130.85 $1,130.85
Charlottesville, VA 1 $1,164.50 $1,164.50
Danville, VA 1 $5,315.60 $5,315.60
Emporia, VA 1 $5,372.37 $5,372.37
Galax, VA 1 $2,758.37 $2,758.37
Hot Springs, VA 1 $1,721.39 $1,721.39
Harrisonburg, VA 1 $1,164.50 $1,164.50
Kilmarnock, VA 1 $2,948.81 $2,948.81
Lexington, VA 1 $1,130.85 $1,130.85
Martinsville, VA 1 $2,989.60 $2,989.60
South Boston, VA 1 $931.50 $931.50
Suffolk, VA 1 $1,164.50 $1,164.50
Wytheville, VA 1 $3,080.31 $3,080.31
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 colonoscopy is, what the price covers and why prices differ: Colonoscopy explained.

Colonoscopy, diagnostic in other states

Median cash price across the state's hospitals.