Surgery and procedures CPT 45378 Washington Outpatient

Colonoscopy cost in Washington

In Washington, 34 hospitals publish a cash price for colonoscopy, diagnostic: from $443.10 to $5,952.50, with a median of $1,932.48. The lowest price is at Providence Mount Carmel Hospital (Colville) and 1 other hospital. The highest price is 13.4× the lowest.

  • The median here, $1,932.48, is 7% above the US median of $1,808.81.
  • That is 2.0× Medicare's 2026 national rate for the same service ($950.10).
  • Washington ranks 27th of 48 states by median, cheapest first.
  • 2 of 34 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

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 Nov 6, 2026. See them on a map

Lowest$443.10Providence Mount Carmel Hospital + 1 more
Median$1,932.48half of hospitals charge less
Highest$5,952.50in Washington
Lowest saves$1,489.38vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Providence Mount Carmel Hospital lowest Colville · Spokane-Spokane Valley, WA HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM $443.10 $633.00 Apr 1, 2026
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Providence St Joseph Hospital lowest Chewelah · Spokane-Spokane Valley, WA HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM $443.10 $633.00 Apr 1, 2026
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Astria Toppenish Hospital Toppenish · Yakima, WA 45378 Colonoscopy, flexible diagnostic, including $714.35 $1,099.00 Apr 1, 2026
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,366.30 $2,102.00 Mar 21, 2026
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PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,415.05 $2,177.00 Mar 20, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 45378 Colon Diag/Brushing $1,423.00 $2,846.00 Apr 1, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC COLONOSCOPY BEDSIDE $1,502.40 $1,878.00 Mar 26, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,587.95 $2,443.00 Mar 20, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,621.20 $2,316.00 Apr 1, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,625.40 $2,322.00 Apr 1, 2026
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Providence Centralia Hospital Centralia · Centralia, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,642.16 $3,158.00 Apr 1, 2026
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Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,642.16 $3,158.00 Apr 1, 2026
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Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA DIAGNOSTIC COLONOSCOPY SURG $1,715.70 $3,010.00 Apr 1, 2026
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Lourdes Health Pasco · Kennewick-Richland, WA DIAGNOSTIC COLONOSCOPY $1,754.10 $4,385.24 Jul 10, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA FMT, DEL VIA COLONOSCOPY, W/WO MODERATE SEDATION, SELF PAY $1,898.73 $3,723.00 Jan 1, 2026
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,932.48 $4,026.00 Apr 1, 2026
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Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,932.48 $4,026.00 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,932.48 $4,026.00 Apr 1, 2026
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Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Colonoscopy flexible diag $2,054.40 $2,568.00 May 15, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $2,125.20 $3,036.00 Apr 1, 2026
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Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $2,172.80 $3,104.00 Apr 1, 2026
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Willapa Harbor Hospital South Bend · South Bend, WA DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,219.00 $3,170.00 Feb 24, 2026
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Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 45378 COLON DIAG/BRUSHING $2,492.62 $4,297.62 Apr 14, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Colonoscopy Flx Dx W/Collj Spec When Pfrmd $2,646.70 $3,781.00 Mar 12, 2026
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Pullman Regional Hospital Pullman · Pullman, WA Diagnostic exam of large bowel using a flexible endoscope $2,701.30 $3,178.00 Jun 9, 2026
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Klickitat Valley Hospital Goldendale · Goldendale, WA Colonoscopy Diagnostic OR $2,716.00 $3,395.00 Dec 2, 2024
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,795.65 $4,301.00 Mar 21, 2026
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Olympic Medical Center Port Angeles · Port Angeles, WA Colonoscopy - Diagnostic examination of large bowel using an endoscope $2,880.00 $3,600.00 Jun 24, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC COLONOSCOPY $2,922.40 $3,653.00 Mar 26, 2026
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Ferry County Memorial Hospital Republic · Republic, WA COLON DX FLEX/SPEC COLLECT $3,091.76 $3,637.37 Sep 14, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,157.27 $4,857.34 Mar 21, 2026
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Forks Community Hospital Forks · Port Townsend, WA Diagnostic exam of large bowel using a flexible endoscope $3,298.40 $4,123.00 Oct 27, 2026
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Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Diagnostic exam of large bowel using a flexible endoscope $4,589.93 $4,589.93 Sep 1, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Colonscopy Flex W/+W/O Brush/Wash $5,952.50 $5,952.50 Mar 31, 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
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 areaHospitalsLowestMedian
Seattle-Tacoma-Bellevue, WA 9 $1,423.00 $1,932.48
Spokane-Spokane Valley, WA 4 $443.10 $1,032.15
Kennewick-Richland, WA 3 $1,715.70 $1,754.10
Mount Vernon-Anacortes, WA 2 $1,366.30 $2,144.35
Wenatchee-East Wenatchee, WA 2 $2,054.40 $3,322.16
Bellingham, WA 1 $3,157.27 $3,157.27
Centralia, WA 1 $1,642.16 $1,642.16
Friday Harbor, WA 1 $1,415.05 $1,415.05
Goldendale, WA 1 $2,716.00 $2,716.00
Longview-Kelso, WA 1 $2,795.65 $2,795.65
Olympia-Lacey-Tumwater, WA 1 $1,642.16 $1,642.16
Port Angeles, WA 1 $2,880.00 $2,880.00
Port Townsend, WA 1 $3,298.40 $3,298.40
Portland-Vancouver-Hillsboro, OR-WA 1 $1,587.95 $1,587.95
Pullman, WA 1 $2,701.30 $2,701.30
Republic, WA 1 $3,091.76 $3,091.76
South Bend, WA 1 $2,219.00 $2,219.00
Walla Walla, WA 1 $2,172.80 $2,172.80
Yakima, WA 1 $714.35 $714.35
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.