Colonoscopy with biopsy cost in Puerto Rico
In Puerto Rico, 5 hospitals publish a cash price for colonoscopy with tissue sample: from $378.00 to $4,900.00, with a median of $538.99. The lowest price is at Hospital Episcopal San Lucas Ponce (Ponce). The highest price is 13.0× the lowest.
- The median here, $538.99, is 72% below the US median of $1,931.59.
- That is 0.4× Medicare's 2026 national rate for the same service ($1,222.56).
- Puerto Rico has the lowest median of 48 states with at least 5 hospitals pricing this code.
- 4 of 5 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 45380. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$378.00Hospital Episcopal San Lucas Ponce
Median$538.99half of hospitals charge less
Highest$4,900.00in Puerto Rico
Lowest saves$160.99vs the median
Hospitals in Puerto Rico, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hospital Episcopal San Lucas Ponce lowest Ponce · Ponce, PR Biopsy of large bowel using an endoscope | $378.00 | $540.00 | Mar 30, 2026 source file |
| Mayaguez Medical Center Mayaguez · Mayagüez, PR Scope Of Colon With Biopsy | $398.06 | $398.06 | Mar 31, 2026 source file |
| Bella Vista Hospital Mayaguez · Mayagüez, PR COLONOSCOPY W BIOPSY SING/MULT | $538.99 | $538.99 | Mar 10, 2026 source file |
| Doctors' Center Hospital - Bayamon Bayamon · San Juan-Bayamón-Caguas, PR Biopsy exam of large bowel using an endoscope | $4,900.00 | $4,900.00 | — source file |
| Doctors' Center Hospital - San Juan Santurce · San Juan-Bayamón-Caguas, PR Biopsy exam of large bowel using an endoscope | $4,900.00 | $4,900.00 | — 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 |
|---|---|---|---|
| Mayagüez, PR | 2 | $398.06 | $468.52 |
| San Juan-Bayamón-Caguas, PR | 2 | $4,900.00 | $4,900.00 |
| Ponce, PR | 1 | $378.00 | $378.00 |
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 with biopsy is, what the price covers and why prices differ: Colonoscopy with biopsy explained.
Colonoscopy with tissue sample in other states
- Alabama$2,203.41
- Alaska$1,799.73
- Arizona$3,059.75
- Arkansas$762.95
- California$2,325.95
- Colorado$2,544.00
- Connecticut$4,213.78
- Delaware$2,291.22, 4 hospitals
- Florida$3,597.60
- Georgia$1,391.58
- Hawaii$6,407.80
- Idaho$2,702.40
- Illinois$2,743.50
- Indiana$2,950.97
- Iowa$1,701.75
- Kansas$1,576.00
- Kentucky$1,914.41
- Louisiana$846.30
- Maine$1,545.34
- Maryland$2,709.58, 1 hospital
- Massachusetts$2,338.70
- Michigan$1,771.89
- Minnesota$1,602.13
- Mississippi$1,291.72
- Missouri$1,508.87
- Montana$1,920.00
- Nebraska$2,361.16
- Nevada$1,368.30
- New Hampshire$1,758.43
- New Jersey$1,588.55
- New Mexico$1,935.28
- New York$1,395.28
- North Carolina$1,605.73
- North Dakota$1,846.40
- Ohio$3,336.40
- Oklahoma$1,564.05
- Oregon$1,945.11
- Pennsylvania$2,214.00
- Rhode Island$3,101.40
- South Carolina$4,174.20
- South Dakota$1,766.40
- Tennessee$1,261.31
- Texas$1,450.80
- Utah$2,274.18, 4 hospitals
- Vermont$3,751.50
- Virginia$1,748.19
- Washington$2,242.95
- West Virginia$1,608.50
- Wisconsin$2,043.51
- Wyoming$1,963.94
Median cash price across the state's hospitals.