Surgery and procedures CPT 45391 Texas Outpatient

Colonoscopy with ultrasound cost in Texas

In Texas, 61 hospitals publish a cash price for colonoscopy with endoscopic ultrasound: from $143.00 to $3,322.83, with a median of $1,061.52. The lowest price is at Nacogdoches Memorial Hospital (Nacogdoches). The highest price is 23.2× the lowest.

  • The median here, $1,061.52, is 49% below the US median of $2,097.43.
  • That is 0.9× Medicare's 2026 national rate for the same service ($1,222.56).
  • Texas ranks 3rd of 24 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 45391. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 30, 2026. See them on a map

Lowest$143.00Nacogdoches Memorial Hospital
Median$1,061.52half of hospitals charge less
Highest$3,322.83in Texas
Lowest saves$918.52vs the median

Hospitals in Texas, cheapest first

HospitalCash priceList priceFile date
Nacogdoches Memorial Hospital lowest Nacogdoches · Nacogdoches, TX Ultrasound examination of lower large bowel using an endoscope $143.00 $475.00 —
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University of Texas Health Center at Tyler Tyler · Tyler, TX Ultrasound exam of large bowel using a flexible endoscope $216.50 $2,165.00 Mar 31, 2026
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University Medical Center El Paso El Paso · El Paso, TX COLONOSCOPY FLEX W/US $334.64 $1,673.20 Mar 16, 2026
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University Medical Center Surgical Hospital Dieter El Paso · El Paso, TX COLONOSCOPY FLEX W/US $334.64 $1,673.20 Mar 16, 2026
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Seton Medical Center Harker Heights Harker Heights · Killeen-Temple, TX Ultrasound exam of large bowel using a flexible endoscope $372.10 $3,721.00 Feb 12, 2026
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The Methodist Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $674.50 $1,349.00 Apr 1, 2026
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BSA Hospital Amarillo · Amarillo, TX Ultrasound exam of large bowel using a flexible endoscope $681.60 $6,816.00 Feb 12, 2026
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Harrington Cancer Center Amarillo · Amarillo, TX Ultrasound exam of large bowel using a flexible endoscope $681.60 $6,816.00 Feb 12, 2026
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Texas Health Arlington Memorial Hospital Arlington · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Harris Methodist Hospital Alliance Fort Worth · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Harris Methodist Hospital Azle Azle · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Harris Methodist Hospital Cleburne Cleburne · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Harris Methodist Hospital Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Hospital Frisco Frisco · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Presbyterian Hospital Allen Allen · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Presbyterian Hospital Dallas Dallas · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Presbyterian Hospital Denton Denton · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Presbyterian Hospital Kaufman Kaufman · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Texas Health Presbyterian Hospital Plano Plano · Dallas-Fort Worth-Arlington, TX COLONOSCOPY W/EUS $760.95 $1,268.25 Apr 21, 2026
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Houston Methodist Baytown Hospital Baytown · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Houston Methodist Clear Lake Hospital Nassau Bay · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Houston Methodist Continuing Care Hospital Katy · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Houston Methodist Cypress Hospital Cypress · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Houston Methodist The Woodlands Hospital The Woodlands · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Methodist Sugar Land Hospital Sugar Land · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Methodist West Houston Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Methodist Willowbrook Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLON W EUS $808.00 $1,616.00 Apr 1, 2026
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Santa Rosa Hospital - Westover Hills San Antonio · San Antonio-New Braunfels, TX HC 45391 COLSC FLX NDSC US XM $857.01 $2,597.00 Jan 13, 2026
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Children's Memorial Hermann Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Cypress Hospital Cypress · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Greater Heights Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Imaging Center (Bellaire) Bellaire · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Imaging Center (Cypress) Cypress · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Imaging Center (Texas Medical Center) Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Imaging Center (Upper Kirby) Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Katy Hospital Katy · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Memorial City Medical Center Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Northeast Hospital Humble · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Pearland Hospital Pearland · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Rockets Orthopedic Hospital Bellaire · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Southeast Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Southwest Hospital Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann Sugar Land Hospital Sugar Land · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann The Woodlands Medical Center The Woodlands · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Memorial Hermann-Texas Medical Center Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Tirr Memorial Hermann Houston · Houston-Pasadena-The Woodlands, TX HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY $1,061.52 $3,317.25 Apr 1, 2026
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Hsa St. Joseph Houston · Houston-Pasadena-The Woodlands, TX COLONOSCOPY W/ENDOSCOPE US $1,182.86 — Sep 1, 2026
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The Medical Center of Southeast Texas Port Arthur · Beaumont-Port Arthur, TX COLONOSCOPY W/ENDOSCOPE US $1,182.86 — Sep 2, 2026
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Dallas Regional Medical Center Mesquite · Dallas-Fort Worth-Arlington, TX Hc Colonoscopy Flex Endoscope Us $1,196.00 $4,586.69 Sep 1, 2026
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Harlingen Medical Center Harlingen · Brownsville-Harlingen, TX COLONOSCOPY W/ENDOSCOPE US $1,196.00 $7,898.60 Sep 1, 2026
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Knapp Medical Center Weslaco · McAllen-Edinburg-Mission, TX Hc Colonoscopy Flex Endoscope Us $1,196.00 $4,898.95 Sep 1, 2026
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Parkland Health Dallas · Dallas-Fort Worth-Arlington, TX Ultrasound exam of large bowel using a flexible endoscope $2,088.80 $5,222.00 Oct 16, 2026
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Childrens Medical Center Plano Plano · Dallas-Fort Worth-Arlington, TX Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $2,502.75 $3,337.00 Aug 17, 2026
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Childrens Medical Center of Dallas Dallas · Dallas-Fort Worth-Arlington, TX Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $2,502.75 $3,337.00 Aug 17, 2026
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Hendrick Medical Center Brownwood Brownwood · Brownwood, TX COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] $2,539.64 $5,079.27 Oct 1, 2026
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Hendrick Medical Center Abilene · Abilene, TX COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] $3,221.14 $6,442.28 Oct 1, 2026
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Hendrick Medical Center South Abilene · Abilene, TX COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] $3,221.14 $6,442.28 Oct 1, 2026
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Harris Health Taub Loop Houston · Houston-Pasadena-The Woodlands, TX ECHG GI PROC COLONOSCOPY W/ENDOSCOPE US $3,322.83 $7,025.00 Mar 24, 2026
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Harris Health Houston · Houston-Pasadena-The Woodlands, TX ECHG GI PROC COLONOSCOPY W/ENDOSCOPE US $3,322.83 $7,025.00 Mar 24, 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
Houston-Pasadena-The Woodlands, TX 30 $674.50 $1,061.52
Dallas-Fort Worth-Arlington, TX 17 $760.95 $760.95
Abilene, TX 2 $3,221.14 $3,221.14
Amarillo, TX 2 $681.60 $681.60
El Paso, TX 2 $334.64 $334.64
Beaumont-Port Arthur, TX 1 $1,182.86 $1,182.86
Brownsville-Harlingen, TX 1 $1,196.00 $1,196.00
Brownwood, TX 1 $2,539.64 $2,539.64
Killeen-Temple, TX 1 $372.10 $372.10
McAllen-Edinburg-Mission, TX 1 $1,196.00 $1,196.00
Nacogdoches, TX 1 $143.00 $143.00
San Antonio-New Braunfels, TX 1 $857.01 $857.01
Tyler, TX 1 $216.50 $216.50
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 ultrasound is, what the price covers and why prices differ: Colonoscopy with ultrasound explained.

Colonoscopy with endoscopic ultrasound in other states

Median cash price across the state's hospitals.