Price Checker / CPT 45378
How much does Colonoscopy (diagnostic) cost?
CPT 45378 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.7x the fair price. You have grounds to ask for a reduction.
Fair price
$1,650–$1,950
What this should cost
With insurance
~$2,450
Typical out-of-pocket
Overcharged if over
$2,450
Push back above this
The average hospital charge of $4,929 is $3,129 over the fair price (about 2.7x the fair rate).
What hospitals charge for Colonoscopy (diagnostic)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Eastern Long Island Hospital , NY | $2,140 | — | 20010% |
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $20,784 | — | 5397% |
| UAB St. Vincent's Birmingham , AL | $13,562 | — | 3487% |
| Georgetown Community Hospital GEORGETOWN, KY | $11,813 | — | 3024% |
| Los Alamos Medical Center LOS ALAMOS, NY | $11,231 | — | 2870% |
| West Holt Memorial Hospital Atkinson, NE | $9,539 | — | 2322% |
| Meadowview Regional Medical Center MAYSVILLE, KY | $7,292 | — | 1829% |
| Bourbon Community Hospital PARIS, KY | $7,149 | — | 1791% |
| Brodstone Memorial Hospital Superior, NE | $7,102 | — | 1741% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $6,902 | — | 1725% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $6,902 | — | 1725% |
| Raleigh General Hospital BECKLEY, WV | $5,725 | — | 1414% |
| Community Medical Center Falls City, NE | $5,836 | — | 1397% |
| Southwestern Medical Center Lawton, OK | $5,382 | — | 1323% |
| Chadron Community Hospital Chadron, NE | $5,330 | — | 1253% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Colonoscopy (diagnostic)
CPT code 45378 refers to colonoscopy (diagnostic) (billing description: "Diagnostic colonoscopy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $165 in a facility (hospital or surgery center) and $378 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.