What is the typical price for Colonoscopy, Diagnostic in Colorado?

Across 40 Colorado hospitals reporting a commercial negotiated rate for CPT 45378, the 25th-to-75th percentile band runs $247 to $2,099 per hospital median. The 50th-percentile (Colorado median) is $1,474.

Why is the price range for Colonoscopy, Diagnostic so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 8.5× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

Is Colonoscopy, Diagnostic covered by Medicare?

Colonoscopy, Diagnostic is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.

What's the cash price for Colonoscopy, Diagnostic if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $1,668. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

What does CPT 45378 mean?

CPT 45378 is the CPT (Current Procedural Terminology) code for Colonoscopy, Diagnostic. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Colonoscopy, Diagnostic

CPT 4537840 Colorado hospitals reportingCMS-required shoppable

Diagnostic colonoscopy to examine the colon for polyps, bleeding, or other findings. Often follows an abnormal stool test or symptoms.

Typical insured price · Colorado

$247to$2,099

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $1,474.

$247$2,099

Cash price (median)

$1,668

What you'd pay self-pay

Gross charge (median)

$2,519

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 40 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 45378
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 40
CMS shoppable: Yes — required disclosure
Medicare preventive: Yes — typically no cost-sharing

How they price Colonoscopy, Diagnostic

Across 40 Colorado hospitals that publish a commercial negotiated rate for CPT 45378, the typical insured price for Colonoscopy, Diagnostic runs $247 to $2,099 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $1,474 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $1,668, against a median gross charge of $2,519.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

· Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
· In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
· Screening vs diagnostic coding — a screening colonoscopy under USPSTF recommendations is typically zero cost-share for commercial plans and Medicare; if the same procedure is recoded as diagnostic (e.g. polyp removal during the visit), normal cost-sharing applies.
· Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
· Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

41 hospitals

Pin a plan

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Position · Median	Negotiated band	Cash	Payers
Commonspirit St Mary Corwin Hospital Pueblo Median negotiated $175 25th–75th $175 – $175 Cash — Payers 10	$175	$175 – $175	—	10
Commonspirit St Elizabeth Hospital Fort Morgan Median negotiated $175 25th–75th $175 – $175 Cash — Payers 8	$175	$175 – $175	—	8
Commonspirit Orthocolorado Hospital Median negotiated $175 25th–75th $175 – $175 Cash — Payers 9	$175	$175 – $175	—	9
Commonspirit Mercy Hospital Durango Median negotiated $175 25th–75th $175 – $175 Cash — Payers 10	$175	$175 – $175	—	10
Commonspirit St Francis Hospital Interquest Median negotiated $175 25th–75th $175 – $175 Cash — Payers 9	$175	$175 – $175	—	9
Commonspirit St Anthony North Hospital Median negotiated $175 25th–75th $175 – $175 Cash — Payers 11	$175	$175 – $175	—	11
Commonspirit St Anthony Summit Medical Center Median negotiated $175 25th–75th $175 – $175 Cash — Payers 8	$175	$175 – $175	—	8
Commonspirit St Anthony Hospital Lakewood Median negotiated $175 25th–75th $175 – $175 Cash — Payers 6	$175	$175 – $175	—	6
Commonspirit St Francis Hospital Median negotiated $175 25th–75th $175 – $175 Cash — Payers 10	$175	$175 – $175	—	10
Commonspirit Longmont United Hospital Median negotiated $179 25th–75th $179 – $179 Cash — Payers 11	$179	$179 – $179	—	11
Children S Hospital Colorado Colorado Springs Median negotiated $269 25th–75th $269 – $269 Cash — Payers 1	$269	$269 – $269	—	1
Boulder Community Health Foothills Hospital Gross charge $360 Median negotiated $335 25th–75th $256 – $519 Cash $180 Payers 31	$335	$256 – $519	$180	31
Grand River Health Rifle Gross charge $1,313 Median negotiated $903 25th–75th $903 – $903 Cash $657 Payers 1	$903	$903 – $903	$657	1
Community Hospital Grand Junction Gross charge $3,556 Median negotiated $976 25th–75th $976 – $1,057 Cash $1,991 Payers 7	$976	$976 – $1,057	$1,991	7
Lincoln Community Hospital Hugo Gross charge $5,381 Median negotiated $986 25th–75th $986 – $986 Cash $5,381 Payers 14	$986	$986 – $986	$5,381	14
Uchealth Yampa Valley Medical Center Steamboat Springs Median negotiated $1,022 25th–75th $916 – $2,784 Cash — Payers 8	$1,022	$916 – $2,784	—	8
Pikes Peak Regional Hospital Woodland Park Gross charge $1,840 Median negotiated $1,122 25th–75th $837 – $1,564 Cash $1,472 Payers 12	$1,122	$837 – $1,564	$1,472	12
Uchealth Longs Peak Hospital Longmont Gross charge $5,291 Median negotiated $1,167 25th–75th $913 – $2,496 Cash $1,852 Payers 14	$1,167	$913 – $2,496	$1,852	14
Uchealth Greeley Hospital Gross charge $2,519 Median negotiated $1,392 25th–75th $912 – $2,021 Cash $1,511 Payers 12	$1,392	$912 – $2,021	$1,511	12
Uchealth Parkview Medical Center Pueblo Median negotiated $1,421 25th–75th $916 – $2,535 Cash — Payers 7	$1,421	$916 – $2,535	—	7
Uchealth Memorial Hospital Central Colorado Springs Gross charge $3,706 Median negotiated $1,527 25th–75th $957 – $2,301 Cash $1,668 Payers 14	$1,527	$957 – $2,301	$1,668	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $3,706 Median negotiated $1,527 25th–75th $957 – $2,301 Cash $1,668 Payers 14	$1,527	$957 – $2,301	$1,668	14
Commonspirit St Thomas More Hospital Ca on City Median negotiated $1,540 25th–75th $1,540 – $1,540 Cash — Payers 1	$1,540	$1,540 – $1,540	—	1
Family Health West Hospital Fruita Median negotiated $1,590 25th–75th $1,590 – $1,590 Cash — Payers 1	$1,590	$1,590 – $1,590	—	1
Uchealth Poudre Valley Hospital Fort Collins Gross charge $2,519 Median negotiated $1,595 25th–75th $916 – $2,267 Cash $1,763 Payers 16	$1,595	$916 – $2,267	$1,763	16
Uchealth Medical Center of the Rockies Loveland Gross charge $2,519 Median negotiated $1,595 25th–75th $916 – $2,267 Cash $1,763 Payers 16	$1,595	$916 – $2,267	$1,763	16
Denver Health Medical Center Gross charge $1,778 Median negotiated $1,597 25th–75th $981 – $3,478 Cash $622 Payers 7	$1,597	$981 – $3,478	$622	7
Uchealth Estes Valley Medical Center Estes Park Gross charge $1,688 Median negotiated $1,604 25th–75th $1,191 – $1,637 Cash $1,266 Payers 15	$1,604	$1,191 – $1,637	$1,266	15
National Jewish Health Denver Gross charge $2,740 Median negotiated $1,781 25th–75th $1,262 – $2,055 Cash $1,918 Payers 8	$1,781	$1,262 – $2,055	$1,918	8
Uchealth University of Colorado Hospital Aurora Gross charge $5,297 Median negotiated $2,093 25th–75th $916 – $2,807 Cash $1,854 Payers 15	$2,093	$916 – $2,807	$1,854	15
Uchealth Grandview Hospital Colorado Springs Gross charge $5,291 Median negotiated $2,116 25th–75th $1,703 – $3,193 Cash $1,852 Payers 13	$2,116	$1,703 – $3,193	$1,852	13
Uchealth Highlands Ranch Hospital Gross charge $5,291 Median negotiated $2,267 25th–75th $1,862 – $3,122 Cash $1,587 Payers 12	$2,267	$1,862 – $3,122	$1,587	12
Hca Healthone Mountain Ridge Thornton Median negotiated $2,716 25th–75th $1,534 – $4,764 Cash — Payers 6	$2,716	$1,534 – $4,764	—	6
Hca Healthone Presbyterian St Luke S Medical Center Median negotiated $2,716 25th–75th $1,746 – $4,764 Cash — Payers 6	$2,716	$1,746 – $4,764	—	6
Hca Healthone Aurora Medical Center of Aurora Median negotiated $2,716 25th–75th $1,534 – $4,764 Cash — Payers 6	$2,716	$1,534 – $4,764	—	6
Hca Healthone Sky Ridge Medical Center Median negotiated $2,716 25th–75th $1,534 – $4,764 Cash — Payers 6	$2,716	$1,534 – $4,764	—	6
Hca Healthone Swedish Medical Center Median negotiated $2,716 25th–75th $1,534 – $4,764 Cash — Payers 6	$2,716	$1,534 – $4,764	—	6
Hca Healthone Rose Medical Center Median negotiated $2,716 25th–75th $1,534 – $4,764 Cash — Payers 6	$2,716	$1,534 – $4,764	—	6
Banner Fort Collins Medical Center Median negotiated $8,957 25th–75th $6,473 – $11,440 Cash — Payers 2	$8,957	$6,473 – $11,440	—	2
Banner North Colorado Medical Center Median negotiated $8,957 25th–75th $6,473 – $11,440 Cash — Payers 2	$8,957	$6,473 – $11,440	—	2
Prowers Medical Center Lamar Gross charge $526 Median negotiated — 25th–75th — Cash $316 Payers —	—	—	$316	—

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for Colonoscopy, Diagnostic in Colorado?: Across 40 Colorado hospitals reporting a commercial negotiated rate for CPT 45378, the 25th-to-75th percentile band runs $247 to $2,099 per hospital median. The 50th-percentile (Colorado median) is $1,474.
Why is the price range for Colonoscopy, Diagnostic so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 8.5× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
Is Colonoscopy, Diagnostic covered by Medicare?: Colonoscopy, Diagnostic is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.
What's the cash price for Colonoscopy, Diagnostic if I don't have insurance?: The median discounted cash price across reporting Colorado hospitals is $1,668. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
What does CPT 45378 mean?: CPT 45378 is the CPT (Current Procedural Terminology) code for Colonoscopy, Diagnostic. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.