Know What You'll Pay
Before You Walk In.
Answer five quick questions and we'll map your procedure costs, insurance coverage, and out-of-pocket estimate — before you ever change into a gown.
No insurance card required to explore costs · No Surprises Act compliant · Good Faith Estimates available
We're in-network with
the plans most patients carry.
Before your appointment, our billing team verifies your specific benefits — not just whether we accept your carrier, but your actual deductible balance, out-of-pocket maximum, and coverage tier.
How your plan type changes what you'll pay
Requires a referral from your primary care doctor. We accept referrals from most HMO networks. Lower premiums, but you must stay in-network.
Most flexible option. No referral needed to see a specialist. We are in-network with major PPO plans, which means lower rates for you.
Screening colonoscopies are covered at $0 for Part B enrollees. Diagnostic procedures or polyp removal may trigger 15–20% coinsurance.
No insurance? Our cash-pay rates are set below the national average. We'll give you an all-in price — facility, physician, and anesthesia — before you schedule.
The stuff your insurance card
doesn't explain.
Medical billing has its own language. Here's a plain-English translation of the five concepts that determine what you'll actually owe — before any numbers change hands.
A screening colonoscopy is scheduled because you're due for routine cancer prevention — no symptoms, no prior issues. Under the Affordable Care Act, private insurance must cover this at $0 out-of-pocket, including polyp removal.
A diagnostic colonoscopy is ordered because you have symptoms (rectal bleeding, abdominal pain, changes in bowel habits) or a history of polyps. This triggers your deductible, copays, and coinsurance — the same as any other medical procedure.
⚠️ Watch for this: If your doctor finds and removes a polyp during what started as a screening, Medicare still reclassifies it as diagnostic and charges 15% coinsurance. Private insurance under the ACA does not reclassify it — the removal is covered.
A colonoscopy involves multiple providers — and each one may bill separately:
- Facility fee: The surgery center or hospital charges for the room, equipment, and nursing staff. This is often the largest bill.
- Physician fee: Your gastroenterologist charges separately for performing the procedure.
- Anesthesia fee: The anesthesiologist bills independently — and may be out-of-network even at an in-network facility.
- Pathology fee: If a polyp or tissue sample is sent to a lab, the pathologist bills separately.
Under the No Surprises Act, out-of-network anesthesiologists at in-network facilities cannot bill you more than in-network rates. Always confirm the anesthesiologist is in-network before your procedure.
Under federal law, you have the right to request a Good Faith Estimate for any scheduled procedure. If you schedule at least 3 business days in advance, we must provide a written estimate within 1 business day.
The estimate must include all expected charges from all providers involved — facility, physician, anesthesia, and any anticipated lab work.
If your final bill is $400 or more above the estimate:
You have the right to dispute it through the Patient-Provider Dispute Resolution process. Call our billing team at any time — we will walk you through it.
Your deductible is the amount you pay out-of-pocket before insurance begins covering costs. If you haven't met it yet, you'll pay more for a procedure early in the year than you would in November.
Example: Your plan has a $2,000 deductible. You've paid $600 so far this year. For a $1,800 diagnostic colonoscopy:
This is exactly the kind of math our billing team does for you before you schedule.
"In-network" means we have a contract with your insurer at a negotiated rate. Out-of-network procedures can cost 2–4× more and may not count toward your in-network deductible.
To confirm we're in-network with your specific plan: call the member services number on the back of your insurance card, or let our team do it for you when you fill out the coverage quiz below.
Important: Confirm that the anesthesiologist is also in-network. Our facility and physicians are in-network with the carriers listed above, but anesthesiology is contracted separately.
Real numbers.
Not "call for pricing."
These ranges are based on published national data and our actual rates. Your specific cost depends on your deductible balance and plan — use the quiz below to get your number.
Screening Colonoscopy
Routine cancer prevention for adults 45–75. Recommended every 10 years if no polyps are found.
Data reference: National average with insurance: $2,412 | Surgery center cash rate: ~$1,100 | Hospital outpatient cash rate: ~$1,600
Upper Endoscopy (EGD)
Examines the esophagus, stomach, and upper small intestine. Common for GERD, ulcers, and swallowing issues.
Data reference: National average cash cost: $986–$2,016 | Typically generates 3–4 separate bills (facility, physician, anesthesia, pathology)
Esophageal Manometry (Motility Study)
Measures pressure and function in the esophagus. Used to diagnose achalasia and motility disorders. No sedation required.
Data reference: National average: $768–$1,493 | Performed in office or motility lab | Typically a separate appointment from endoscopy
A note on facility type: Procedures performed at an ambulatory surgery center (ASC) consistently cost 30–50% less than the same procedure at a hospital outpatient department. Our facility is a certified ASC — which means lower costs for you without compromising care quality.
Cost shouldn't be the reason
you skip a screening.
We've built multiple pathways for patients at every income level. If you're uninsured, underinsured, or on a fixed income, there's an option here for you — and our billing team will help you find it.
CareCredit & Medical Financing
CareCredit offers 6–24 month interest-free financing for qualifying procedures. Apply in minutes — we can help you complete the application at our front desk.
Approved in 60 seconds. No penalty for early payoff.
In-Office Payment Plans
We offer 3, 6, and 12-month interest-free payment plans directly through our billing office — no third-party application required.
Available for balances over $200. Set up before or after your procedure.
Uninsured & Self-Pay Discount
Patients without insurance receive an automatic 30% reduction off our standard rates. Our cash-pay colonoscopy price includes facility, physician, and anesthesia — one bill, no surprises.
Screening colonoscopy: $950–$1,400 all-in at our ASC.
Free Screening Programs
Several programs offer free colonoscopy screenings for uninsured or low-income patients aged 45–75. We participate in state-funded colorectal cancer screening programs.
Income-based eligibility. Ask our team if you qualify.
Sliding Scale Fees
For patients experiencing financial hardship, we offer sliding-scale fees based on household income and family size. No patient is turned away for inability to pay.
Requires a brief financial review. Completely confidential.
Medicare Savings Programs
If you're on Medicare with limited income, you may qualify for Extra Help or a Medicare Savings Program that covers your Part B premiums and out-of-pocket costs.
We can help you identify programs before your appointment.
Not sure which option applies to you?
Check My Coverage & OptionsFive questions to your
actual out-of-pocket number.
We'll use your answers to pull your specific benefits before your visit — so there are no surprises on either side of the procedure.
Example: What a real estimate looks like
Screening Colonoscopy
Blue Cross Blue Shield PPO · Deductible met (common for patients in Q3–Q4)
Screening colonoscopies are covered at $0 under the ACA for in-network providers when your deductible has been met. Polyp removal is included in this $0 coverage for private insurance.
Ready to see your number? It takes about 90 seconds.