How much does Colonoscopy cost in Austin?

Median insurer-negotiated rates range from $928 at Ascension Seton Hays to $3,419 at St. David's South Austin Medical Center, based on the hospitals' own federally mandated price files.

Is it cheaper to pay cash than use insurance?

Sometimes. Several hospitals publish discounted cash prices below the rates insurers negotiate. If you haven't met your deductible, ask for the self-pay price.

Why do prices differ so much between hospitals?

Each hospital negotiates rates separately with each insurer, and hospitals in the same health system usually share one contract. The same procedure with the same insurer can cost several times more across town.

Costs · Endoscopy · Colonoscopy · Austin · codes 45378, 45380, 45385

How much does a colonoscopy cost in Austin?

Examination of the colon with a flexible camera; bundle includes biopsy and polyp-removal variants. Below: the rates insurers have actually negotiated with 16 Austin-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.

$928

lowest median negotiated rate

Ascension Seton Hays

$3,419

highest (adult hospitals)

St. David's South Austin Medical Center

3.7×

price spread

same procedure, same metro

Rates shown

Median negotiated rate per hospital · sorted low → high · hover a bar for the full receipt

cash (self-pay) price

Hospital	Gross charge	Cash price	Negotiated	Range	# rates	vs median

* Specialty hospital (pediatric or cancer center) — rates reflect specialty case mix. † Median based on fewer than 3 published rates — treat as indicative. Bars show the median dollar-denominated commercial negotiated rate; hospitals sharing a health-system contract show similar rates.

SOURCE: standard-charges files from 16 hospitals · file dates 2026-01-01 → 2026-06-13 · retrieved 2026-08-14

Tip: if you haven't met your deductible, ask each hospital for its discounted cash price — it is often far below the billed charge.

Skipping the hospital? 28 independent imaging/outpatient centers in this area negotiate a median $742 all-in for this procedure (121 insurer rates) — less than the lowest hospital facility fee above ($928).

South Austin Surgery Center Ltd — $178
South Austin Surgery Center Ltd — $192
South Austin Surgery Center Ltd — $244
Eric Hughes — $244

All-in (global) negotiated fees from Cigna, and UnitedHealthcare's federally mandated Transparency-in-Coverage files, newest dated 2026-08-01; hospital bars above show the facility fee only — a physician fee is usually billed on top. Estimates — confirm with the provider.

← Colonoscopy: overview