How much does a colonoscopy cost in San Antonio?
Examination of the colon with a flexible camera; bundle includes biopsy and polyp-removal variants. Below: the rates insurers have actually negotiated with 5 San Antonio-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.
$1,549
lowest median negotiated rate
CHRISTUS Santa Rosa Health System
$2,449
highest (adult hospitals)
Methodist Hospital Stone Oak
1.6×
price spread
same procedure, same metro
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 5 hospitals · file dates 2025-10-14 → 2026-05-01 · retrieved 2026-08-08
Paying cash can beat using insurance. At CHRISTUS Santa Rosa Health System, the self-pay price is $1,272 — less than the $1,549 median commercial-insurer rate. If you haven't met your deductible, ask for the cash rate.
Skipping the hospital? 50
independent imaging/outpatient centers in this area negotiate a median
$487 all-in for this procedure (276 insurer
rates) — less than the lowest hospital facility fee above ($1,549).
- Pediatric Orthopedic Associates Of San Antonio — $145
- Holy Cross Family Practice Association — $145
- Travis Lockwood — $150
- Pediatric Orthopedic Associates Of San Antonio — $157