How much does Colonoscopy cost in Spokane?

Median insurer-negotiated rates range from $3,122 at MultiCare Valley Hospital to $3,431 at MultiCare Deaconess Hospital, 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 · Spokane · codes 45378, 45380, 45385

How much does a colonoscopy cost in Spokane?

Examination of the colon with a flexible camera; bundle includes biopsy and polyp-removal variants. Below: the rates insurers have actually negotiated with 4 Spokane-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.

$3,122

lowest median negotiated rate

MultiCare Valley Hospital

$3,431

highest (adult hospitals)

MultiCare Deaconess Hospital

1.1×

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 4 hospitals · file dates 2025-07-25 → 2026-04-01 · retrieved 2026-08-03 → 2026-08-08

Paying cash can beat using insurance. At Providence Holy Family Hospital, the self-pay price is $1,621 — less than the $3,383 median commercial-insurer rate. If you haven't met your deductible, ask for the cash rate.

Skipping the hospital? 21 independent imaging/outpatient centers in this area negotiate a median $534 all-in for this procedure (203 insurer rates) — less than the lowest hospital facility fee above ($3,122).

Geoffrey Stiller — $160
Inland Northwest Surgery Center Pllc — $164
Northwest Eyelid And Orbital Specialists Ps — $172
Inland Northwest Surgery Center Pllc — $178

All-in (global) negotiated fees from Cigna, Premera, 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.

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