Colonoscopy Cost in Dallas-Fort Worth, TX

A colonoscopy is an endoscopic procedure where a flexible tube with a camera (colonoscope) is inserted through the rectum to visually examine the interior lining of the large intestine. The procedure produces direct visual images of the colon walls and allows for tissue sample collection when abnormalities are identified. Two primary billing codes apply: HCPCS 45378 for screening colonoscopy, which involves visual examination only, and HCPCS 45380 for colonoscopy with biopsy, which includes tissue sample removal during the procedure. The hospital facility fee covers the procedure room, specialized endoscopic equipment, nursing staff, sedation monitoring, and recovery room services. These prices come from federally-mandated hospital price transparency files that hospitals must publish under CMS requirements.

Data last updated: 2026-02-18

Screening Colonoscopy (HCPCS 45378)

Hospital Cash Price
Medical City Alliance $0 Schedule →
Medical City Argyle $0 Schedule →
Medical City Arlington $0 Schedule →
Medical City Dallas $0 Schedule →
Medical City Decatur $0 Schedule →
Medical City Denton $0 Schedule →
Medical City Fort Worth $0 Schedule →
Medical City Frisco $0 Schedule →
Medical City Heart Spine $0 Schedule →
Medical City Las Colinas $0 Schedule →
Medical City Lewisville $0 Schedule →
Medical City McKinney $0 Schedule →
Medical City North Hills $0 Schedule →
Medical City Plano $0 Schedule →
Medical City Sachse $0 Schedule →
Medical City Spine Hospit $0 Schedule →
Medical City Weatherford $0 Schedule →
Parkland Health $1,507.6 Schedule →

Colonoscopy with Biopsy (HCPCS 45380)

Hospital Cash Price
Medical City Alliance $0 Schedule →
Medical City Argyle $0 Schedule →
Medical City Arlington $0 Schedule →
Medical City Dallas $0 Schedule →
Medical City Decatur $0 Schedule →
Medical City Denton $0 Schedule →
Medical City Fort Worth $0 Schedule →
Medical City Frisco $0 Schedule →
Medical City Heart Spine $0 Schedule →
Medical City Las Colinas $0 Schedule →
Medical City Lewisville $0 Schedule →
Medical City McKinney $0 Schedule →
Medical City North Hills $0 Schedule →
Medical City Plano $0 Schedule →
Medical City Sachse $0 Schedule →
Medical City Spine Hospit $0 Schedule →
Medical City Weatherford $0 Schedule →
Parkland Health $1,818.8 Schedule →

What These Prices Mean

Understanding the price columns: The data shows incomplete pricing information, with gross charges and cash prices listed as $0 across all Medical City facilities, indicating missing data in their transparency files. However, insured rate ranges provide meaningful price context: screening colonoscopy (45378) ranges from $323.57 to $5,047 depending on the hospital and insurance plan, while colonoscopy with biopsy (45380) ranges from $422.82 to $5,047. Patients with high-deductible insurance plans who have not met their deductible pay these negotiated rates, not the gross charge. Code variations: The two procedure codes reflect different levels of intervention. Code 45378 covers diagnostic visual examination only, while code 45380 includes biopsy tissue removal, explaining why the latter consistently commands higher reimbursement rates. At Medical City Lewisville, for example, the biopsy procedure ranges $2,467-$3,486 compared to $361.35 for screening only.

Why Colonoscopy Prices Vary

Hospital pricing structures: Due to incomplete gross and cash price data showing $0 amounts, meaningful discount percentage analysis cannot be performed. However, insured rate variations reveal significant pricing disparities. For screening colonoscopy, rates span from $323.57 at multiple Medical City locations to $5,047 at Medical City Spine Hospital, representing a 16-fold difference. The colonoscopy with biopsy shows similar variation, from $422.82 to $5,047, a 13-fold spread. Facility type and alternatives: The Medical City system includes general acute care hospitals, specialty cardiac facilities, and spine-focused centers, each with different cost structures. Outpatient endoscopy centers and ambulatory surgery centers, not included in this hospital-focused dataset, typically offer lower facility fees for routine colonoscopy procedures. The wide rate variation suggests different facility capabilities and market positioning strategies within the same health system.
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Paying cash? Health insurance could lower your Colonoscopy cost.

Published cash prices on this page range from $1,507.6 to $1,818.8. Insurers on this page have negotiated rates starting from $450.72, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

What Insurers Actually Pay

Published negotiated rates for Colonoscopy with Biopsy (HCPCS 45380) at Parkland Health, outpatient facility fee:

Colonoscopy with Biopsy (45380), Parkland Health Payer Rates

Insurance Payer Plan Type Negotiated Rate
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDREN STAR MEDICAID [138000] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS STAR KIDS [138005] $450.72
COOK CHILDREN HEALTH PLAN [1380] COOK CHILDRENS CHIP [138006] $450.72
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
WELLPOINT [1007] WELLPOINT CHIP PERINATE POST PARTUM [100704] $451.58
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
SUPERIOR HEALTH PLAN [1402] SUPERIOR STAR HEALTH FOSTER CARE [140200] $474.16
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH CHIP [131701] $474.16
AETNA BETTER HEALTH [1317] BELOW FPIL AETNA CHIP PERINATE [131702] $474.16
AETNA BETTER HEALTH [1317] ABOVE FPIL AETNA CHIP PERINATE [131703] $474.16
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland CHIP [105606] $474.16
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
POINT COMFORT UNDERWRITERS [1801] POINT COMFORT UNDERWRITERS [180100] $496.74
MOLINA [1382] MOLINA CHIP [138201] $496.74
MOLINA [1382] MOLINA RSA MEDICAID [138203] $496.74
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $950.32
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $950.32
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $950.32
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $963.96
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $963.96
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $963.96
SUPERIOR MEDICARE ADVANTAGE [1319] ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] $1,469.62
SUPERIOR MEDICARE ADVANTAGE [1319] SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] $1,469.62
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $1,469.62
WELLCARE OF TEXAS [1330] WELLCARE MEDICARE ADVANTAGE - UXR [133000] $1,476.65
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT MEDICARE ADVANTAGE [200901] $1,476.65
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] $1,476.65
UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] $1,476.65
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $1,490.72
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
BLUE CROSS BLUE SHIELD [1012] BLUE ADVANTAGE HMO ACA [101204] $1,526.41
MOLINA MEDICARE ADVANTAGE [1333] MOLINA MEDICARE ADVANTAGE [133300] $1,550.49
MOLINA MEDICARE ADVANTAGE [1333] MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] $1,550.49
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR PLUS [100701] $1,596.85
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
WELLPOINT [1007] WELLPOINT STAR KIDS [100706] $1,635.48
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
SUPERIOR HEALTHPLAN [1383] SUPERIOR STAR PLUS [138305] $1,676.69
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR PLUS [138200] $1,756.53
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
MOLINA [1382] MOLINA STAR MEDICAID [138204] $1,822.64
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
WELLPOINT [1007] WELLPOINT STAR [100700] $2,086.2
MOLINA ACA [1337] MOLINA ACA [133700] $2,109.51
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $2,137.09
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $2,137.09
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $2,137.09
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
AETNA BETTER HEALTH [1317] AETNA BETTER HEALTH STAR [131700] $2,190.51
PARKLAND COMMUNITY HEALTH PLAN [1056] Parkland STAR [105600] $2,190.51
SUPERIOR MEDICARE ADVANTAGE [1319] ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] $2,440.97
SUPERIOR MEDICARE ADVANTAGE [1319] SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] $2,440.97
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $2,440.97
UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] $2,452.65
WELLCARE OF TEXAS [1330] WELLCARE MEDICARE ADVANTAGE - UXR [133000] $2,452.65
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT MEDICARE ADVANTAGE [200901] $2,452.65
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] $2,452.65
SUPERIOR MEDICARE ADVANTAGE [1319] ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] $2,458.86
SUPERIOR MEDICARE ADVANTAGE [1319] SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] $2,458.86
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $2,458.86
UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] $2,470.62
WELLCARE OF TEXAS [1330] WELLCARE MEDICARE ADVANTAGE - UXR [133000] $2,470.62
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT MEDICARE ADVANTAGE [200901] $2,470.62
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] $2,470.62
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $2,476.01
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $2,494.15
MOLINA MEDICARE ADVANTAGE [1333] MOLINA MEDICARE ADVANTAGE [133300] $2,575.28
MOLINA MEDICARE ADVANTAGE [1333] MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] $2,575.28
MOLINA MEDICARE ADVANTAGE [1333] MOLINA MEDICARE ADVANTAGE [133300] $2,594.15
MOLINA MEDICARE ADVANTAGE [1333] MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] $2,594.15
CIGNA [1021] CIGNA [102100] $2,728.2
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $2,728.2
AETNA HEALTHCARE [1004] AETNA [100400] $2,728.2
CIGNA [1021] CIGNA [102100] $2,728.2
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $2,728.2
AETNA HEALTHCARE [1004] AETNA [100400] $2,728.2
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $2,728.2
CIGNA [1021] CIGNA [102100] $2,728.2
AETNA HEALTHCARE [1004] AETNA [100400] $2,728.2
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $2,793.6
SUPERIOR MEDICARE ADVANTAGE [1319] ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] $2,793.6
SUPERIOR MEDICARE ADVANTAGE [1319] SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] $2,793.6
UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] $2,806.97
WELLCARE OF TEXAS [1330] WELLCARE MEDICARE ADVANTAGE - UXR [133000] $2,806.97
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT MEDICARE ADVANTAGE [200901] $2,806.97
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] $2,806.97
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $2,833.7
MOLINA MEDICARE ADVANTAGE [1333] MOLINA MEDICARE ADVANTAGE [133300] $2,947.32
MOLINA MEDICARE ADVANTAGE [1333] MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] $2,947.32
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $3,032.85
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $3,032.85
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $3,032.85
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $3,032.85
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $3,032.85
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $3,032.85
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $3,273.84
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $3,273.84
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $3,304.89
MOLINA ACA [1337] MOLINA ACA [133700] $3,503.79
MOLINA ACA [1337] MOLINA ACA [133700] $3,529.46
MOLINA ACA [1337] MOLINA ACA [133700] $4,009.96
AETNA HEALTHCARE [1004] AETNA [100400] $4,219.01
CIGNA [1021] CIGNA [102100] $4,219.01
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $4,219.01
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $4,690.14
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $4,690.14
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $5,062.82
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $5,062.82
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $5,062.82
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $5,062.82
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $5,062.82
TRIWEST HEALTHCARE ALLIANCE [1409] COMMUNITY CARE NETWORK [140900] $5,273.77
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $5,489.27
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $5,529.49
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $6,282.26
CARE IMPROVEMENT PLUS [1104] CARE IMPROVEMENT PLUS [110400] $6,862.67
UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] $6,895.51
WELLCARE OF TEXAS [1330] WELLCARE MEDICARE ADVANTAGE - UXR [133000] $6,895.51
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT MEDICARE ADVANTAGE [200901] $6,895.51
WELLPOINT MEDICARE ADVANTAGE [2009] WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] $6,895.51
PROCARE ADVANTAGE [2104] PROCARE ADVANTAGE [210400] $6,961.18
CIGNA [1021] CIGNA [102100] $7,007.57
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $7,007.57
AETNA HEALTHCARE [1004] AETNA [100400] $7,007.57
CIGNA [1021] CIGNA [102100] $7,058.92
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $7,058.92
AETNA HEALTHCARE [1004] AETNA [100400] $7,058.92
MOLINA MEDICARE ADVANTAGE [1333] MOLINA MEDICARE ADVANTAGE [133300] $7,240.28
MOLINA MEDICARE ADVANTAGE [1333] MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] $7,240.28
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $7,790.09
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $7,790.09
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $7,847.17
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $7,847.17
AETNA HEALTHCARE [1004] AETNA [100400] $8,019.91
CIGNA [1021] CIGNA [102100] $8,019.91
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $8,019.91
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $8,409.09
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $8,409.09
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $8,409.09
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $8,409.09
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $8,409.09
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $8,470.71
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $8,470.71
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $8,470.71
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $8,470.71
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $8,470.71
TRIWEST HEALTHCARE ALLIANCE [1409] COMMUNITY CARE NETWORK [140900] $8,759.47
TRIWEST HEALTHCARE ALLIANCE [1409] COMMUNITY CARE NETWORK [140900] $8,823.65
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $8,915.47
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $8,915.47
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $9,623.89
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $9,623.89
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $9,623.89
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $9,623.89
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $9,623.89
MOLINA ACA [1337] MOLINA ACA [133700] $9,850.73
TRIWEST HEALTHCARE ALLIANCE [1409] COMMUNITY CARE NETWORK [140900] $10,024.89
CIGNA PARKLAND HEALTH EMPLOYEES [1094] CIGNA PARKLAND HEALTH EMPLOYEES [109400] $15,432.8
AETNA HEALTHCARE [1004] AETNA [100400] $19,701.45
CIGNA [1021] CIGNA [102100] $19,701.45
GREAT WEST HEALTHCARE [1037] GREAT WEST HEALTHCARE [103700] $19,701.45
UNITED HEALTHCARE OF TX [1079] UNITED HEALTHCARE OF TX [107900] $21,901.45
UNITED HEALTHCARE OF TX [1079] UHC - UMR [107903] $21,901.45
BLUE CROSS BLUE SHIELD [1012] BCBS TRADITIONAL [101200] $23,641.74
BLUE CROSS BLUE SHIELD [1012] BCBS OUT OF STATE [101202] $23,641.74
BLUE CROSS BLUE SHIELD [1012] BCBS FEDERAL EMPLOYEE [101203] $23,641.74
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD PPO [101207] $23,641.74
BLUE CROSS BLUE SHIELD [1012] BLUE CROSS BLUE SHIELD HMO [101208] $23,641.74
TRIWEST HEALTHCARE ALLIANCE [1409] COMMUNITY CARE NETWORK [140900] $24,626.81

Key finding: Texas Health Network Medicaid pays the lowest rates at $323.57 for screening and $422.82 with biopsy, while United AllPayerAppendix pays the highest at $5,047 for both procedures.

How to Use This Information

Our methodology · Medical Disclaimer

What Patients Ask About Colonoscopy Costs

How much does a colonoscopy cost without insurance in Dallas-Fort Worth?

The published cash prices for colonoscopy at all Medical City hospitals in Dallas-Fort Worth are listed as $0, which appears to represent incomplete data rather than actual pricing. For context, insured rates provide a more realistic cost range: screening colonoscopy (45378) negotiated rates span $323.57 to $5,047, while colonoscopy with biopsy (45380) ranges $422.82 to $5,047 across different facilities and insurance plans. The biopsy procedure consistently costs more than screening-only colonoscopy due to additional tissue sampling and pathology processing. These facility fees cover only the hospital charges for room, equipment, and nursing staff. Physician fees for the gastroenterologist performing the procedure are billed separately and not included in these amounts.

Why is the gross charge so much higher than the cash price?

The gross charge represents the hospital's standard list price before any discounts or negotiations, also called the chargemaster price. However, the Medical City hospitals in this dataset show $0 for both gross charges and cash prices, indicating incomplete price transparency reporting rather than meaningful pricing data. When properly reported, gross charges typically exceed cash prices by 200-400% or more, as hospitals provide substantial discounts for self-pay patients. The gross charge serves as a starting point for insurance negotiations, but almost no patients actually pay this amount. Even without insurance, patients typically receive significant discounts from the gross charge amount through financial assistance programs or standard self-pay discounts.

Does insurance cover a colonoscopy?

Insurance coverage for colonoscopy depends on your specific plan benefits and whether the procedure meets medical necessity criteria established by your insurer. Based on the negotiated rates in this data, insured patients can expect facility charges ranging from $323.57 to $5,047 depending on their insurance plan and the specific Medical City facility. Many insurers require prior authorization for non-urgent colonoscopy procedures to confirm medical necessity. Patients with high-deductible health plans who have not yet met their annual deductible will pay the full negotiated rate shown in the insured ranges, not the higher gross charge. Once the deductible is met, standard copayment or coinsurance percentages apply according to the patient's specific plan design.

Are there additional fees beyond the colonoscopy facility charge?

Yes, the facility charges shown here represent only the hospital's fees for room, equipment, and nursing staff. The gastroenterologist who performs the colonoscopy bills separately for professional services, which includes the actual procedure performance and interpretation of findings. If sedation is administered, the anesthesiologist may also bill separately depending on the type of anesthesia used and hospital protocols. When tissue samples are collected during colonoscopy with biopsy, the pathologist who examines the specimens bills separately for diagnostic interpretation services. If the procedure occurs in a hospital emergency department setting rather than an outpatient procedure unit, additional emergency facility fees will apply. Patients may verify with their healthcare providers which specialists will be involved to understand the complete cost structure before scheduling.

Compare Other Procedures in Dallas-Fort Worth

Data Sources

Baylor University Medical Center

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BSW All Saints Fort Worth

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BSW Heart Hospital Dallas

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BSW Heart Hospital Denton

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BSW Heart Hospital McKinney

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BSW Heart Hospital Plano

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BSW Heart Hospital Waxahachie

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BSW Medical Center Centennial

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BSW Medical Center Frisco PGA

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BSW Medical Center Grapevine

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BSW Medical Center Irving

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BSW Medical Center Lake Pointe

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BSW Medical Center McKinney

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BSW Medical Center Plano

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BSW Medical Center Waxahachie

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Medical City Alliance

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Medical City Argyle

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Medical City Arlington

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Medical City Dallas

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Medical City Decatur

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Medical City Denton

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Medical City Fort Worth

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Medical City Frisco

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Medical City Heart Spine

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Medical City Las Colinas

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Medical City Lewisville

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Medical City McKinney

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Medical City North Hills

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Medical City Plano

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Medical City Sachse

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Medical City Spine Hospital

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Medical City Weatherford

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Methodist Charlton Medical Center

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Methodist Dallas Medical Center

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Methodist Mansfield Medical Center

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Methodist Richardson Medical Center

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Parkland Health & Hospital System

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