CashPrice · what hospitals actually charge cash-pay patients — normalized from the federal price-transparency files

Diagnostic Colonoscopy — cash price without insurance

Median cash price · 37 hospitals · CPT/HCPCS 45378
$1,541.44

The median cash price for Diagnostic Colonoscopy is $1,541.44, based on the stated self-pay prices 29 hospitals publish in their federal price-transparency files. Across all 37 hospitals we cover, prices run $351.71–$6,839.

Source: each hospital's CMS price-transparency file (45 CFR 180). Verified .
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8 of 37 hospitals don't publish a stated cash price for this procedure — those rows show their lowest negotiated rate as an estimated floor (est.), the realistic best case a cash-pay patient could ask to match.

Cash price by hospital

HospitalCash priceGross chargeFile dated
Henry Ford Hospital
Detroit, MI
$100.10 est. 2025-06-28
Temple University Hospital
Philadelphia, PA
$252.70 est. 2026-04-13
Baylor University Medical Center
Dallas, TX
$328.50 est. 2026-02-18
NYU Langone Tisch Hospital
New York, NY
$351.71 cash $1,851.10 2026-01-01
Hospital of the University of Pennsylvania
Philadelphia, PA
$418 cash $418 2026-02-10
WVU Hospitals
Morgantown, WV
$440 cash $880 3/30/2026
Houston Methodist Hospital
Houston, TX
$519 cash $1,038 2026-04-01
Banner University Medical Center Phoenix
Phoenix, AZ
$575.40 est. 2026-03-02
Duke University Hospital
Durham, NC
$737 cash $1,474 04/01/2026
Scripps Green Hospital
San Diego, CA
$749.49 cash $2,997.98 2026-03-30
Scripps Memorial Hospital La Jolla
San Diego, CA
$749.49 cash $2,997.98 2026-03-30
OSF HealthCare
Peoria, IL
$868.20 cash $1,447 2026-03-31
Froedtert Hospital
Milwaukee, WI
$926.48 est. 2025-12-31
Cleveland Clinic Main Campus
Cleveland, OH
$932.10 cash $1,434 2026-06-16
Cedars-Sinai Medical Center
Los Angeles, CA
$936.62 cash $1,440.95 2025-11-26
HMH Hospitals Corporation (Hackensack)
Hackensack, NJ
$1,009.14 cash $4,235 2025-12-31
Mary Hitchcock Memorial Hospital (Dartmouth)
Lebanon, NH
$1,016.53 cash $3,322 1/1/2026
Tampa General Hospital
Tampa, FL
$1,143.10 cash $3,266 2026-04-01
UC Irvine Medical Center
Orange, CA
$1,196.08 est. 2026-04-01
UCSF Medical Center
San Francisco, CA
$1,360.37 est. 2026-04-01
Dignity Health St Josephs Hospital and Medical Center
Phoenix, AZ
$1,390.87 cash $3,641 2026-02-28
Memorial Hermann-Texas Medical Center
Houston, TX
$1,541.44 cash $4,817 2026-04-01
Memorial Sloan Kettering Cancer Center
New York, NY
$1,635 cash $1,635 2025-12-01
Montefiore Medical Center
New York, NY
$1,690.59 cash $2,585 2026-04-01
University of Michigan Health
Ann Arbor, MI
$1,747.60 cash $4,369 3/31/2026
Providence Alaska Medical Center
Anchorage, AK
$1,965.11 est. 2026-04-01
OHSU Hospital
Portland, OR
$2,284.10 cash $3,514 2026-03-23
University Hospitals Health System
Cleveland, OH
$2,502.75 cash $3,337 2025-05-16
Dana-Farber Cancer Institute
Boston, MA
$2,519.25 cash $3,359 2026-04-01
Sharp Chula Vista Medical Center
San Diego, CA
$2,537.25 cash $3,383 04/01/2026
University of Chicago Medical Center
Chicago, IL
$2,790 cash $2,790 2026-04-01
Brigham and Womens Hospital
Boston, MA
$2,912.25 cash $3,883 2026-03-27
Massachusetts General Hospital
Boston, MA
$2,912.25 cash $3,883 2026-03-27
Stanford Health Care
Palo Alto, CA
$3,432.40 cash $8,581 2026-04-01
Kaiser Permanente Oakland Medical Center
Oakland, CA
$3,679.20 cash $6,570 4/1/2026
Seattle Children's Hospital
Seattle, WA
$5,952.50 cash $5,952.50 03/31/2026
Cooperman Barnabas Medical Center
Livingston, NJ
$6,839 cash 2026-03-04

"Cash price" = the hospital's published discounted_cash self-pay rate. "Gross charge" = the sticker price before any discount — what cash-pay patients are first billed and can negotiate down toward the cash rate.

Paying cash? Ask the hospital's billing office for the "self-pay" or "prompt-pay" rate and bring the figure above — it's a published ceiling you can negotiate from, not a fixed quote. Free-standing imaging centers and ASCs are frequently cheaper than hospital outpatient departments for the same code.

How to use this

If you're paying cash for Diagnostic Colonoscopy, the hospital's published self-pay price is a ceiling you can negotiate from, not a fixed quote. Bring the figure above (and the source file) to billing and ask for the cash / prompt-pay rate. Free-standing imaging centers and ASCs are often well below hospital outpatient rates.

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