Colonoscopy Cost in Daytona Beach-Deltona, FL

How much does a colonoscopy cost without insurance in Daytona Beach-Deltona?

The cash prices reported for colonoscopy in Daytona Beach-Deltona are $0 for both code 45378 and code 45380 at all six AdventHealth hospitals (Daytona Beach, Deland, Fish Memorial, New Smyrna Beach, Palm Coast, and Palm Coast Parkway). A $0 entry indicates incomplete data, not a free procedure. For context, insured rates for 45378 range from $922.58 to $2,121.44, and for 45380 from $1,187.15 to $2,729.81. These amounts are facility fees only. Physician and professional fees are billed separately and are not included in these figures.

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

A gross charge, also called the chargemaster price, is a hospital's full list price before any discounts or insurer negotiations. Almost no one pays it. Cash prices and insured rates are typically far lower. In this dataset, gross charges and cash prices are both reported as $0 for every hospital, so no gross-to-cash ratio can be calculated; the ratios appear as invalid values in the source data. Because both fields are incomplete, comparisons of discount percentages between hospitals are not possible here. The insured rate ranges are the most reliable figures available for this procedure.

Does insurance cover a colonoscopy?

Coverage depends on the specific plan and on medical necessity as determined by the insurer. Negotiated rates vary widely: for code 45378, payer rates range from $825.46 (EMBS PPO) to $2,233.61 (Oscar All Products), roughly a threefold difference. Prior authorization requirements apply to some non-emergency procedures, and requirements differ by insurer and plan. Patients on high-deductible plans who have not met their deductible owe the negotiated rate for the procedure, not the gross charge. After the deductible is met, cost sharing such as coinsurance or copayments depends on plan terms.

Are there additional fees beyond the colonoscopy facility charge?

Yes. The figures shown here are facility fees, which cover the procedure room, equipment, and nursing staff. Several other charges are billed separately. The physician performing the colonoscopy bills a professional fee. Anesthesia services, when used, are billed separately by the anesthesiologist or anesthesia group. If tissue samples are collected, the pathology laboratory that examines them bills its own fee. Procedures performed in an emergency department also incur separate ER facility fees. Dollar amounts for these additional charges are not included in the source data and vary by provider and insurer.

What is the cash price for a colonoscopy at AdventHealth Daytona Beach?

No cash price is published for either colonoscopy code at AdventHealth Daytona Beach. The cash price field is blank or $0 in the source data, which means missing, not free. The page lists only insured rates, such as $922.58 to $1,620.82 for 45378 Screening Colonoscopy. These are facility charges only.

What is the lowest and highest published colonoscopy price in Daytona Beach and Deltona?

The lowest insured rate on this page is $922.58 at AdventHealth Daytona Beach for 45378 Screening Colonoscopy. The highest is $2,729.81 at AdventHealth New Smyrna Beach for 45380 Colonoscopy with Biopsy. Both are facility charges only. No cash prices are published for any of the 11 price rows.

How much does Humana pay for a colonoscopy in Daytona Beach?

Humana's published rates on this page run from $942 at Halifax Health Medical Center of Daytona Beach to $1,389.59 at AdventHealth Fish Memorial, with a median of $1,299.61 across 7 hospitals. These are facility charges only and do not include other bills tied to the visit.

What is the difference between CPT 45378 and 45380 colonoscopy prices?

45378 is listed as Screening Colonoscopy and 45380 as Colonoscopy with Biopsy. At AdventHealth Daytona Beach, insured rates run from $922.58 to $1,620.82 for 45378 and from $1,187.15 to $2,085.63 for 45380. These are facility charges only. Gross charges and cash prices are missing for both codes.

Does Halifax Health Medical Center of Daytona Beach publish different colonoscopy rates for different payers?

Yes. The page shows 32 published rates for 45378 Screening Colonoscopy at Halifax Health Medical Center of Daytona Beach, from $825.46 for EMBS PPO to $2,233.61 for OSCAR ALL PRODUCTS. The highest is about 3x the lowest. These are facility charges only, not total costs.