Colonoscopy Cost in Fort Myers-Cape Coral, FL
A colonoscopy is a procedure in which a clinician guides a thin, flexible tube with a camera through the large intestine while the patient is sedated, producing images and video that the care team reviews and records. The hospital facility fee covers the procedure room, nursing staff, equipment, and recovery area, and it is billed separately from the clinician's own fees. This page covers two billing codes: 45378 Screening Colonoscopy and 45380 Colonoscopy with Biopsy. All prices shown come from the machine-readable price transparency files that CMS requires US hospitals to publish.
Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-09-01
Screening Colonoscopy (HCPCS 45378)
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| Hospital | Cash Price | |
|---|---|---|
| HCA Lehigh | N/A | Schedule → |
Colonoscopy with Biopsy (HCPCS 45380)
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| Hospital | Cash Price | |
|---|---|---|
| HCA Lehigh | N/A | Schedule → |
What These Prices Mean
The gross charge is a hospital's list price before any discounts. The cash price is what a self-pay patient is quoted, and the insured range spans the negotiated rates that health plans have agreed to pay. At HCA Florida Lehigh Hospital, the only hospital on this page, the gross charge is missing for both codes because it was published as $0 or blank, and the cash price is listed as not published. That means no cash-to-gross percentage can be given for this page. The insured range is $1,950 to $8,253 for both codes. People on a high-deductible plan who have not yet met their deductible usually pay the plan's negotiated rate, so the insured range is the more relevant figure for them.
What the two codes cover
Code 45378 is a screening colonoscopy, an examination without tissue removal. Code 45380 is a colonoscopy with biopsy, which adds the taking of a tissue sample during the same session. In this hospital's file, both codes show the same insured range of $1,950 to $8,253, so the published figures do not separate them. The detailed payer table lists 77 published rates for code 45378.
Why Colonoscopy Prices Vary
This page contains 1 hospital, HCA Florida Lehigh Hospital, which belongs to HCA Healthcare, the only health system represented. Since 0 of 2 rows have a published cash price and both rows have a missing gross charge, there are no gross or cash ranges to compare across hospitals, and no discount policy can be described from this data. Prices at other hospitals in the Fort Myers-Cape Coral area are not part of this page, so no cross-hospital multiplier applies.
Other facilities and plan-to-plan variation
Outpatient centers, ambulatory surgery centers, and other facilities outside this dataset may price the same procedure differently. Within this hospital, the insurer data shows wide variation. The lowest published rate for code 45378 is $1,950, listed for plans from Freedom Health Care and Optimum Healthcare, while the highest is $8,253, listed for Cigna HMO and PPO plans. The highest rate in the table is about 4x the lowest.
Paying cash? Health insurance could lower your Colonoscopy cost.
Published cash prices on this page range from N/A to N/A. The lowest insured rate in the price table is $1,950 (HCA Florida Lehigh Hospital). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. 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
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Published negotiated rates for Screening Colonoscopy (HCPCS 45378) at HCA Lehigh, outpatient facility fee:
Screening Colonoscopy (45378), HCA Lehigh Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Freedom Health Care | MGMGR | $1,950 |
| Optimum Healthcare | MCRHMO | $1,950 |
| Optimum Healthcare | MCRPPO | $1,950 |
| Optimum Healthcare | PFFS | $1,950 |
| Freedom Health Care | MGMGR | $1,950 |
| Optimum Healthcare | MCRHMO | $1,950 |
| Optimum Healthcare | MCRPPO | $1,950 |
| Optimum Healthcare | PFFS | $1,950 |
| Freedom Health Care | MGMGR | $1,950 |
| Optimum Healthcare | MCRHMO | $1,950 |
| Optimum Healthcare | MCRPPO | $1,950 |
| Optimum Healthcare | PFFS | $1,950 |
| Freedom Health Care | MGMGR | $1,950 |
| Optimum Healthcare | MCRHMO | $1,950 |
| Optimum Healthcare | MCRPPO | $1,950 |
| Optimum Healthcare | PFFS | $1,950 |
| BCBS | BSL | $2,049 |
| BCBS | MBN | $2,049 |
| BCBS | SBN | $2,049 |
| Simply Healthcare | MGMCR | $2,250 |
| Simply Healthcare | MGMCR | $2,250 |
| Simply Healthcare | MGMCR | $2,250 |
| Simply Healthcare | MGMCR | $2,250 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| Simply Healthcare | HIX | $2,594 |
| BCBS | HMO | $2,644 |
| BCBS | NWB | $2,822 |
| BCBS | PPO | $2,822 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| United | AllPayerAppendix | $3,813 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| Oscar | HIX | $4,291 |
| BCBS | PHS | $5,462 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
| Cigna | HMO | $8,253 |
| Cigna | PPO | $8,253 |
Key finding: At HCA Florida Lehigh Hospital, published rates for code 45378 run from $1,950 for several Freedom Health Care and Optimum Healthcare plans to $8,253 for Cigna plans, about 4x higher.
What to Do With These Colonoscopy Prices
Start with the cash price, since this page has none. HCA Florida Lehigh Hospital is the only hospital here, and it published no cash price for either code. Call its billing or price estimate line and ask for the cash or self-pay price and an itemized estimate. Quote 45378 (screening colonoscopy) and 45380 (colonoscopy with biopsy). Whether a biopsy is taken is decided during the procedure, so ask for both quotes in the same request.
Measure any quote against the insured range. The page shows insured facility rates from $1,950 to $8,253 for both codes at that hospital. If a cash quote comes back, you can compare it with that range. If it sits inside or above the range, ask what the quote includes and whether it covers the facility only. Since the range is wide, you can also ask your insurer how a biopsy changes your share.
Expect more than one bill. The page lists facility charges only. Check the statement for these separate items:
- The hospital facility fee.
- The gastroenterologist's professional fee.
- The anesthesia provider's bill.
- A pathology lab bill, if tissue is sent for testing.
Ask whether each of those is billed separately and whether each is included in any quote you receive.
Treat blanks as gaps. Both rows show the gross charge as N/A and the cash price as not published. That means the data is missing, not that the service is free.
Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.
General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer
What Patients Ask About Colonoscopy Costs
How much does a colonoscopy cost without insurance in Fort Myers-Cape Coral?
The data on this page does not include a published cash price for a colonoscopy in Fort Myers-Cape Coral. HCA Florida Lehigh Hospital, the only hospital listed, has no cash price published for either code 45378 or code 45380, so those figures are missing data rather than real prices. The hospital does publish insured rates from $1,950 to $8,253, but those apply to people with insurance. Self-pay patients may wish to contact the hospital's billing office directly for a quote. Professional fees, such as those billed by the physician, are billed separately from the facility price.
Why is the gross charge so much higher than the cash price?
A gross charge is a hospital's undiscounted list price, and cash prices are often set as a percentage of it. For this page, that comparison cannot be made. HCA Florida Lehigh Hospital published its gross charge as $0 or blank for both codes, and its cash price is also not published. Both are treated as missing data, not as real prices, so there is no cash-to-gross percentage to report. The only published figures for this hospital are its insured rates, which run from $1,950 to $8,253 for both 45378 and 45380.
Does insurance cover a colonoscopy?
Whether a colonoscopy is covered depends on your specific plan, so the plan's own documents or member services are the place to confirm. The price data shows what HCA Florida Lehigh Hospital has published as negotiated rates: 77 rates for code 45378, from $1,950 to $8,253. Freedom Health Care and Optimum Healthcare plans are at the low end, and Cigna plans are at the high end. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until it is met.
Are there additional fees beyond the colonoscopy facility charge?
Yes. The facility fee shown on this page covers the hospital's charge only. Other bills commonly connected to a colonoscopy include a separate professional fee from the physician performing the procedure, a fee from an anesthesia provider or group, and a pathology or laboratory fee if tissue samples are sent for review. Some visits also generate separate charges for supplies or medications. These bills may come from different providers and may arrive separately, so an itemized statement can help show which charge belongs to whom.
What is the cash price for a colonoscopy at HCA Florida Lehigh Hospital near Fort Myers?
No cash price is published for either colonoscopy code at HCA Florida Lehigh Hospital. Both 45378 Screening Colonoscopy and 45380 Colonoscopy with Biopsy show cash as not published, and the gross charge is also missing. A blank or $0 entry means the data is missing, not that the procedure is free.
What is the lowest and highest insured price for a colonoscopy in Fort Myers-Cape Coral?
On this page, insured rates for the screening colonoscopy (45378) run from $1,950 to $8,253, both at HCA Florida Lehigh Hospital, the only hospital with data here. These are facility charges only. They do not include any separate physician, anesthesia, or pathology billing.
How much does Cigna pay for a colonoscopy at HCA Florida Lehigh Hospital in Cape Coral?
Cigna's published rate for 45378 Screening Colonoscopy at HCA Florida Lehigh Hospital is $8,253, listed for both its HMO and PPO entries. That matches the highest insured rate in the table. It is a facility charge only, and the price table does not show what any patient would owe.
Which insurer has the lowest colonoscopy rate at HCA Florida Lehigh Hospital?
The lowest published rate is $1,950 for 45378 Screening Colonoscopy. Freedom Health Care (MGMGR) and Optimum Healthcare (MCRHMO, MCRPPO and PFFS) all list that amount. The table has 77 published rates for this code, and the highest is $8,253. All figures are facility charges only.
Compare Other Procedures in Fort Myers-Cape Coral
Data Sources
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Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.
HCA Florida Lehigh Hospital
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Paige Laughlin
We are not affiliated with HCA Florida Lehigh Hospital. Published prices may not reflect your actual cost. Disclaimer
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