Colonoscopy Cost in Gainesville, FL

How much does a colonoscopy cost without insurance in Gainesville?

Based on the published files, cash prices on this page range from $2,320.45 to $2,483.25, and both figures come from UF Health Shands Hospital: $2,320.45 for 45380 and $2,483.25 for 45378. HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital have no published cash price for either code, so that is missing data, not a price of zero. These figures are facility charges only. Professional fees, such as those billed by the physician, are billed separately and are not included in the amounts shown here.

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

A gross charge is a hospital's list price before any discounts, and few people pay it. At UF Health Shands Hospital, the gross charge for 45378 is $4,515 and the cash price is $2,483.25, which is 55% of gross. For 45380, the gross charge is $4,219 and the cash price is $2,320.45, also 55% of gross. The cash price reflects a discount for self-pay patients relative to the list price. The other two hospitals on this page do not publish a gross charge or a cash price for these codes, so no comparison is possible for them.

Does insurance cover a colonoscopy?

Whether insurance covers a colonoscopy depends on the specific plan, so the plan documents or insurer are the source for coverage details. The files show negotiated rates that insurers have with these hospitals. UF Health Shands Hospital lists insured maximums of $4,063.50 for 45378 and $3,797.10 for 45380. HCA Florida Gainesville Hospital lists $8,440 to $8,440 for both codes. HCA Florida North Florida Hospital lists $1,295.28 to $35,535 for 45378. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate.

Are there additional fees beyond the colonoscopy facility charge?

Yes. The figures on this page are facility charges only. A colonoscopy typically involves other separate bills, including a professional fee from the physician who performs the procedure, a fee for anesthesia and the clinician who administers it, and a pathology or laboratory fee if tissue samples are sent for analysis. Some patients also receive separate charges for supplies or medications. These bills may come from different providers than the hospital, and each may have its own network status with your plan, so itemized statements can help you see what each one covers.

What is the cash price for a colonoscopy at UF Health Shands Hospital?

UF Health Shands Hospital publishes two cash prices on this page: $2,483.25 for Screening Colonoscopy (45378) and $2,320.45 for Colonoscopy with Biopsy (45380). Both are facility charges only, so they do not include other bills tied to the visit. Each cash price is 55% of the hospital's gross charge for that code.

Does HCA Florida Gainesville Hospital publish a cash price for colonoscopy?

No. HCA Florida Gainesville Hospital shows no published cash price for either code on this page (45378 or 45380), and its gross charge is also missing. Missing data means the figure was not published as a usable number, not that the service is free. The hospital does list an insured rate of $8,440 for both codes, which is a facility charge only.

How much does UnitedHealthcare pay for a colonoscopy in Gainesville?

For UnitedHealthcare, the page shows rates from $700.57 at UF Health Shands Hospital to $8,440 at HCA Florida North Florida Hospital, with a median of $8,440 across 3 hospitals. The highest is about 12x the lowest. These are facility charges only and do not include separate professional or other fees.

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

The page lists 45378 as Screening Colonoscopy and 45380 as Colonoscopy with Biopsy. At UF Health Shands Hospital, the gross charge is $4,515 for 45378 and $4,219 for 45380, and the cash prices are $2,483.25 and $2,320.45. Both are facility charges only. HCA Florida hospitals have no gross charge or cash price published for either code.