Colonoscopy Cost in Naples, FL
A colonoscopy is a procedure in which a flexible, lighted tube with a camera, called a colonoscope, is passed through the rectum to view the lining of the large intestine. The camera produces live images on a monitor, and small instruments can be passed through the scope to collect tissue samples. The facility fee covers the procedure room, equipment, and nursing and support staff. Prices on this page come from CMS-mandated hospital transparency files. Two billing codes appear in the data: HCPCS 45378 (screening colonoscopy) and HCPCS 45380 (colonoscopy with biopsy).
Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-07-01
Data may be outdated
This hospital's pricing file has not been updated since 2026-04-01 (197 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.
Screening Colonoscopy (HCPCS 45378)
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| Hospital | Cash Price | |
|---|---|---|
| NCH Baker Hospital | N/A | Schedule → |
| Physicians Regional Collier | $2,543.92 | Schedule → |
| Physicians Regional Pine Ridge | $3,018.67 | Schedule → |
Colonoscopy with Biopsy (HCPCS 45380)
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| Hospital | Cash Price | |
|---|---|---|
| NCH Baker Hospital | N/A | Schedule → |
| Physicians Regional Collier | $3,896.04 | Schedule → |
| Physicians Regional Pine Ridge | $4,264.63 | Schedule → |
What These Prices Mean
The gross charge is the hospital's full list price, also called the chargemaster rate. The cash price is the amount a self-pay patient is quoted. The insured range shows the lowest and highest negotiated rates across insurance plans. For code 45378, Physicians Regional Collier lists a gross charge of $14,132.89 and a cash price of $2,543.92, or 18% of gross. Physicians Regional Pine Ridge lists $14,374.61 gross and $3,018.67 cash, or 21% of gross. Pine Ridge's higher gross and smaller discount produce a higher cash price. Patients on high-deductible plans who have not met their deductible owe the negotiated rate for their plan, not the gross charge.
Code variations
Code 45378 describes a diagnostic colonoscopy without tissue removal, while 45380 includes a biopsy, meaning tissue is sampled during the procedure. The added work raises the price. At Collier, cash for 45380 is $3,896.04, which is $1,352.12 more than 45378. At Pine Ridge, cash for 45380 is $4,264.63, which is $1,245.96 more.
Why Colonoscopy Prices Vary
Gross charges for code 45378 differ by $241.72 between the two Physicians Regional campuses ($14,132.89 versus $14,374.61). The cash price gap is larger at $474.75 ($2,543.92 versus $3,018.67). Collier's cash price is 18% of its gross charge, while Pine Ridge's is 21%. For code 45380, Collier's gross is higher ($21,644.65 versus $20,307.78), yet its cash price is lower ($3,896.04 versus $4,264.63), because the discount applied is larger. NCH Baker Hospital reports $0 for gross and cash prices on both codes. That reflects incomplete data, not a real price, so no cash comparison is possible there.
Facility type and alternatives
Hospital outpatient departments bill facility fees that reflect their overhead, equipment, and staffing. Outpatient surgery centers and other freestanding facilities are not in this dataset and may charge differently. Among hospitals with reported cash prices, the range runs from $2,543.92 to $4,264.63 across both codes.
Paying cash? Health insurance could lower your Colonoscopy cost.
Published cash prices on this page range from $2,543.92 to $4,264.63. The lowest insured rate in the price table is $321.67 (Physicians Regional Medical Center - Collier Boulevard). 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.
Compare Insurer Rates for Colonoscopy in Naples
How much does each insurance company pay for colonoscopy at Naples hospitals?
| Insurer | Lowest Rate | Hospitals |
|---|---|---|
| UnitedHealthcare | $636.88 | 3 |
| Aetna | $955.60 | 3 |
| Florida Blue | $955.60 | 3 |
Rates shown are the lowest and highest negotiated rates each insurer has published across Naples hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.
What Insurers Actually Pay
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Published negotiated rates for Screening Colonoscopy (HCPCS 45378) at Physicians Regional Collier, outpatient facility fee:
Screening Colonoscopy (45378), Physicians Regional Collier Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Veterans Eval Services | Veterans Eval Services | $321.67 |
| Childrens Medical Services Medicaid | Childrens Medical Services Medicaid | $636.88 |
| Florida Medicaid | FL Medicaid | $636.88 |
| Florida Medicaid Non Par | FL Medicaid Non-Par | $636.88 |
| Ped-I-Care Medicaid FL | Ped-I-Care Medicaid FL | $636.88 |
| Childrens Medical Services | S FL Community Care Network Medicaid FL | $636.88 |
| United Healthcare | UHC Medicaid FL | $636.88 |
| Humana | Humana Medicaid FL | $655.99 |
| Integral Health | Integral Health Medicaid FL | $668.72 |
| Wellcare | Wellcare Medicaid FL | $668.72 |
| Simply Healthcare Plan | Simply Healthcare Plan | $675.09 |
| Magellan | Magellan Medicaid FL | $684.65 |
| Amerigroup | Amerigroup Medicaid FL | $694.20 |
| SUNSHINE HEALTH MEDICAID FL | SUNSHINE HEALTH MEDICAID FL | $700.57 |
| Prestige Health | Prestige Medicaid FL | $738.78 |
| NODE Tricare | NODE Tricare | $922.58 |
| Aetna MCR ADV | NODE Aetna MCR ADV | $955.60 |
| Blue Cross Blue Shield | NODE BCBS FL MCR ADV | $955.60 |
| Humana MCR ADV | NODE Humana MCR ADV | $955.60 |
| NODE Medicare Non Par | NODE Medicare Non Par | $955.60 |
| NODE Medicare Traditional | NODE Medicare Traditional | $955.60 |
| United Healthcare | NODE UHC MCR ADV | $955.60 |
| NODE ChampVA | NODE ChampVA | $971.14 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $971.14 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $971.14 |
| NODE VA | NODE VA | $971.14 |
| NODE Freedom Optimum MCR ADV | NODE Freedom Optimum MCR ADV | $984.27 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $1,000.27 |
| NODE US Dept of Labor | NODE US Dept of Labor | $1,213.92 |
| Occunet | OccuNet Work Comp FL | $1,869.30 |
| Florida State Auto Insurance | State Auto Insurance FL | $1,942.28 |
| Prime Health Work Comp FL | Prime Health Work Comp FL | $2,014.69 |
| Rockport | Rockport Work Comp FL | $2,014.69 |
| Florida Workers Compensation | FL Work Comp | $2,077 |
| Blue Cross Blue Shield | BCBS FL MBN | $2,356 |
| Blue Cross Blue Shield | BCBS FL SBN | $2,410 |
| Occunet | OccuNet | $2,427.85 |
| SUNSHINE HEALTH AMBETTER MARKETPLACE | Sunshine State Health Plan Commercial Exchange | $2,476.41 |
| Blue Cross Blue Shield | BCBS FL HMO | $2,536 |
| Self Pay | Self Pay | $2,543.92 |
| Blue Cross Blue Shield | BCBS FL BSL | $2,788 |
| Simply Healthcare | NODE Simply MCR ADV | $3,000 |
| United Healthcare | UHC NHP | $3,046 |
| Cigna Healthcare | Cigna ALL | $3,359.78 |
| Blue Cross Blue Shield | BCBS FL NWB | $3,395 |
| Blue Cross Blue Shield | BCBS FL PPO | $3,395 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $3,420.16 |
| United Healthcare | UHC APA | $3,501 |
| Aetna | Aetna ASA | $4,547 |
| Blue Cross Blue Shield | BCBS FL PHS | $4,570 |
| Aetna | Aetna | $4,638 |
| Community Health Partners | Community Health Partners | $5,001.37 |
| AvMed | AvMed | $5,370.50 |
| Aetna | Aetna INTL Passport | $7,758.96 |
| Aetna | Aetna First Health | $9,384.24 |
Key finding: Aetna has both the lowest and highest published rates for code 45378 at Collier: the First Health plan pays $9,384.24, compared with $321.67 for the lowest-paying plan listed.
What to Do With These Colonoscopy Prices
Quote the biopsy code before the procedure. Ask the hospital's billing office for its cash or self-pay price and an itemized estimate under 45378 (screening) and 45380 (colonoscopy with biopsy). A biopsy is only decided during the procedure, so the 45380 figure is the one to have in hand. Then ask your insurer how a biopsy would change your share.
Set any quote beside the cash prices here. At Physicians Regional Medical Center - Collier Boulevard, the published cash price is $2,543.92 for 45378 and $3,896.04 for 45380. Compare your quote to those, and to the insured range at the same hospital: $321.67 to $9,384.24 for screening. On this page, no hospital's cash price sits below or above every insured rate, so cash is neither a floor nor a ceiling. If your plan has a different negotiated rate, ask which figure applies to you.
Expect more than the hospital's charge. The figures here are facility charges only. Check the bill for:
- The facility fee from the hospital or endoscopy center.
- A professional fee from the physician who performed the exam.
- A separate bill from the anesthesia provider.
- A lab bill if tissue was sent for testing.
Ask each office whether it is in your insurance network.
Blank means unknown. NCH Baker Hospital (Naples Community Hospital) shows no cash price and no gross charge for either code. That is missing data, not a free service, so call the hospital directly for its numbers.
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 Naples?
Cash prices are available at two hospitals. At Physicians Regional Collier, code 45378 is $2,543.92 and code 45380 is $3,896.04. At Physicians Regional Pine Ridge, code 45378 is $3,018.67 and code 45380 is $4,264.63. The overall range is $2,543.92 to $4,264.63. The biopsy variant costs $1,245.96 to $1,352.12 more depending on the hospital. NCH Baker Hospital lists $0 for cash prices, which appears to be incomplete data; its insured rates of $971.14 to $4,842.52 give context instead. These are facility fees. Physician and professional fees are billed separately.
Why is the gross charge so much higher than the cash price?
The gross charge is the chargemaster price, the hospital's undiscounted list price for a service. Almost no one pays it. Insurers negotiate lower rates, and self-pay patients are offered discounted cash prices. At Physicians Regional Collier, cash is 18% of gross for both codes. At Pine Ridge, cash is 21% of gross. Pine Ridge applies a smaller discount, yet for code 45380 the Pine Ridge cash price ($4,264.63) is still higher than Collier's ($3,896.04), partly because its starting gross is not lower by enough to offset the difference in percentage.
Does insurance cover a colonoscopy?
Coverage depends on your plan and whether the procedure meets its medical necessity criteria. Negotiated rates vary widely. For code 45378, the 122 listed payer rates run from $321.67 to $9,544.74. Some plans may require prior authorization for non-emergency procedures, and requirements differ by insurer. If you have a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge. After the deductible is met, your share depends on your coinsurance or copay terms.
Are there additional fees beyond the colonoscopy facility charge?
Yes. The prices above are facility fees, which cover the room, equipment, and staff. Several other charges are billed separately. The physician who performs the procedure bills a professional fee. Anesthesia services, if used, are billed by the anesthesia provider. When tissue samples are taken, a pathology laboratory bills separately for examining them. Procedures performed in an emergency department incur separate ER facility fees. None of these amounts appear in the hospital transparency data used on this page, so no dollar figures are given for them.
What is the cash price for a colonoscopy at Physicians Regional Medical Center - Pine Ridge in Naples?
Physicians Regional Medical Center - Pine Ridge lists a cash price of $3,018.67 for Screening Colonoscopy (45378) and $4,264.63 for Colonoscopy with Biopsy (45380). Both are facility charges only and do not include other bills tied to the visit. The cash prices are 21% of the gross charges at this hospital.
Does NCH Baker Hospital in Naples publish a self-pay price for colonoscopy?
No. NCH Baker Hospital (Naples Community Hospital) shows no published cash price for either 45378 or 45380 on this page. Its gross charge is also missing for both codes. Those blanks mean the data was not published, not that the service is free. Only insured rates are listed for this hospital, and they are facility charges only.
What is the lowest published colonoscopy price in Naples, FL?
The lowest cash price on this page is $2,543.92 for Screening Colonoscopy (45378) at Physicians Regional Medical Center - Collier Boulevard. The lowest insured rate in the price table is $321.67 for the same code and hospital. Both figures are facility charges only and do not include separate professional or other fees.
What is the highest gross charge for a colonoscopy in Naples?
The highest gross charge on this page is $21,644.65 for Colonoscopy with Biopsy (45380) at Physicians Regional Medical Center - Collier Boulevard. Gross charge is a list price for the facility, not what most patients pay. Two of the six price rows, both at NCH Baker Hospital (Naples Community Hospital), have no published gross charge, which is missing data.
What are UnitedHealthcare colonoscopy rates in Naples?
For UnitedHealthcare, the lowest published rate across the 3 Naples hospitals is $636.88 at Physicians Regional Medical Center - Collier Boulevard. The highest is $2,943 at NCH Baker Hospital (Naples Community Hospital), and the median is also $2,943. The highest is about 5x the lowest. These are facility charges only.
Compare Other Procedures in Naples
Data Sources
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Heads up: source files are large
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.
NCH Baker Hospital (Naples Community Hospital)
File updated: 2026-07-01 · Accessed by us: 2026-10-15
Attested by: Noble Arrington
We are not affiliated with NCH Baker Hospital (Naples Community Hospital). Published prices may not reflect your actual cost. Disclaimer
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Physicians Regional Medical Center - Collier Boulevard
File updated: 2026-04-01 · Accessed by us: 2026-10-15
Attested by: Scott Lowe
We are not affiliated with Physicians Regional Medical Center - Collier Boulevard. Published prices may not reflect your actual cost. Disclaimer
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Physicians Regional Medical Center - Pine Ridge
File updated: 2026-04-01 · Accessed by us: 2026-10-15
Attested by: Scott Lowe
We are not affiliated with Physicians Regional Medical Center - Pine Ridge. Published prices may not reflect your actual cost. Disclaimer
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