Colonoscopy Cost in Ocala, FL

A colonoscopy is a procedure in which a clinician guides a thin, flexible tube with a camera through the large intestine to capture images of its lining, which are then reviewed and reported. The hospital facility fee generally covers the procedure room, nursing and technical staff, equipment, and supplies, while physician services are billed separately. This page covers two billing codes: 45378 (Screening Colonoscopy) and 45380 (Colonoscopy with Biopsy). The prices shown come from the price transparency files that CMS requires hospitals to publish, covering 3 hospitals in Ocala, FL.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-09-01

Incomplete rows: Some hospitals publish $0 / blank amounts for this procedure in their transparency file. Those cells show as N/A and are excluded from the cash range above.

Screening Colonoscopy (HCPCS 45378)

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Hospital Cash Price
AdventHealth Ocala * N/A * Schedule →
HCA Ocala N/A Schedule →
HCA West Marion N/A Schedule →
* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

Colonoscopy with Biopsy (HCPCS 45380)

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Hospital Cash Price
AdventHealth Ocala * $8,848.67 * Schedule →
HCA Ocala N/A Schedule →
HCA West Marion N/A Schedule →
* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

What These Prices Mean

Reading gross, cash, and insured figures
The gross charge is a hospital's standard list price before any discounts or negotiated rates. The cash price is what a self-pay patient is quoted, and the insured range reflects rates negotiated with insurers. On this page, only 1 of 6 price rows has a published cash price. AdventHealth Ocala lists $8,848.67 for 45380 as both its gross charge and its cash price, so cash is 100% of gross and no self-pay discount is published. Its insured range for the same code is $1,249.63 to $2,774.17. People on a high-deductible plan who have not met their deductible usually pay the plan's negotiated rate rather than the gross charge.

What separates 45378 from 45380
Code 45378 describes a colonoscopy performed as a screening exam, while 45380 describes a colonoscopy in which a tissue sample is taken. At AdventHealth Ocala, the insured range for 45378 is $971.14 to $2,155.92, and for 45380 it is $1,249.63 to $2,774.17. At both HCA Florida Ocala Hospital and HCA Florida West Marion Hospital, 45378 is listed from $1,169.48 to $35,535 and 45380 from $1,950 to $35,535.

Why Colonoscopy Prices Vary

Disclosure gaps across the three hospitals
The three hospitals belong to two systems: HCA Healthcare, with 2 hospitals on this page, and AdventHealth, with 1. Only AdventHealth Ocala publishes a cash price for any code here, and it equals the gross charge at $8,848.67. HCA Florida Ocala Hospital and HCA Florida West Marion Hospital have no published cash price for either code, so those cells are missing data rather than real prices. Gross charges are also missing for 5 of the 6 rows, which means no discount percentage can be read from the files for those hospitals.

Outside the dataset and between plans
Outpatient surgery centers and other facilities that are not part of this dataset may set prices differently, and their files are not reflected here. The insurer data shows wide variation among plans. At HCA Florida Ocala Hospital, 91 rates are published for 45378. The lowest is $1,169.48 from CorVel Corporation (workers' compensation), and the highest is $35,535, listed for Cigna HMO and PPO products. The highest is about 30x the lowest.
$

Paying cash? Health insurance could lower your Colonoscopy cost.

Published cash prices on this page range from $8,848.67 to $8,848.67 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $971.14 (AdventHealth Ocala). 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 Ocala, outpatient facility fee:

Screening Colonoscopy (45378), HCA Ocala Payer Rates

Insurance Payer Plan Type Negotiated Rate
CorVel Corporation WORKERSCOMP $1,169.48
Prime Health WC $1,194.10
Careworks (Rockport Community) WORKERSCOMP $1,231.03
Marion County Schools WC $1,231.03
CorVel Corporation WORKERSCOMP $1,902.12
Prime Health WC $1,942.16
Molina Healthcare MGMCR $1,950
Careworks (Rockport Community) WORKERSCOMP $2,002.23
Marion County Schools WC $2,002.23
Simply MGMCR $2,250
Simply MGMCR $2,250
Simply MGMCR $2,250
Simply MGMCR $2,250
BCBS BSL $2,361
BCBS MBN $2,361
BCBS SBN $2,361
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
Simply Healthcare HIX $2,762
BCBS PHS $3,093
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
Molina Healthcare HIX $3,242
BCBS NWB $3,247
BCBS PPO $3,247
BCBS HMO $3,302
Evolutions TieredNetwork $4,121
AvMed HIX $4,282
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
United AllPayerAppendix $8,440
AvMed HMOFI $8,576
AvMed ASOEO $9,509
Ultimate Health Plan MCR $12,500
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna NBN $14,857
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535
Cigna ManagedCareHMO $35,535
Cigna PPO $35,535

Key finding: At HCA Florida Ocala Hospital, the 45378 rates range from $1,169.48 (CorVel Corporation, workers' compensation) to $35,535 (Cigna), and the highest is about 30x the lowest.

What to Do With These Colonoscopy Prices

Quote 45378 and 45380 together. Call the billing office and ask for the cash or self-pay price and an itemized estimate under both codes: 45378 is the screening colonoscopy, and 45380 applies if a biopsy is taken, which is only decided during the procedure. Ask your insurer separately how a biopsy changes your share of the cost.

Test any quote against the figures here. At AdventHealth Ocala, the only cash price published on this page is $8,848.67 for 45380, and it sits above the insured range of $1,249.63 to $2,774.17 at that hospital. If a quote lands near or above that, you can ask why. Insured rates for 45378 at the same hospital start at $971.14.

Check who sent each bill. The hospital's facility fee is only one piece. Look for:

  • A professional fee from the gastroenterologist
  • A separate bill from the anesthesia provider
  • A pathology lab bill if tissue was sent for testing

Ask the hospital which of these are billed separately and whether those providers are in your insurance network.

Blanks are not zeros. Of the 6 price rows on this page, 5 have a gross charge published as $0 or blank, and only 1 has a cash price. HCA Florida Ocala Hospital and HCA Florida West Marion Hospital publish no cash price for either code. That means the data is missing, not that the service is free, so ask each hospital directly.

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 Ocala?

Only one price row on this page has a published cash price. AdventHealth Ocala lists $8,848.67 for 45380 (Colonoscopy with Biopsy), the same as its gross charge, so no self-pay discount is published. AdventHealth Ocala's cash price for 45378 is not published. HCA Florida Ocala Hospital and HCA Florida West Marion Hospital have no published cash price for either code, which is missing data rather than a price of zero. These figures cover the facility charge only. Professional fees, such as those from the physician performing the procedure, are billed separately.

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

The gross charge is a hospital's list price, set before discounts and negotiated rates are applied, and it often differs from what anyone actually pays. On this page, the one published pair is AdventHealth Ocala's 45380 listing, where cash is 100% of gross at $8,848.67, so no discount appears. For the other 5 rows, the gross charge is missing, so a cash-to-gross comparison cannot be made. Insured rates for the same procedure at AdventHealth Ocala are listed from $971.14 to $2,774.17 across both codes, which shows how far negotiated rates can sit from a list price.

Does insurance cover a colonoscopy?

Whether a colonoscopy is covered depends on your specific plan, so the plan itself or your insurer is the source for coverage details. The files on this page show negotiated facility rates for all 3 hospitals. They range from $971.14 at AdventHealth Ocala (45378) to $35,535 at HCA Florida Ocala Hospital (45378), and rates differ by insurer and plan type. If you have a high-deductible plan and have not yet met your deductible, you usually pay the plan's negotiated rate for the facility charge until the deductible is met. Your actual cost depends on your plan's terms.

Are there additional fees beyond the colonoscopy facility charge?

The facility charge is only one part of the total. A colonoscopy typically involves several separate bills. These can include a professional fee from the physician who performs the procedure, a fee for anesthesia or sedation services, and a pathology or laboratory fee if tissue samples are sent for analysis. Some hospitals and practices also bill separately for supplies, medications, or a facility-based clinic visit before the procedure. Each may come from a different provider with its own pricing, so itemized statements from each can help you see the full total.

What is the cash price for a colonoscopy with biopsy at AdventHealth Ocala?

AdventHealth Ocala publishes a cash price of $8,848.67 for 45380 Colonoscopy with Biopsy. That equals its gross charge of $8,848.67, so no self-pay discount is shown. This is a facility charge only. For 45378 Screening Colonoscopy, the cash price and gross charge are missing, which means not published, not free.

Do HCA Florida Ocala Hospital and HCA Florida West Marion Hospital list cash prices for colonoscopy?

No. Neither HCA Florida Ocala Hospital nor HCA Florida West Marion Hospital has a published cash price for 45378 or 45380 on this page. Their gross charges are also blank or $0, which signals missing data rather than a free service. Only insured rates are listed for these two hospitals, and those are facility charges only.

How much does Florida Blue pay for a colonoscopy in Ocala?

Florida Blue rates on this page run from $1,000.27 at AdventHealth Ocala to $4,315 at HCA Florida West Marion Hospital, with a median of $3,074 across 3 hospitals. The highest is about 4x the lowest. These are facility charges only, and actual amounts depend on the specific plan and billing code.

What does Simply Healthcare pay for a colonoscopy at Ocala hospitals?

Simply Healthcare rates on this page range from $1,029.40 at AdventHealth Ocala to $2,762 at HCA Florida West Marion Hospital. The median is $2,762 across 3 hospitals, and the highest is about 3x the lowest. These figures are facility charges only and do not cover separate professional or other fees.

Compare Other Procedures in Ocala

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.

AdventHealth Ocala

File updated: 2026-04-01 · Accessed by us: 2026-10-15

Attested by: Tim Reiner

We are not affiliated with AdventHealth Ocala. Published prices may not reflect your actual cost. Disclaimer

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HCA Florida Ocala Hospital

File updated: 2026-09-01 · Accessed by us: 2026-10-15

Attested by: Alan Keesee

We are not affiliated with HCA Florida Ocala Hospital. Published prices may not reflect your actual cost. Disclaimer

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HCA Florida West Marion Hospital

File updated: 2026-09-01 · Accessed by us: 2026-10-15

Attested by: Isaiah Zirkle

We are not affiliated with HCA Florida West Marion Hospital. Published prices may not reflect your actual cost. Disclaimer

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