Colonoscopy Cost in Port St. Lucie, FL

How much does a colonoscopy cost without insurance in Port St. Lucie?

Among the hospitals on this page, published cash prices range from $932.10 for code 45378 to $1,017.90 for code 45380, both at Cleveland Clinic Martin North Hospital. HCA Florida Lawnwood Hospital and HCA Florida St. Lucie Hospital have no published cash price for either code, which is missing data and not a free or zero price. These figures are facility charges only. Professional fees, such as those from the physician performing the exam, are billed separately and are not included in the cash prices shown here.

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

A gross charge is a hospital's undiscounted list price, and few patients pay it. Hospitals often offer self-pay patients a discounted cash price. At Cleveland Clinic Martin North Hospital, the gross charge for 45378 is $1,434 and the cash price is $932.10, which is 65% of gross. For 45380, the gross charge is $1,566 and the cash price is $1,017.90, also 65% of gross. The other two hospitals on this page did not publish a usable gross charge or cash price, so no comparison is possible for them.

Does insurance cover a colonoscopy?

Whether a colonoscopy is covered, and how much you owe, depends on your specific plan, so benefit details come from your insurer. The price files show negotiated rates by insurer. At Cleveland Clinic Martin North Hospital, insured rates for 45378 run from $172.47 to $14,047. At HCA Florida Lawnwood Hospital they run from $1,277.57 to $16,600, and at HCA Florida St. Lucie Hospital from $1,277.57 to $16,800. If you are on a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate for the facility charge.

Are there additional fees beyond the colonoscopy facility charge?

The facility charge is only one part of a colonoscopy bill. Separate bills commonly come from the physician who performs the procedure, from an anesthesia provider, and from a pathology lab if tissue samples are examined. Some patients also receive a separate bill for the facility's supplies or for an ambulatory surgery center if the procedure is done there. Each of these may be billed by a different company and may be handled differently by an insurer. An itemized bill or a good faith estimate can show which charges apply.

What is the cash price for a colonoscopy at Cleveland Clinic Martin North Hospital in Port St. Lucie?

Cleveland Clinic Martin North Hospital publishes a cash price of $932.10 for Screening Colonoscopy (45378) and $1,017.90 for Colonoscopy with Biopsy (45380). Both are facility charges only and equal 65% of the gross charge. Professional fees are not included in these figures.

Does HCA Florida Lawnwood Hospital publish a self-pay price for a colonoscopy?

No. HCA Florida Lawnwood Hospital has no published cash price for either code on this page, 45378 or 45380. The cash and gross charge fields were published as $0 or blank, which means the data is missing, not that the procedure is free. HCA Florida St. Lucie Hospital also lists no cash price.

How much does Florida Blue pay for a colonoscopy in Port St. Lucie hospitals?

Florida Blue's published rates on this page range from $172.47 at Cleveland Clinic Martin North Hospital to $11,343 at HCA Florida St. Lucie Hospital, with a median of $6,588 across 3 hospitals. The highest is about 66x the lowest. These are facility charges only.

What do the published colonoscopy rates at HCA Florida Lawnwood Hospital look like for code 45378?

The page lists 117 published rates for Screening Colonoscopy (45378) at HCA Florida Lawnwood Hospital. The lowest is $1,277.57 from CorVel Corporation (workers' comp) and the highest is $16,600 from United. The highest is about 13x the lowest. These are facility charges only.