Colonoscopy Cost in Sarasota-Bradenton, FL

How much does a colonoscopy cost without insurance in Sarasota-Bradenton?

Based on the published self-pay prices, a colonoscopy facility charge ranges from $1,961.60 for code 45378 to $2,109.60 for code 45380. Both figures come from Sarasota Memorial Hospital, and Sarasota Memorial Hospital - Venice lists the same cash prices. HCA Florida Blake Hospital, HCA Florida Englewood Hospital and HCA Florida Sarasota Doctors Hospital have no published cash price for either code, which counts as missing data. These amounts cover only the hospital facility charge. 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 the hospital's undiscounted list price, and few patients are billed that amount. At the two Sarasota Memorial hospitals, the cash price is 40% of gross. For code 45378, the gross charge of $4,904 compares with a cash price of $1,961.60. For code 45380, the gross charge of $5,274 compares with a cash price of $2,109.60. Insured rates are negotiated separately, so they do not follow the gross charge. The three HCA Florida hospitals on this page did not publish a gross charge, so no comparison can be made for them.

Does insurance cover a colonoscopy?

Whether a plan covers a colonoscopy depends on the specific plan, so the plan's own documents or the insurer are the sources to check. The price files show what hospitals have negotiated with plans. Across the five hospitals on this page, insured rates for the two codes range from $146.92 at Sarasota Memorial Hospital to $13,164 at HCA Florida Blake Hospital. Each hospital has at least one insured rate listed. If you have a high-deductible plan and have not met your deductible, you will usually pay the plan's negotiated rate for the facility charge until the deductible is met.

Are there additional fees beyond the colonoscopy facility charge?

The facility charge is only one part of the total bill. Separate bills commonly come from the physician who performs the procedure, the anesthesia provider, and a pathologist or laboratory if tissue samples are examined. Some patients also receive a separate charge for medications or supplies, and a bill for any pre-procedure visit. These professional and laboratory services often come from different practices than the hospital, and each one may bill on its own schedule. The prices on this page cover only the hospital facility charge, so itemized statements from each provider are needed to see a full total.

What is the cash price for a colonoscopy at Sarasota Memorial Hospital?

Sarasota Memorial Hospital publishes a cash price of $1,961.60 for Screening Colonoscopy (45378) and $2,109.60 for Colonoscopy with Biopsy (45380). Both figures are facility charges only. Both cash prices are 40% of the listed gross charge. Other bills, such as physician or pathology fees, are not included in these figures.

Which hospitals in Sarasota-Bradenton don't publish a cash price for a colonoscopy?

Three of the 5 hospitals on this page show no published cash price for either code: HCA Florida Blake Hospital, HCA Florida Englewood Hospital, and HCA Florida Sarasota Doctors Hospital. Their cash and gross charge fields are $0 or blank, which means the data is missing, not that the procedure is free. Facility charges only.

How much does Florida Blue pay for a colonoscopy in Bradenton and Sarasota?

Florida Blue's published rates on this page run from $159.44 at Sarasota Memorial Hospital to $6,699 at HCA Florida Blake Hospital, with a median of $2,252 across 5 hospitals. The highest is about 42x the lowest. These are facility charges only, and rates vary by plan.