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Florida

Cost of a Colonoscopy Visit
in Florida

Reviewed by Momentary Medical Group West PC

Florida's position as the largest ambulatory surgical center (ASC) market in the United States creates unique opportunities for colonoscopy cost savings, with procedures typically ranging from $35 to $604 depending on facility type and insurance coverage. The state's extensive network of over 5,100 active Colonoscopy providers means patients have substantial choice when seeking care. Browse all providers in Florida to compare costs and find the best option for your specific insurance plan.

Average

$231

Median

$55

Lowest

$35

Highest

$604

Providers

5,123

National avg: $517Florida: $231

55% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$35$55$7705,449
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$35$55$8154,958
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$35$55$4964,488
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$35$55$6595,570
ECG / EKG

12-lead electrocardiogram with interpretation

93000$16$40$805,759
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$60$161$4604,125
OB Ultrasound

Obstetric ultrasound, complete

76805$35$60$1925,349

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 45378Diagnostic colonoscopy, flexible). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 45378 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45378 (Diagnostic colonoscopy, flexible), as mandated by the CMS Price Transparency Rule.

What CPT 45378 covers: the provider's professional fee for colonoscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Colonoscopy Visit Costs Vary Across Florida

Florida's healthcare costs run approximately 2% above national averages, driven by the state's aging population and concentration of specialized gastroenterology services in major metropolitan areas. The extensive ASC infrastructure creates competitive pricing pressure that often benefits patients seeking routine colonoscopy procedures.

Urban vs. Rural Provider Availability

Major metropolitan areas like Miami-Dade, Tampa Bay, and Orlando offer abundant gastroenterology options with competitive pricing, while rural counties in North Florida and the Panhandle may have limited providers and higher travel costs. This geographic disparity can create $200-300 cost differences for the same procedure depending on location.

Facility Type and Overhead Costs

Florida's robust ASC network provides cost-effective alternatives to hospital-based procedures, with independent surgery centers often charging 40-60% less than hospital outpatient departments. Major health systems like AdventHealth, Baptist Health, and HCA Healthcare operate both hospital-based and ASC facilities with varying cost structures.

Insurance Market Competition in Florida

The presence of multiple major insurers including UnitedHealthCare, Blue Cross Blue Shield of Florida, and Aetna creates competitive pressure on negotiated rates. However, market concentration in certain regions can limit patient choice and maintain higher pricing for colonoscopy procedures.

Physician Supply and Demand in Florida

With over 5,100 active colonoscopy providers statewide, Florida maintains adequate physician supply relative to its large and aging population. This relatively strong provider network helps contain costs and reduces wait times compared to states with physician shortages, though demand continues growing as baby boomers age.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy Costs in Florida

What is the average cost of a Colonoscopy visit in Florida without insurance?

Uninsured patients in Florida typically pay between $35 and $604 for colonoscopy procedures, with a median cost of $55 based on negotiated insurance rates. Independent ambulatory surgery centers often provide the most affordable options, while hospital-based facilities tend toward the higher end of this range. Many providers offer cash-pay discounts that can reduce these costs by 30-50% for patients who pay upfront.

Does Florida Medicaid cover Colonoscopy visits?

Florida Medicaid covers colonoscopy procedures for eligible beneficiaries, though the state's decision not to expand Medicaid leaves many low-income adults without coverage. Traditional Medicaid covers screening colonoscopies for patients with risk factors and diagnostic procedures for symptomatic patients. Adults aged 21-64 who don't qualify for traditional Medicaid categories often face coverage gaps for routine gastroenterology care.

How do I find an affordable Colonoscopy near me in Florida?

Compare prices across ambulatory surgery centers, which often charge significantly less than hospital-based facilities for routine procedures. Look for independent gastroenterology practices that offer cash-pay discounts or payment plans for uninsured patients. Community health centers and federally qualified health centers throughout Florida may provide sliding-fee scales based on income for colonoscopy services.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial gastroenterology consultations typically involve comprehensive evaluation and cost more than follow-up visits, though the actual colonoscopy procedure represents the largest expense. Most gastroenterologists charge similar rates for both new and established patient office visits, with the main cost difference coming from the complexity of medical decision-making required. Follow-up visits after colonoscopy are often brief and focus on discussing results and recommendations.

Can I use an HSA or FSA to pay for a Colonoscopy visit in Florida?

Yes, colonoscopy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the facility fee, physician fee, anesthesia charges, and pathology costs for any biopsies performed. Using pre-tax dollars through HSA or FSA can provide significant savings, especially for high-deductible health plan members paying full procedure costs.

How does telemedicine affect the cost of seeing a Colonoscopy in Florida?

While colonoscopy procedures cannot be performed via telemedicine, many gastroenterologists offer virtual consultations for initial evaluations and follow-up discussions. These telehealth visits typically cost $50-150 less than in-person consultations and can help determine if colonoscopy is necessary before scheduling the procedure. Florida's strong telehealth infrastructure allows patients in rural areas to consult with specialists remotely, potentially reducing overall healthcare costs.

Click a state to compare costs

Average Visit Cost

$231
$1,595

Office visit (CPT 45378)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,430
$1,595
2North Dakota
Range: $165$2,255
$1,558
3Minnesota
Range: $90$2,255
$1,217
4South Dakota
Range: $85$2,255
$895
5Massachusetts
Range: $113$1,830
$815
6Rhode Island
Range: $91$1,830
$781
7Connecticut
Range: $90$1,830
$748
8Delaware
Range: $95$1,830
$747
9Pennsylvania
Range: $85$1,830
$746
10New York
Range: $101$1,830
$743
11West Virginia
Range: $85$1,395
$612
12Nebraska
Range: $265$815
$594
13New Hampshire
Range: $204$956
$571
14Wyoming
Range: $158$1,057
$530
15North Carolina
Range: $90$1,065
$511
16Georgia
Range: $90$982
$507
17New Jersey
Range: $110$1,117
$505
18New Mexico
Range: $168$954
$502
19Iowa
Range: $85$944
$498
20Maine
Range: $220$674
$485
21Illinois
Range: $85$901
$443
22Utah
Range: $85$741
$441
23District of Columbia
Range: $126$815
$437
24Indiana
Range: $81$835
$425
25Vermont
Range: $106$801
$418
26Missouri
Range: $174$634
$417
27Washington
Range: $80$856
$411
28Oregon
Range: $80$836
$408
29Kentucky
Range: $85$814
$408
30Maryland
Range: $162$712
$396
31Michigan
Range: $92$768
$395
32Colorado
Range: $85$760
$385
33Hawaii
Range: $85$757
$385
34Mississippi
Range: $151$719
$381
35Alabama
Range: $147$649
$373
36Virginia
Range: $124$682
$368
37Louisiana
Range: $116$670
$366
38South Carolina
Range: $90$695
$363
39Idaho
Range: $80$735
$363
40Nevada
Range: $204$553
$351
41Arkansas
Range: $85$634
$345
42Texas
Range: $85$634
$336
43Kansas
Range: $174$530
$331
44Ohio
Range: $85$565
$325
45Tennessee
Range: $90$582
$320
46Oklahoma
Range: $85$606
$303
47Arizona
Range: $155$472
$300
48California
Range: $85$647
$272
49Alaska
Range: $80$648
$269
50Montana
Range: $80$538
$233
51Florida
Range: $35$604
$231
Colonoscopy in Other States