Cost of a Colonoscopy Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare delivery challenges, with specialists concentrated in Honolulu while outer islands face significant access barriers. Colonoscopy visits in Hawaii show negotiated rates ranging from $85 to $757, with a median cost of $312 based on transparency data from 64 active providers across the state. Patients seeking colorectal screening or diagnostic services can browse all qualified Colonoscopy providers throughout Hawaii's island chain.
Average
$385
Median
$312
Lowest
$85
Highest
$757
Providers
64
26% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $351 | $969 | 87 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $453 | $1,785 | 67 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $82 | $276 | $636 | 52 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $250 | $903 | 92 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $85 | 162 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $153 | $438 | 97 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $126 | $230 | 111 |
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 45378 — Diagnostic 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 Hawaii
Hawaii's colonoscopy costs run approximately 16% above national averages, reflecting the state's isolated island geography and concentrated healthcare market. Limited competition among gastroenterology practices, especially on neighbor islands, contributes to higher procedure rates.
Urban vs. Rural Provider Availability
Oahu concentrates most gastroenterology specialists, while outer islands like Molokai and Lanai have extremely limited access requiring patient travel or visiting physician services. Honolulu and urban areas offer competitive pricing due to multiple providers, whereas neighbor islands face significant cost premiums. Travel costs for colonoscopy procedures add substantial expense for rural island residents.
Facility Type and Overhead Costs
Hospital-owned endoscopy centers at facilities like Queen's Medical Center typically charge higher fees than independent ambulatory surgery centers across Hawaii. High real estate costs and shipping expenses for medical supplies to the islands increase overhead for all facility types. Some practices operate mobile endoscopy units to serve outer islands, affecting pricing structures.
Insurance Market Competition in Hawaii
HMSA dominates Hawaii's insurance market with limited competition from Kaiser Permanente and UnitedHealthcare, reducing negotiating pressure on colonoscopy rates. The concentrated market allows providers to maintain higher prices compared to states with more insurer competition. Kaiser's integrated model offers different pricing dynamics through direct employment of gastroenterologists.
Physician Supply and Demand in Hawaii
With 64 active colonoscopy providers serving Hawaii's population, specialist availability remains limited relative to mainland states, creating upward pressure on pricing. Recruitment challenges due to Hawaii's high cost of living contribute to physician shortages in gastroenterology. Limited supply often extends wait times for non-urgent colonoscopy procedures, particularly on neighbor islands.
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.
Frequently Asked Questions — Colonoscopy Costs in Hawaii
What is the average cost of a Colonoscopy visit in Hawaii without insurance?
Does Hawaii Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Hawaii?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Colonoscopy visit in Hawaii?
How does telemedicine affect the cost of seeing a Colonoscopy in Hawaii?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45378)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,430 | $1,595 |
| 2 | North Dakota Range: $165 – $2,255 | $1,558 |
| 3 | Minnesota Range: $90 – $2,255 | $1,217 |
| 4 | South Dakota Range: $85 – $2,255 | $895 |
| 5 | Massachusetts Range: $113 – $1,830 | $815 |
| 6 | Rhode Island Range: $91 – $1,830 | $781 |
| 7 | Connecticut Range: $90 – $1,830 | $748 |
| 8 | Delaware Range: $95 – $1,830 | $747 |
| 9 | Pennsylvania Range: $85 – $1,830 | $746 |
| 10 | New York Range: $101 – $1,830 | $743 |
| 11 | West Virginia Range: $85 – $1,395 | $612 |
| 12 | Nebraska Range: $265 – $815 | $594 |
| 13 | New Hampshire Range: $204 – $956 | $571 |
| 14 | Wyoming Range: $158 – $1,057 | $530 |
| 15 | North Carolina Range: $90 – $1,065 | $511 |
| 16 | Georgia Range: $90 – $982 | $507 |
| 17 | New Jersey Range: $110 – $1,117 | $505 |
| 18 | New Mexico Range: $168 – $954 | $502 |
| 19 | Iowa Range: $85 – $944 | $498 |
| 20 | Maine Range: $220 – $674 | $485 |
| 21 | Illinois Range: $85 – $901 | $443 |
| 22 | Utah Range: $85 – $741 | $441 |
| 23 | District of Columbia Range: $126 – $815 | $437 |
| 24 | Indiana Range: $81 – $835 | $425 |
| 25 | Vermont Range: $106 – $801 | $418 |
| 26 | Missouri Range: $174 – $634 | $417 |
| 27 | Washington Range: $80 – $856 | $411 |
| 28 | Oregon Range: $80 – $836 | $408 |
| 29 | Kentucky Range: $85 – $814 | $408 |
| 30 | Maryland Range: $162 – $712 | $396 |
| 31 | Michigan Range: $92 – $768 | $395 |
| 32 | Colorado Range: $85 – $760 | $385 |
| 33 | Hawaii Range: $85 – $757 | $385 |
| 34 | Mississippi Range: $151 – $719 | $381 |
| 35 | Alabama Range: $147 – $649 | $373 |
| 36 | Virginia Range: $124 – $682 | $368 |
| 37 | Louisiana Range: $116 – $670 | $366 |
| 38 | South Carolina Range: $90 – $695 | $363 |
| 39 | Idaho Range: $80 – $735 | $363 |
| 40 | Nevada Range: $204 – $553 | $351 |
| 41 | Arkansas Range: $85 – $634 | $345 |
| 42 | Texas Range: $85 – $634 | $336 |
| 43 | Kansas Range: $174 – $530 | $331 |
| 44 | Ohio Range: $85 – $565 | $325 |
| 45 | Tennessee Range: $90 – $582 | $320 |
| 46 | Oklahoma Range: $85 – $606 | $303 |
| 47 | Arizona Range: $155 – $472 | $300 |
| 48 | California Range: $85 – $647 | $272 |
| 49 | Alaska Range: $80 – $648 | $269 |
| 50 | Montana Range: $80 – $538 | $233 |
| 51 | Florida Range: $35 – $604 | $231 |