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Oklahoma

Cost of a Colonoscopy Visit
in Oklahoma

Reviewed by Momentary Medical Group West PC

Oklahoma's healthcare market operates approximately 8% below national averages, creating more affordable options for patients seeking specialized gastroenterology care. Colonoscopy patients typically pay between $85 and $606 for their visit, with a median out-of-pocket cost of $218 based on negotiated insurance rates. With 1,764 active providers across the state, Oklahoma residents can browse extensive options for gastroenterology services throughout both metropolitan and rural areas.

Average

$303

Median

$218

Lowest

$85

Highest

$606

Providers

1,764

National avg: $517Oklahoma: $303

41% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Oklahoma?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$85$5821,720
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$85$85$6461,687
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$85$184$5211,316
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$137$5691,728
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$29$851,843
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$60$116$3562,130
OB Ultrasound

Obstetric ultrasound, complete

76805$42$87$1751,732

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 Oklahoma

Oklahoma's healthcare costs run approximately 8% below national averages, reflecting lower overhead costs and regional economic factors compared to coastal markets. The state's mix of urban centers and vast rural territories creates significant disparities in specialist access and pricing structures.

Urban vs. Rural Provider Availability

Oklahoma City and Tulsa metro areas concentrate most gastroenterology specialists, while rural counties often lack local access requiring patients to travel significant distances for care. This geographic disparity creates higher effective costs for rural patients due to travel expenses and lost wages, though some rural practices offer more competitive base rates. Telemedicine consultation options have expanded but cannot replace hands-on examinations and procedures.

Facility Type and Overhead Costs

Hospital-owned gastroenterology practices typically charge facility fees in addition to physician fees, significantly increasing total visit costs compared to independent specialty clinics. Major health systems like Integris Health and Saint Francis Health System operate numerous specialty locations with standardized pricing that may be higher than private practice alternatives. Independent gastroenterology groups often provide more flexible payment options and competitive self-pay rates.

Insurance Market Competition in Oklahoma

Limited insurer competition with BCBS Oklahoma, UnitedHealthcare, and CommunityCare dominating the market reduces pressure for aggressive rate negotiations with specialists. Rural areas particularly lack insurer choice, sometimes served by only one or two network options for gastroenterology care. This concentrated market structure can result in higher negotiated rates compared to states with more competitive insurance markets.

Physician Supply and Demand in Oklahoma

With 1,764 active providers handling colonoscopy procedures, Oklahoma maintains adequate specialist supply in urban areas but faces shortages in rural regions. This distribution creates longer wait times and potentially higher costs in underserved areas where demand exceeds local capacity. The relatively stable provider count suggests balanced supply and demand in metropolitan markets, helping control pricing pressures.

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 Oklahoma

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

Uninsured patients in Oklahoma typically pay between $85 and $606 for a colonoscopy consultation, with a median cost of $218 based on negotiated insurance rates. Many gastroenterology practices offer cash-pay discounts of 10-40% for patients who pay at the time of service. Self-pay rates vary significantly between hospital-owned clinics and independent practices, with independent specialists often providing more affordable options.

Does Oklahoma Medicaid cover Colonoscopy visits?

Oklahoma Medicaid covers medically necessary gastroenterology consultations for eligible recipients, though prior authorization may be required for certain procedures. Since Oklahoma has not expanded Medicaid, coverage is limited to pregnant women, children, elderly, and disabled adults, leaving many low-income working adults without coverage. The provider network for Medicaid patients remains limited, particularly in rural areas of the state.

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

Compare costs between hospital-owned specialty clinics and independent gastroenterology practices, as independents often offer lower rates and more flexible payment options. Ask about cash-pay discounts which can reduce costs by 10-40% for uninsured patients, and inquire about payment plans if you cannot afford upfront costs. Community health centers in larger cities may also provide gastroenterology referrals at reduced rates based on income.

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

Initial colonoscopy consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients, including detailed history and examination. Based on insurance negotiated rates in Oklahoma, the cost difference can range from $50-150 between new and established patient visits. Follow-up visits for ongoing conditions or surveillance may also vary in complexity and duration, affecting the final cost.

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

Yes, colonoscopy consultations qualify as eligible medical expenses for both Health Savings Account (HSA) and Flexible Spending Account (FSA) reimbursement. You can use these pre-tax dollars for copayments, deductibles, or full self-pay amounts for gastroenterology services. Keep detailed receipts and documentation for tax purposes, as both diagnostic and screening colonoscopy procedures are considered qualified medical expenses.

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

Telemedicine consultations with gastroenterologists typically cost less than in-person visits, though hands-on examination and procedures still require office visits. Oklahoma expanded telehealth coverage during the pandemic, with many insurers now covering virtual gastroenterology consultations for follow-up care and initial symptom evaluation. While telemedicine can reduce travel costs for rural patients, colonoscopy procedures themselves must be performed in appropriate medical facilities.

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