Cost of a Colonoscopy Polyp Removal Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia leads the nation in physician density with over 800 doctors per 100,000 residents, creating a competitive market for specialized procedures like Colonoscopy Polyp Removal. Based on negotiated insurance rates from 333 providers, patients typically pay between $211 and $1,372 for these visits, with a median cost of $593. The district's concentration of academic medical centers and specialty practices means patients can browse numerous qualified Colonoscopy Polyp Removal providers throughout the region.
Average
$726
Median
$593
Lowest
$212
Highest
$1,372
Providers
333
4% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $126 | $368 | $815 | 326 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $98 | $498 | $1,143 | 342 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $344 | $701 | 315 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $86 | $432 | $995 | 346 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $31 | $85 | 380 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $59 | $192 | $569 | 354 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $117 | $342 | 342 |
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 45385 — Colonoscopy with removal of polyps by snare). 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 45385 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45385 (Colonoscopy with removal of polyps by snare), as mandated by the CMS Price Transparency Rule.
What CPT 45385 covers: the provider's professional fee for colonoscopy with polyp removal. 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 Polyp Removal Visit Costs Vary Across District of Columbia
District of Columbia's healthcare costs run approximately 20% above the national average, driven by the region's high cost of living and concentration of academic medical centers. The district's unique position as a federal enclave creates a healthcare market with both premium private practices and safety-net facilities serving diverse patient populations.
Urban vs. Rural Provider Availability
As a fully urban jurisdiction, District of Columbia concentrates all 333 Colonoscopy Polyp Removal providers within a compact 68-square-mile area, eliminating rural access barriers but potentially increasing competition for appointment availability. The density of providers means shorter travel times but may result in higher facility overhead costs reflected in procedure pricing.
Facility Type and Overhead Costs
Hospital-based gastroenterology practices at MedStar Washington Hospital Center and George Washington University Hospital typically charge facility fees that can add $500-800 to Colonoscopy Polyp Removal procedures. Independent practices and ambulatory surgery centers often provide the same quality care at significantly lower total costs due to reduced overhead expenses.
Insurance Market Competition in District of Columbia
The district's insurance market features moderate competition between CareFirst BCBS, UHC, and Aetna, with CareFirst maintaining the largest market share and most extensive provider networks. This concentration allows for strong negotiated rates but may limit price competition compared to markets with more diverse insurer participation.
Physician Supply and Demand in District of Columbia
With 333 active Colonoscopy Polyp Removal providers serving approximately 700,000 residents, the district maintains one of the highest specialist-to-population ratios in the nation. This abundant supply generally keeps wait times short and creates competitive pricing pressure, though premium practices may still command higher fees due to reputation and location factors.
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 Polyp Removal Costs in District of Columbia
What is the average cost of a Colonoscopy Polyp Removal visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in District of Columbia?
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 Polyp Removal visit in District of Columbia?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in District of Columbia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45385)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $81 – $5,357 | $2,018 |
| 2 | Washington Range: $80 – $3,638 | $1,402 |
| 3 | Oregon Range: $80 – $3,638 | $1,391 |
| 4 | Idaho Range: $80 – $3,638 | $1,373 |
| 5 | Alaska Range: $80 – $3,638 | $1,266 |
| 6 | Montana Range: $80 – $3,638 | $1,266 |
| 7 | Massachusetts Range: $80 – $2,338 | $1,051 |
| 8 | New York Range: $276 – $2,338 | $1,041 |
| 9 | Rhode Island Range: $80 – $2,338 | $1,031 |
| 10 | Connecticut Range: $213 – $2,338 | $1,026 |
| 11 | North Dakota Range: $80 – $2,334 | $976 |
| 12 | Pennsylvania Range: $80 – $2,338 | $962 |
| 13 | Delaware Range: $80 – $2,338 | $958 |
| 14 | Minnesota Range: $80 – $1,954 | $879 |
| 15 | New Hampshire Range: $457 – $1,285 | $866 |
| 16 | Wyoming Range: $332 – $1,540 | $808 |
| 17 | Nebraska Range: $360 – $1,090 | $799 |
| 18 | Hawaii Range: $80 – $1,785 | $773 |
| 19 | Maine Range: $494 – $926 | $763 |
| 20 | California Range: $30 – $1,785 | $756 |
| 21 | Iowa Range: $95 – $1,197 | $726 |
| 22 | District of Columbia Range: $212 – $1,372 | $726 |
| 23 | Georgia Range: $225 – $1,310 | $723 |
| 24 | New Mexico Range: $265 – $1,278 | $696 |
| 25 | North Carolina Range: $80 – $1,433 | $685 |
| 26 | New Jersey Range: $151 – $1,496 | $684 |
| 27 | West Virginia Range: $98 – $1,538 | $682 |
| 28 | Vermont Range: $333 – $1,096 | $661 |
| 29 | Utah Range: $80 – $1,090 | $630 |
| 30 | Colorado Range: $85 – $1,282 | $611 |
| 31 | Indiana Range: $80 – $1,197 | $596 |
| 32 | Kentucky Range: $202 – $1,136 | $586 |
| 33 | Missouri Range: $239 – $853 | $564 |
| 34 | South Dakota Range: $80 – $1,090 | $553 |
| 35 | Maryland Range: $226 – $1,002 | $550 |
| 36 | Michigan Range: $80 – $1,088 | $545 |
| 37 | Illinois Range: $220 – $944 | $542 |
| 38 | Louisiana Range: $197 – $918 | $514 |
| 39 | Mississippi Range: $209 – $963 | $514 |
| 40 | Nevada Range: $320 – $740 | $504 |
| 41 | South Carolina Range: $80 – $936 | $477 |
| 42 | Virginia Range: $98 – $916 | $471 |
| 43 | Arkansas Range: $85 – $853 | $464 |
| 44 | Alabama Range: $80 – $870 | $454 |
| 45 | Texas Range: $90 – $866 | $453 |
| 46 | Kansas Range: $239 – $713 | $451 |
| 47 | Ohio Range: $191 – $751 | $450 |
| 48 | Arizona Range: $213 – $715 | $432 |
| 49 | Tennessee Range: $90 – $796 | $428 |
| 50 | Florida Range: $35 – $815 | $302 |
| 51 | Oklahoma Range: $85 – $646 | $272 |