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Florida

Cost of a Colonoscopy Polyp Removal Visit
in Florida

Reviewed by Momentary Medical Group West PC

Florida's status as home to the largest ambulatory surgery center market in the US creates unique pricing dynamics for Colonoscopy Polyp Removal procedures. Patients typically pay between $35 and $815, with a median out-of-pocket cost of $55, based on negotiated rates from nearly 5,000 active providers across the state. Florida residents benefit from extensive provider networks spanning from urban centers like Miami and Tampa to rural communities throughout the Panhandle and central regions.

Average

$302

Median

$55

Lowest

$35

Highest

$815

Providers

4,958

National avg: $752Florida: $302

60% below national average

Compare Similar Procedures

How does colonoscopy with polyp removal compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$35$55$6045,123
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$35$55$7705,449
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 45385Colonoscopy 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 Florida

Florida's healthcare costs run approximately 2% above the national average for Colonoscopy Polyp Removal procedures, driven by the state's large retiree population and extensive ASC infrastructure. The state's position as the nation's largest ASC market creates both competitive pricing pressures and premium facility options in major metropolitan areas.

Urban vs. Rural Provider Availability

South Florida, Tampa Bay, and Jacksonville metro areas have high concentrations of gastroenterologists and ASCs, creating competitive pricing environments. Rural counties in North Florida and the interior often have limited specialist access, requiring patients to travel to larger cities for Colonoscopy Polyp Removal procedures. This geographic imbalance can increase total costs when factoring in travel and time off work.

Facility Type and Overhead Costs

Florida's ASC-friendly regulations have created a robust independent surgery center market that often provides lower-cost alternatives to hospital outpatient departments. Major health systems like AdventHealth, HCA Florida, and Baptist Health operate hospital-based gastroenterology programs with higher facility fees. Independent ASCs typically offer more competitive pricing due to lower overhead costs and focused efficiency.

Insurance Market Competition in Florida

The dominance of UnitedHealthcare, Blue Cross Blue Shield of Florida, and Aetna creates a moderately competitive market with standardized negotiated rates. Florida Blue's strong market position in certain regions gives it significant leverage in rate negotiations with providers. The absence of a state all-payer claims database limits price transparency, though individual insurers publish negotiated rates under federal requirements.

Physician Supply and Demand in Florida

With nearly 5,000 providers performing Colonoscopy Polyp Removal procedures, Florida has robust specialist availability relative to its population size. This supply adequacy helps moderate pricing in most markets, though high-demand areas like Naples and Key West may see premium pricing. The large volume of procedures performed annually also drives efficiency improvements that can reduce per-case costs.

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 Polyp Removal Costs in Florida

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

Self-pay patients in Florida typically pay between $35 and $815 for Colonoscopy Polyp Removal procedures, with a median cost of $55 based on negotiated rates. Many ASCs offer cash-pay discounts that can reduce these costs by 20-40% for uninsured patients. The final amount depends on the complexity of the polyp removal and whether it's performed at an independent surgery center or hospital facility.

Does Florida Medicaid cover Colonoscopy Polyp Removal visits?

Florida Medicaid covers medically necessary Colonoscopy Polyp Removal procedures for eligible beneficiaries, though the state did not expand Medicaid eligibility. Coverage includes both the physician fee and facility costs when performed at participating providers. Prior authorization may be required for certain therapeutic procedures, and patients should verify their provider accepts Medicaid assignment.

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

Compare pricing between independent ASCs and hospital outpatient departments, as ASCs often offer lower facility fees. Ask about cash-pay discounts if you're uninsured, and consider community health centers that may offer sliding fee scales. Florida's large number of providers creates competitive pricing, particularly in urban markets like Miami, Tampa, and Orlando.

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

Initial gastroenterology consultations typically cost more than follow-up visits, though the specific Colonoscopy Polyp Removal procedure cost of $35-$815 represents the therapeutic intervention itself. Pre-procedure consultations and post-procedure follow-ups are billed separately from the actual polyp removal. Many providers bundle consultation costs when the procedure is scheduled during the same visit.

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

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for both HSA and FSA accounts. You can use these tax-advantaged funds for the physician fee, facility fee, and related costs like pathology if polyps are sent for biopsy. Keep all receipts and documentation for reimbursement or direct payment from your account.

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

While the actual polyp removal requires an in-person procedure, telemedicine consultations for pre-procedure planning and post-procedure follow-up typically cost less than office visits. Florida providers increasingly offer virtual consultations for discussing biopsy results or planning surveillance schedules. These telehealth visits usually range from $50-150, compared to higher in-office consultation fees.

Click a state to compare costs

Average Visit Cost

$272
$2,018

Office visit (CPT 45385)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $81$5,357
$2,018
2Washington
Range: $80$3,638
$1,402
3Oregon
Range: $80$3,638
$1,391
4Idaho
Range: $80$3,638
$1,373
5Alaska
Range: $80$3,638
$1,266
6Montana
Range: $80$3,638
$1,266
7Massachusetts
Range: $80$2,338
$1,051
8New York
Range: $276$2,338
$1,041
9Rhode Island
Range: $80$2,338
$1,031
10Connecticut
Range: $213$2,338
$1,026
11North Dakota
Range: $80$2,334
$976
12Pennsylvania
Range: $80$2,338
$962
13Delaware
Range: $80$2,338
$958
14Minnesota
Range: $80$1,954
$879
15New Hampshire
Range: $457$1,285
$866
16Wyoming
Range: $332$1,540
$808
17Nebraska
Range: $360$1,090
$799
18Hawaii
Range: $80$1,785
$773
19Maine
Range: $494$926
$763
20California
Range: $30$1,785
$756
21Iowa
Range: $95$1,197
$726
22District of Columbia
Range: $212$1,372
$726
23Georgia
Range: $225$1,310
$723
24New Mexico
Range: $265$1,278
$696
25North Carolina
Range: $80$1,433
$685
26New Jersey
Range: $151$1,496
$684
27West Virginia
Range: $98$1,538
$682
28Vermont
Range: $333$1,096
$661
29Utah
Range: $80$1,090
$630
30Colorado
Range: $85$1,282
$611
31Indiana
Range: $80$1,197
$596
32Kentucky
Range: $202$1,136
$586
33Missouri
Range: $239$853
$564
34South Dakota
Range: $80$1,090
$553
35Maryland
Range: $226$1,002
$550
36Michigan
Range: $80$1,088
$545
37Illinois
Range: $220$944
$542
38Louisiana
Range: $197$918
$514
39Mississippi
Range: $209$963
$514
40Nevada
Range: $320$740
$504
41South Carolina
Range: $80$936
$477
42Virginia
Range: $98$916
$471
43Arkansas
Range: $85$853
$464
44Alabama
Range: $80$870
$454
45Texas
Range: $90$866
$453
46Kansas
Range: $239$713
$451
47Ohio
Range: $191$751
$450
48Arizona
Range: $213$715
$432
49Tennessee
Range: $90$796
$428
50Florida
Range: $35$815
$302
51Oklahoma
Range: $85$646
$272
Colonoscopy with Polyp Removal in Other States