Cost of a Colonoscopy Polyp Removal Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare challenges, with patients across the state's eight main islands requiring specialized procedures like Colonoscopy Polyp Removal. Based on transparency data from Hawaii's major insurers, patients typically pay between $80 and $1,785 for this procedure, with a median out-of-pocket cost of $453. Hawaii has 67 active Colonoscopy Polyp Removal providers across the islands, giving patients options to browse all providers throughout the state.
Average
$773
Median
$453
Lowest
$80
Highest
$1,785
Providers
67
3% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $312 | $757 | 64 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $351 | $969 | 87 |
| 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 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 Hawaii
Hawaii's healthcare costs run approximately 16% above the national average, driven by the state's geographic isolation, limited competition, and high cost of living across the islands. The island chain's remote location creates unique supply chain challenges and limits specialist availability, particularly on outer islands where patients may need to travel to Oahu for procedures.
Urban vs. Rural Provider Availability
Most gastroenterology specialists and advanced endoscopy centers are concentrated on Oahu, creating access challenges for residents of Maui, Hawaii Island, and Kauai. Patients on outer islands often face higher travel costs and longer wait times when seeking Colonoscopy Polyp Removal procedures. This geographic concentration allows Oahu providers to command premium pricing while outer island residents have limited local alternatives.
Facility Type and Overhead Costs
Hospital-based outpatient endoscopy centers typically charge significantly more than independent ambulatory surgery centers due to higher overhead costs and facility fees. Major health systems like Hawaii Pacific Health and Kaiser Permanente operate most hospital-based facilities, while independent gastroenterology practices often offer more competitive pricing. The limited real estate and high operational costs across the islands contribute to elevated facility expenses regardless of setting.
Insurance Market Competition in Hawaii
Hawaii's insurance market is dominated by three major players: HMSA Blue Cross Blue Shield, UnitedHealthcare, and Kaiser Permanente, creating limited competition that can result in higher negotiated rates. HMSA holds the largest market share and significant negotiating power with local providers. This concentrated market structure provides fewer alternatives for both patients and providers compared to mainland markets with more insurer options.
Physician Supply and Demand in Hawaii
With 67 active Colonoscopy Polyp Removal providers serving the entire state's population, Hawaii maintains adequate specialist coverage, though distribution heavily favors Oahu. This provider concentration creates competitive pricing on the main island while allowing specialists on outer islands to charge premium rates due to limited local competition. Wait times for non-urgent procedures can extend several weeks, particularly for patients preferring specific providers or facilities.
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 Hawaii
What is the average cost of a Colonoscopy Polyp Removal visit in Hawaii without insurance?
Does Hawaii Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal 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 Polyp Removal visit in Hawaii?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Hawaii?
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 |