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Iowa

Cost of a Colonoscopy Polyp Removal Visit
in Iowa

Reviewed by Momentary Medical Group West PC

Iowa's predominantly rural healthcare landscape creates unique access patterns for specialized procedures, with Colonoscopy Polyp Removal services concentrated in urban centers like Des Moines and Cedar Rapids. Patients typically pay between $95 and $1,197 for this procedure, with negotiated rates showing a median cost of $885 across 288 active providers throughout the state. Iowa residents can browse all available Colonoscopy Polyp Removal specialists to compare costs and find in-network options that fit their specific insurance coverage.

Average

$726

Median

$885

Lowest

$95

Highest

$1,197

Providers

288

National avg: $752Iowa: $726

4% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$466$944458
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$720$1,373385
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$135$594$691254
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$560$902293
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$28$93780
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$85$245$477454
OB Ultrasound

Obstetric ultrasound, complete

76805$58$135$329397

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 Iowa

Iowa's healthcare costs run approximately 9% below national averages, reflecting the state's lower cost of living and predominantly rural economy. The state's geographic spread creates distinct cost patterns, with procedures in Des Moines and Cedar Rapids commanding higher rates than smaller communities due to facility overhead and specialist concentration.

Urban vs. Rural Provider Availability

Most of Iowa's Colonoscopy Polyp Removal specialists practice in urban corridors along I-35 and I-80, leaving rural residents to travel significant distances for specialized care. This geographic concentration allows urban providers to charge premium rates while rural hospitals often partner with traveling specialists or refer complex cases to larger centers.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics in Iowa typically charge 30-50% more for Colonoscopy Polyp Removal than independent gastroenterology centers due to facility fees and higher overhead costs. Major health systems like UnityPoint Health and Trinity Health dominate urban markets, while smaller independent practices serve rural communities with more competitive pricing structures.

Insurance Market Competition in Iowa

Iowa's limited insurer competition, primarily between Wellmark BCBS, UnitedHealthcare, and Aetna, results in similar negotiated rates across carriers but fewer options for consumers. This concentrated market gives insurers significant leverage in rate negotiations, generally keeping procedure costs below national averages but limiting patient choice in coverage options.

Physician Supply and Demand in Iowa

With 288 active Colonoscopy Polyp Removal providers serving Iowa's 3.2 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This geographic maldistribution creates longer wait times and higher travel costs for rural patients, while urban providers maintain steady patient volumes that support competitive pricing.

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 Iowa

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

Uninsured patients in Iowa can expect to pay between $95 and $1,197 for Colonoscopy Polyp Removal, with a median cost of $885 based on negotiated insurance rates. Many providers offer cash-pay discounts of 20-30% for upfront payment, making the actual out-of-pocket cost potentially lower than these negotiated rates.

Does Iowa Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Iowa Medicaid covers Colonoscopy Polyp Removal procedures as medically necessary treatments. Since Iowa expanded Medicaid in 2014, eligible adults can access gastroenterology services through managed care organizations, though prior authorization may be required for certain therapeutic procedures.

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

Compare costs between hospital-based facilities and independent gastroenterology centers, as independent practices often charge 30-50% less. Ask about cash-pay discounts if uninsured, and consider community health centers or federally qualified health centers for more affordable options, particularly in rural areas.

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

While specific consultation costs weren't provided in the data, the Colonoscopy Polyp Removal procedure itself ranges from $95 to $1,197 in Iowa. Initial consultations typically cost less than the actual procedure, and follow-up visits for monitoring or additional treatments may be billed at reduced rates depending on the complexity of care required.

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

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for the procedure, related consultations, and any necessary follow-up care, helping reduce your overall out-of-pocket costs.

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

While the actual polyp removal procedure requires in-person care, telemedicine consultations for initial evaluation or follow-up care typically cost 20-40% less than office visits. Iowa's rural geography makes telehealth particularly valuable for pre-procedure consultations and post-procedure monitoring, reducing travel costs and time for patients in remote areas.

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