Logo
Louisiana

Cost of a Colonoscopy Polyp Removal Visit
in Louisiana

Reviewed by Momentary Medical Group West PC

Louisiana's healthcare system reflects the state's unique geography, with concentrated medical resources in New Orleans and Baton Rouge serving a largely rural population. Patients seeking Colonoscopy Polyp Removal services typically pay between $196 and $918, with a median out-of-pocket cost of $429 based on negotiated insurance rates. Louisiana maintains 894 active providers performing these procedures, giving patients options to browse providers across the state's diverse medical landscape.

Average

$514

Median

$429

Lowest

$197

Highest

$918

Providers

894

National avg: $752Louisiana: $514

32% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$116$314$670946
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$376$804943
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$96$229$484879
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$274$634954
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$16$903,354
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$57$148$342961
OB Ultrasound

Obstetric ultrasound, complete

76805$38$68$1591,206

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 Louisiana

Louisiana's healthcare costs run approximately 1% above national averages, influenced by the state's unique mix of urban medical centers and extensive rural areas requiring specialized access programs. The concentration of major health systems in New Orleans and Baton Rouge creates pricing dynamics different from the state's rural parishes.

Urban vs. Rural Provider Availability

Louisiana's 64 parishes show stark differences in specialist access, with metropolitan New Orleans and Baton Rouge offering numerous Colonoscopy Polyp Removal options while rural areas may require travel to regional centers. This geographic disparity often results in higher costs for rural patients due to limited local competition and travel expenses. Telemedicine consultation options have expanded but cannot replace hands-on procedures.

Facility Type and Overhead Costs

Hospital-based outpatient clinics at major systems like Ochsner Health and Louisiana State University Health typically charge higher facility fees than independent gastroenterology practices. Louisiana's moderate ambulatory surgery center market provides cost-effective alternatives for routine procedures. Academic medical centers in New Orleans often carry premium pricing due to teaching hospital overhead and research activities.

Insurance Market Competition in Louisiana

BCBS Louisiana maintains significant market share alongside national insurers UHC and Aetna, creating moderate competition that keeps negotiated rates close to national averages. The state's smaller population and concentrated provider networks can limit insurer leverage in certain markets. Rural areas often have fewer insurer options, potentially affecting negotiated rates and network adequacy.

Physician Supply and Demand in Louisiana

With 894 providers performing Colonoscopy Polyp Removal procedures, Louisiana maintains reasonable specialist availability relative to its population, though distribution favors urban areas. This supply level helps moderate pricing compared to states with severe specialist shortages. Wait times are generally manageable in metropolitan areas but may extend in rural regions, influencing patient willingness to pay for quicker access.

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 Louisiana

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

Uninsured patients in Louisiana typically pay between $196 and $918 for Colonoscopy Polyp Removal, with a median cost of $429 based on negotiated insurance rates. Many providers offer cash-pay discounts that can reduce these amounts by 30-50%. Self-pay patients should ask about package pricing that includes consultation, procedure, and pathology fees.

Does Louisiana Medicaid cover Colonoscopy Polyp Removal visits?

Louisiana Medicaid covers medically necessary Colonoscopy Polyp Removal procedures for eligible recipients, though the state did not expand Medicaid so eligibility remains limited to very low-income families and disabled individuals. Covered services include both diagnostic colonoscopy and therapeutic polyp removal when clinically indicated. Prior authorization may be required depending on the specific clinical circumstances.

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

Compare costs between hospital-based facilities and independent gastroenterology practices, as ambulatory surgery centers often offer lower rates than hospital outpatient departments. Look into community health centers and ask providers about self-pay discounts or payment plans. Consider traveling to areas with more provider competition if you live in rural Louisiana where options may be limited.

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

Initial consultations for new gastroenterology patients typically cost more than follow-up visits due to comprehensive evaluation requirements. The actual polyp removal procedure (median $429) represents the major cost component beyond office visit fees. Follow-up visits for post-procedure monitoring are usually brief and less expensive than the initial assessment and procedure.

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

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes consultation fees, procedure costs, anesthesia, and pathology charges associated with polyp removal. Keep all receipts and documentation for HSA/FSA reimbursement purposes.

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

While telemedicine consultations can provide initial evaluation and follow-up care at lower costs than in-person visits, the actual polyp removal procedure requires in-person treatment at an appropriate facility. Louisiana expanded telemedicine access during the pandemic, making pre-procedure consultations and post-procedure follow-ups more convenient and often less expensive. Virtual visits typically cost 20-40% less than office consultations.

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