Cost of a Colonoscopy Polyp Removal Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's rate-setting authority for hospital services creates unique pricing transparency for gastrointestinal procedures across the state. Patients seeking Colonoscopy Polyp Removal typically pay between $226 and $1,002, with a median out-of-pocket cost of $423 based on negotiated insurance rates. Maryland maintains nearly 4,000 active Colonoscopy Polyp Removal providers throughout the state, giving patients extensive options for both screening and therapeutic procedures.
Average
$550
Median
$423
Lowest
$226
Highest
$1,002
Providers
3,987
27% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $162 | $312 | $712 | 4,015 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $175 | $373 | $919 | 4,048 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $236 | $666 | 3,944 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $121 | $273 | $810 | 4,050 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $18 | $37 | 4,160 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $55 | $161 | $398 | 4,085 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $37 | $90 | $231 | 4,026 |
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 Maryland
Maryland's Colonoscopy Polyp Removal costs run approximately 13% above national averages, reflecting the state's proximity to high-cost Washington DC metro area and the concentration of prestigious academic medical centers. The state's unique hospital rate-setting authority creates more transparent pricing structures than most other states.
Urban vs. Rural Provider Availability
The Baltimore-Washington corridor contains the majority of Maryland's gastroenterologists, with rural areas on the Eastern Shore and Western Maryland facing significant access challenges. Patients in rural counties often travel 60+ miles for Colonoscopy Polyp Removal procedures, sometimes resulting in additional facility fees at regional medical centers. Urban areas benefit from competition between multiple health systems, which can help moderate pricing.
Facility Type and Overhead Costs
Hospital-owned endoscopy centers affiliated with Johns Hopkins, University of Maryland, and MedStar Health typically charge higher facility fees due to academic missions and research overhead. Independent ambulatory surgery centers, particularly common in Montgomery County and Anne Arundel County, often provide more competitive pricing for routine procedures. Teaching hospitals may offer lower-cost options through resident clinics with attending supervision.
Insurance Market Competition in Maryland
CareFirst Blue Cross Blue Shield maintains the largest market share in Maryland, followed by UnitedHealthcare and Aetna, creating moderate competition that influences negotiated rates with gastroenterology practices. The state's insurance exchange offers additional options, though provider networks can be more limited. Rural areas often have fewer insurer options, potentially leading to higher out-of-network costs for patients.
Physician Supply and Demand in Maryland
With nearly 4,000 active providers performing Colonoscopy Polyp Removal procedures, Maryland maintains adequate specialist availability in urban areas but faces shortages in rural regions. The concentration of gastroenterologists around Baltimore and Washington DC creates competitive pricing in these markets while potentially increasing costs in underserved areas. Wait times for routine screening procedures are generally reasonable in metropolitan areas but can extend several months in rural counties.
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 Maryland
What is the average cost of a Colonoscopy Polyp Removal visit in Maryland without insurance?
Does Maryland Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Maryland?
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 |