Logo
Michigan

Cost of a Colonoscopy Polyp Removal Visit
in Michigan

Reviewed by Momentary Medical Group West PC

Michigan's healthcare system serves over 10 million residents through a mix of academic medical centers and community hospitals, with colonoscopy polyp removal costs running approximately 3% below national averages. Patients typically pay between $80 and $1,088 for this procedure, with a median out-of-pocket cost of $467 based on negotiated insurance rates from over 2,000 active providers across the state. You can browse all Colonoscopy Polyp Removal specialists throughout Michigan to find the most affordable option in your area.

Average

$545

Median

$467

Lowest

$80

Highest

$1,088

Providers

2,038

National avg: $752Michigan: $545

28% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$92$327$7681,803
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$393$8872,214
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$121$274$5721,673
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$259$6852,142
ECG / EKG

12-lead electrocardiogram with interpretation

93000$15$21$952,698
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$67$166$4052,196
OB Ultrasound

Obstetric ultrasound, complete

76805$42$88$2162,133

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 Michigan

Michigan's healthcare costs run approximately 3% below national averages, reflecting the state's diverse mix of urban medical centers and rural community hospitals. The Great Lakes State's geography creates distinct cost patterns between densely populated Southeast Michigan and the more dispersed Upper Peninsula communities.

Urban vs. Rural Provider Availability

Metro Detroit and Grand Rapids concentrate most of Michigan's gastroenterology specialists, creating higher demand and costs in these markets. Rural areas like the Upper Peninsula and northern Lower Peninsula have fewer providers, leading to longer wait times but sometimes lower procedure costs. Many patients from rural Michigan travel to urban centers for specialized polyp removal procedures.

Facility Type and Overhead Costs

Large health systems like Henry Ford Health, Corewell Health, and University of Michigan Health dominate the Michigan market with higher overhead costs reflected in their rates. Independent gastroenterology practices and ambulatory surgery centers typically offer more competitive pricing. Hospital-owned facilities often add facility fees that can increase total procedure costs by 30-50%.

Insurance Market Competition in Michigan

BCBS Michigan holds the largest market share, followed by UHC and Aetna, creating moderate competition that benefits consumers through negotiated rate pressure. The state's insurance marketplace offers multiple options in most counties, though rural areas may have fewer choices. This competitive environment has helped maintain Michigan's below-average healthcare costs compared to neighboring states.

Physician Supply and Demand in Michigan

With over 2,000 providers performing colonoscopy with polyp removal across Michigan, the state maintains adequate specialist supply in most regions. This healthy provider-to-population ratio helps contain costs and reduces wait times for non-urgent procedures. However, demand continues growing as screening guidelines expand and Michigan's aging population requires more gastroenterology services.

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 Michigan

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

Without insurance, colonoscopy with polyp removal in Michigan ranges from $80 to $1,088, with a median cost of $467 based on negotiated rates from over 2,000 providers statewide. Many facilities offer self-pay discounts of 20-40% for cash payments, and some community health centers provide sliding scale fees based on income. These costs are approximately 3% below national averages, making Michigan relatively affordable for this procedure.

Does Michigan Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Michigan Medicaid covers colonoscopy with polyp removal, especially for preventive screening with no copay for eligible patients. Since Michigan expanded Medicaid in 2014, over 600,000 additional residents gained access to preventive gastroenterology services. Coverage includes both routine screening colonoscopies and therapeutic procedures for polyp removal when medically necessary.

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

Compare costs between hospital-based facilities and independent gastroenterology practices, as independent centers often charge 30-50% less. Look into Federally Qualified Health Centers throughout Michigan for discounted rates, and ask providers about self-pay discounts if you're uninsured. Ambulatory surgery centers typically cost less than hospital outpatient departments for the same procedure.

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 actual colonoscopy procedure represents the majority of total costs regardless of visit type. The $80-$1,088 range reflects the complete procedure including facility fees, physician fees, and pathology costs when polyps are removed. Follow-up visits for discussing results or planning additional treatment are usually much less expensive than the initial procedure.

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

Yes, colonoscopy with polyp removal qualifies as a medical expense eligible for HSA and FSA reimbursement. You can use these accounts to pay for deductibles, copays, and any out-of-pocket costs related to the procedure. Keep all receipts and documentation from your Michigan provider for tax purposes and account reimbursement.

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

While the actual colonoscopy procedure must be performed in person, many Michigan gastroenterologists offer telehealth consultations for initial evaluations, result discussions, and follow-up care. These virtual visits typically cost 30-50% less than in-person consultations and can help reduce overall care costs. Michigan has good telehealth coverage policies that support remote gastroenterology consultations when appropriate.

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