Cost of a Colonoscopy Polyp Removal Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare landscape reflects a mix of academic medical centers in urban areas and smaller facilities serving rural communities, with Colonoscopy Polyp Removal procedures costing approximately 5% below national averages. Based on negotiated insurance rates, patients typically pay between $238 and $853, with a median out-of-pocket cost of $600 for colonoscopy polyp removal procedures. Missouri maintains over 5,300 active providers performing these procedures, giving patients access to specialists across the state's diverse healthcare network.
Average
$564
Median
$600
Lowest
$239
Highest
$853
Providers
5,306
25% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $174 | $444 | $634 | 5,324 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $188 | $534 | $815 | 5,395 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $411 | $535 | 5,368 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $130 | $467 | $712 | 5,404 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $24 | $358 | 6,421 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $222 | $449 | 5,452 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $101 | $165 | 5,390 |
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 Missouri
Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living compared to coastal regions and competitive provider market. The state's geographic diversity creates distinct cost patterns between metropolitan areas like Kansas City and St. Louis versus rural counties in the Ozarks and northern regions.
Urban vs. Rural Provider Availability
Missouri's major metropolitan areas of Kansas City and St. Louis concentrate most gastroenterology specialists, while rural counties often require patients to travel significant distances for Colonoscopy Polyp Removal procedures. This geographic disparity can create higher effective costs for rural patients when factoring in travel expenses and time off work. Some rural hospitals partner with urban specialists to provide rotating specialty clinics, helping improve access in underserved areas.
Facility Type and Overhead Costs
Hospital-based outpatient departments at major Missouri health systems like BJC HealthCare and Saint Luke's typically charge higher facility fees than independent ambulatory surgery centers. Academic medical centers associated with Washington University and University of Missouri often have premium pricing due to their teaching hospital status and advanced capabilities. Independent gastroenterology practices with their own procedure suites frequently offer more competitive pricing for routine Colonoscopy Polyp Removal cases.
Insurance Market Competition in Missouri
Missouri's insurance marketplace features moderate competition with Anthem, UnitedHealthcare, and Cigna as dominant players, along with regional insurers serving specific markets. The competitive landscape varies significantly between urban and rural areas, with fewer insurer options in smaller counties potentially leading to higher negotiated rates. This market concentration can affect the range of in-network gastroenterologists available to patients in certain regions.
Physician Supply and Demand in Missouri
With over 5,300 providers performing Colonoscopy Polyp Removal procedures, Missouri maintains relatively good specialist availability compared to many states, though distribution favors urban areas. This adequate supply helps keep procedure costs competitive, particularly in Kansas City and St. Louis metropolitan areas where multiple health systems compete for patients. Rural areas may experience longer wait times and potentially higher costs due to limited local specialist availability.
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 Missouri
What is the average cost of a Colonoscopy Polyp Removal visit in Missouri without insurance?
Does Missouri Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Missouri?
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 |