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North Dakota

Cost of a Colonoscopy Polyp Removal Visit
in North Dakota

Reviewed by Momentary Medical Group West PC

North Dakota's rural geography creates unique challenges for accessing specialized gastroenterology care, with many patients traveling significant distances for Colonoscopy Polyp Removal procedures. Patients typically pay between $80 and $2,334 for these procedures, with a median cost of $515 based on negotiated insurance rates across the state's 52 active providers. The state's concentrated healthcare market, dominated by Sanford Health and CHI St. Alexius, means patients can browse all Colonoscopy Polyp Removal providers in North Dakota to compare costs and find the best value for their specific insurance plan.

Average

$976

Median

$515

Lowest

$80

Highest

$2,334

Providers

52

National avg: $752North Dakota: $976

30% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$165$2,255$2,255473
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$434$1,26855
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$118$348$85342
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$181$2,396$2,396470
ECG / EKG

12-lead electrocardiogram with interpretation

93000$26$26$26253
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$75$183$61967
OB Ultrasound

Obstetric ultrasound, complete

76805$68$68$157236

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 North Dakota

North Dakota's healthcare costs run approximately 4% above national averages, driven by the state's rural geography where limited provider competition and higher operational costs create pricing pressures for specialized procedures like Colonoscopy Polyp Removal. The state's oil boom has attracted population growth while healthcare infrastructure has struggled to keep pace, particularly in western counties where energy workers often lack established primary care relationships.

Urban vs. Rural Provider Availability

The Fargo-Moorhead and Bismarck metropolitan areas contain most of North Dakota's gastroenterology specialists, while rural counties often require patients to travel 100+ miles for Colonoscopy Polyp Removal procedures. This geographic concentration drives higher costs in rural areas where limited competition allows providers to maintain premium pricing for specialized services.

Facility Type and Overhead Costs

Hospital-owned outpatient departments at Sanford Health and CHI St. Alexius typically charge higher facility fees than independent ambulatory surgery centers, though North Dakota has relatively few independent endoscopy centers compared to more populated states. The dominance of large health systems means most Colonoscopy Polyp Removal procedures occur in hospital-affiliated facilities with correspondingly higher overhead costs.

Insurance Market Competition in North Dakota

Blue Cross Blue Shield of North Dakota, Sanford Health Plan, and UnitedHealthcare dominate the state's insurance market, creating moderate competition that helps control negotiated rates for specialized procedures. This concentrated insurer landscape means providers cannot command the premium rates seen in less competitive markets, helping keep Colonoscopy Polyp Removal costs more predictable across different insurance plans.

Physician Supply and Demand in North Dakota

With 52 active providers performing Colonoscopy Polyp Removal procedures, North Dakota maintains adequate specialist availability relative to its population of 780,000 residents, though geographic distribution favors urban areas. This reasonable supply-demand balance prevents the extreme pricing premiums seen in physician shortage areas, though rural access remains challenging and may require longer scheduling lead times.

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 North Dakota

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

Uninsured patients in North Dakota pay between $80 and $2,334 for Colonoscopy Polyp Removal procedures, with a median cost of $515 based on negotiated insurance rates. Many providers offer cash-pay discounts of 30-50% for uninsured patients, particularly at independent ambulatory surgery centers. Self-pay patients should always ask about financial assistance programs and payment plans before scheduling their procedure.

Does North Dakota Medicaid cover Colonoscopy Polyp Removal visits?

Yes, North Dakota expanded Medicaid covers medically necessary Colonoscopy Polyp Removal procedures for eligible adults earning up to 138% of federal poverty guidelines. Coverage includes both screening and diagnostic colonoscopies with polyp removal when performed by in-network gastroenterologists. Patients should verify their provider accepts Medicaid assignment and understand any prior authorization requirements before scheduling.

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

Compare costs between hospital-based outpatient departments and independent ambulatory surgery centers, as facility fees can vary significantly across North Dakota. Ask about self-pay discounts if uninsured, and consider seeking care in Fargo or Bismarck where competition between major health systems creates more competitive pricing. Community health centers may also offer sliding-scale fees based on income for eligible patients.

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 due to comprehensive evaluation time and complexity. However, if polyp removal occurs during the initial colonoscopy procedure, the procedural costs ($80-$2,334 in North Dakota) far exceed the consultation fees. Follow-up visits for post-procedure care or surveillance planning are generally less expensive routine office visits.

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

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for Health Savings Account (HSA) and Flexible Spending Account (FSA) reimbursement. You can use these pre-tax dollars for deductibles, copays, and any out-of-network costs associated with the procedure. Keep all receipts and documentation for reimbursement claims and tax purposes.

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

While the actual polyp removal procedure requires in-person care, initial consultations and follow-up visits can often be conducted via telemedicine at reduced costs. North Dakota's rural geography makes telehealth particularly valuable for pre-procedure consultations and post-procedure follow-ups, saving patients travel time and costs. Many insurers cover telemedicine visits at the same rate as in-person consultations, though some may have lower copays for virtual visits.

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