Cost of a Colonoscopy Polyp Removal Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare system serves over 11.8 million residents through a mix of academic medical centers, regional health systems, and growing ambulatory surgery centers that have helped keep procedure costs roughly 2% below national averages. Patients seeking Colonoscopy Polyp Removal typically pay between $191 and $751, with a median out-of-pocket cost of $407 based on negotiated insurance rates from over 4,200 active providers across the state. Ohio's competitive insurance market, anchored by Medical Mutual, Anthem, and UnitedHealthcare, offers patients multiple network options when browsing Colonoscopy Polyp Removal providers throughout the Buckeye State.
Average
$450
Median
$407
Lowest
$191
Highest
$751
Providers
4,236
40% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $326 | $565 | 4,648 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $319 | $709 | 4,738 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $77 | $195 | $474 | 4,445 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $220 | $621 | 4,786 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $19 | $85 | 6,459 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $52 | $132 | $351 | 5,273 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $32 | $87 | $211 | 4,369 |
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 Ohio
Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market spanning from Cleveland's medical corridor to Cincinnati's diverse health systems. The Buckeye State's balanced mix of urban medical centers and rural critical access hospitals creates distinct pricing tiers for Colonoscopy Polyp Removal procedures.
Urban vs. Rural Provider Availability
Ohio's metropolitan areas around Cleveland, Columbus, and Cincinnati concentrate most gastroenterology specialists, while rural counties often rely on traveling physicians or require patients to drive 1-2 hours for specialized care. This geographic disparity creates higher demand and pricing in urban markets, but also more insurance network options and competitive pricing. Rural areas may have limited ambulatory surgery center options, forcing patients toward hospital-based outpatient departments with higher facility fees.
Facility Type and Overhead Costs
Ohio's healthcare landscape includes major academic systems like Cleveland Clinic, Ohio State Wexner Medical Center, and Cincinnati Children's, which typically charge premium rates for Colonoscopy Polyp Removal due to higher overhead costs and specialized capabilities. Independent ambulatory surgery centers and physician-owned facilities often offer lower facility fees while maintaining quality care. The state's growing ASC market provides competitive alternatives to hospital-based outpatient departments.
Insurance Market Competition in Ohio
Medical Mutual dominates Ohio's insurance market as the state's largest health plan, followed by significant presence from Anthem and UnitedHealthcare, creating robust competition that helps moderate Colonoscopy Polyp Removal costs. This multi-carrier environment gives patients more network choices and prevents any single insurer from controlling physician reimbursement rates. Medicaid managed care competition among multiple plans also helps keep provider rates competitive for the state's expanded Medicaid population.
Physician Supply and Demand in Ohio
With over 4,200 active Colonoscopy Polyp Removal providers, Ohio maintains adequate specialist supply relative to its 11.8 million residents, preventing severe shortage-driven pricing seen in other states. This robust provider network spans hospital-employed physicians, private practice groups, and academic medical centers, creating healthy competition for patient volumes. The balanced supply-demand relationship helps keep procedure costs reasonable while maintaining reasonable scheduling availability for non-urgent cases.
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 Ohio
What is the average cost of a Colonoscopy Polyp Removal visit in Ohio without insurance?
Does Ohio Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Ohio?
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 |