Cost of a Colonoscopy Polyp Removal Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island ranks among the states with the highest healthcare costs per capita, with medical expenses running approximately 13% above national averages due to the state's concentrated provider market and limited insurer competition. For Colonoscopy Polyp Removal procedures, patients in the Ocean State typically pay between $80 and $2,338, with a median cost of $673. Rhode Island maintains 75 active providers offering these services across the state's five counties, giving patients options from Providence's major medical centers to community hospitals in Washington and Kent counties.
Average
$1,031
Median
$673
Lowest
$80
Highest
$2,338
Providers
75
37% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $91 | $423 | $1,830 | 63 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $535 | $2,117 | 77 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $391 | $718 | 58 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $418 | $1,647 | 83 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $90 | 108 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $207 | $895 | 90 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $115 | $328 | 80 |
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 Rhode Island
Healthcare costs in Rhode Island run approximately 13% above national averages, driven by the state's small geographic footprint, concentrated provider networks, and limited insurer competition. The Ocean State's healthcare market dynamics create unique cost pressures despite having relatively short travel distances between facilities.
Urban vs. Rural Provider Availability
Most of Rhode Island's gastroenterologists practice within the Providence metropolitan area, creating higher demand and pricing power for specialists serving the state's population center. Rural areas of Washington County and Block Island rely on Providence-based specialists, though patients face minimal travel burdens given the state's compact 1,214 square mile area. Coastal communities like Newport and Westerly maintain some independent gastroenterology practices that may offer competitive pricing.
Facility Type and Overhead Costs
Rhode Island Hospital, The Miriam Hospital, and Newport Hospital operate most hospital-based gastroenterology services, typically charging facility fees alongside professional fees. Independent practices and ambulatory surgery centers, particularly those in Warwick, Cranston, and Pawtucket, often provide more transparent all-inclusive pricing. Care New England and Lifespan health systems dominate the market, influencing regional pricing patterns.
Insurance Market Competition in Rhode Island
BCBS RI maintains the largest market share among commercial insurers, followed by UnitedHealthcare and Tufts Health Plan, creating limited competitive pressure on negotiated rates. The state's small population of 1.1 million concentrates bargaining power among fewer health systems, potentially driving up negotiated rates. HealthSource RI serves as the state's ACA marketplace, but plan options remain limited compared to larger states.
Physician Supply and Demand in Rhode Island
With 75 providers offering Colonoscopy Polyp Removal services statewide, Rhode Island maintains adequate specialist availability relative to its population density. The state's proximity to Boston medical centers creates some patient leakage for complex cases, but routine colonoscopy services remain well-distributed throughout the five counties. Brown University's gastroenterology residency program helps maintain local physician supply, though specialist recruitment remains competitive.
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 Rhode Island
What is the average cost of a Colonoscopy Polyp Removal visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Rhode Island?
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 |