Cost of a Colonoscopy Polyp Removal Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's mountainous terrain and scattered rural communities create unique healthcare access challenges, with many residents traveling significant distances for specialty procedures. Patients seeking Colonoscopy Polyp Removal in West Virginia typically pay between $98 and $1,538, with a median out-of-pocket cost of $410. The state maintains 153 active providers offering these services, giving patients across West Virginia's 55 counties multiple options for care.
Average
$682
Median
$410
Lowest
$98
Highest
$1,538
Providers
153
9% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $357 | $1,395 | 106 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $308 | $1,329 | 163 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $93 | $274 | $889 | 98 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $298 | $1,647 | 122 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $91 | 304 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $66 | $155 | $1,167 | 201 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $68 | $215 | 208 |
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 West Virginia
West Virginia's healthcare costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural economics. However, limited provider competition in many regions can create pockets of higher pricing, particularly in areas served by single health systems.
Urban vs. Rural Provider Availability
Charleston, Morgantown, and Martinsburg concentrate most of West Virginia's Colonoscopy Polyp Removal specialists, while rural counties often have no local gastroenterologists. This geographic imbalance forces rural patients to travel 50-100 miles for care, adding transportation costs but sometimes accessing lower-priced providers. Telemedicine consultations help bridge some gaps, though procedures still require in-person visits.
Facility Type and Overhead Costs
West Virginia University Medicine, Charleston Area Medical Center, and Mon Health dominate the state's healthcare landscape, operating most hospital-based gastroenterology practices. These health systems typically charge higher facility fees compared to independent practices, though they may offer more comprehensive services. Independent gastroenterology groups remain common in larger cities, providing cost-competitive alternatives.
Insurance Market Competition in West Virginia
Highmark West Virginia holds significant market share across the state, followed by UnitedHealthcare and Aetna in specific regions. This limited insurer competition can reduce negotiating leverage for lower rates, though Medicaid expansion has increased coverage access. Rural areas often have even fewer insurer options, with some counties served by only one or two carriers.
Physician Supply and Demand in West Virginia
With 153 active Colonoscopy Polyp Removal providers serving 1.8 million residents, West Virginia faces a moderate specialist shortage compared to national ratios. This supply constraint can lead to longer wait times and potentially higher prices in underserved regions. Recruitment challenges in rural areas mean most specialists concentrate in the state's few urban centers.
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 West Virginia
What is the average cost of a Colonoscopy Polyp Removal visit in West Virginia without insurance?
Does West Virginia Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in West Virginia?
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 West Virginia?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in West Virginia?
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 |