Cost of a Colonoscopy with Biopsy Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare delivery challenges, with specialists concentrated primarily on Oahu while neighbor islands face significant access barriers. Patients seeking a Colonoscopy with Biopsy typically pay between $80 and $969, with a median out-of-pocket cost of $351. Hawaii has 87 active Colonoscopy with Biopsy providers across the island chain, allowing patients to browse qualified specialists throughout the state.
Average
$467
Median
$351
Lowest
$80
Highest
$969
Providers
87
19% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $312 | $757 | 64 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $453 | $1,785 | 67 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $82 | $276 | $636 | 52 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $250 | $903 | 92 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $85 | 162 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $153 | $438 | 97 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $126 | $230 | 111 |
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 45380 — Colonoscopy with biopsy). 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 45380 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45380 (Colonoscopy with biopsy), as mandated by the CMS Price Transparency Rule.
What CPT 45380 covers: the provider's professional fee for colonoscopy with biopsy. 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 with Biopsy Visit Costs Vary Across Hawaii
Healthcare costs in Hawaii run approximately 16% above national averages due to the state's isolated location, high cost of living, and complex inter-island logistics for medical supplies and equipment. The concentration of specialists on Oahu creates access disparities that affect both availability and pricing across the island chain.
Urban vs. Rural Provider Availability
Oahu, particularly the Honolulu metro area, hosts the majority of Hawaii's gastroenterologists, while neighbor islands like Molokai and Lanai have extremely limited specialist coverage. Patients on outer islands often face inter-island travel costs and time away from work when accessing specialized care. This geographic dispersion creates natural monopolies in some markets, reducing competitive pressure on pricing.
Facility Type and Overhead Costs
Hospital-based outpatient clinics dominate Hawaii's specialist landscape, with major health systems like Hawaii Pacific Health and Kaiser Permanente operating across multiple islands. Independent gastroenterology practices face higher overhead costs due to Hawaii's expensive real estate, equipment shipping costs, and staffing challenges. The state's licensing requirements and continuing education mandates add operational complexity for smaller practices.
Insurance Market Competition in Hawaii
HMSA maintains significant market share as the state's Blue Cross affiliate, competing primarily with UnitedHealthcare and Kaiser Permanente's integrated model. This relatively concentrated insurer landscape creates strong negotiating power with providers but may limit competitive pricing pressure. The state's small population and geographic isolation make it challenging for new insurers to enter the market effectively.
Physician Supply and Demand in Hawaii
With 87 active Colonoscopy with Biopsy providers serving Hawaii's 1.4 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages on neighbor islands. Many specialists split time between islands or use telemedicine for initial consultations, affecting scheduling flexibility and costs. The desirable lifestyle draws some physicians to Hawaii, but high living costs and insurance reimbursement challenges can limit practice expansion.
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 with Biopsy Costs in Hawaii
What is the average cost of a Colonoscopy with Biopsy visit in Hawaii without insurance?
Does Hawaii Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Hawaii?
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 with Biopsy visit in Hawaii?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Hawaii?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45380)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $5,357 | $1,938 |
| 2 | New York Range: $241 – $2,117 | $948 |
| 3 | Massachusetts Range: $80 – $2,117 | $932 |
| 4 | Rhode Island Range: $80 – $2,117 | $910 |
| 5 | Connecticut Range: $85 – $2,117 | $892 |
| 6 | Delaware Range: $80 – $2,117 | $858 |
| 7 | Pennsylvania Range: $80 – $2,117 | $857 |
| 8 | Minnesota Range: $85 – $1,970 | $853 |
| 9 | New Hampshire Range: $433 – $1,234 | $829 |
| 10 | Nebraska Range: $281 – $1,040 | $742 |
| 11 | Iowa Range: $85 – $1,373 | $726 |
| 12 | California Range: $80 – $1,785 | $724 |
| 13 | Maine Range: $456 – $887 | $714 |
| 14 | Wyoming Range: $217 – $1,313 | $657 |
| 15 | Vermont Range: $317 – $1,042 | $632 |
| 16 | Georgia Range: $85 – $1,250 | $620 |
| 17 | New Jersey Range: $120 – $1,329 | $599 |
| 18 | North Carolina Range: $80 – $1,268 | $597 |
| 19 | North Dakota Range: $80 – $1,268 | $594 |
| 20 | District of Columbia Range: $98 – $1,143 | $580 |
| 21 | West Virginia Range: $85 – $1,329 | $574 |
| 22 | New Mexico Range: $90 – $1,136 | $559 |
| 23 | Illinois Range: $80 – $1,147 | $556 |
| 24 | Washington Range: $80 – $1,143 | $536 |
| 25 | Utah Range: $80 – $944 | $520 |
| 26 | Missouri Range: $188 – $815 | $512 |
| 27 | South Dakota Range: $80 – $1,035 | $501 |
| 28 | Maryland Range: $175 – $919 | $489 |
| 29 | Oregon Range: $80 – $1,070 | $486 |
| 30 | Hawaii Range: $80 – $969 | $467 |
| 31 | Colorado Range: $85 – $969 | $466 |
| 32 | Indiana Range: $80 – $937 | $461 |
| 33 | Mississippi Range: $162 – $850 | $454 |
| 34 | Michigan Range: $80 – $887 | $453 |
| 35 | Kentucky Range: $80 – $917 | $439 |
| 36 | Virginia Range: $98 – $830 | $423 |
| 37 | Louisiana Range: $85 – $804 | $422 |
| 38 | Idaho Range: $80 – $906 | $419 |
| 39 | Arkansas Range: $85 – $815 | $416 |
| 40 | Alabama Range: $80 – $762 | $405 |
| 41 | Texas Range: $85 – $772 | $396 |
| 42 | South Carolina Range: $80 – $782 | $389 |
| 43 | Kansas Range: $188 – $646 | $387 |
| 44 | Nevada Range: $85 – $701 | $372 |
| 45 | Ohio Range: $85 – $709 | $371 |
| 46 | Tennessee Range: $85 – $714 | $371 |
| 47 | Alaska Range: $80 – $837 | $332 |
| 48 | Arizona Range: $85 – $567 | $295 |
| 49 | Florida Range: $35 – $770 | $287 |
| 50 | Oklahoma Range: $85 – $582 | $251 |
| 51 | Montana Range: $80 – $545 | $235 |