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Oregon

Cost of a Colonoscopy with Biopsy Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare costs run approximately 9% above the national average, reflecting the state's concentrated urban markets and expansive rural geography. For a Colonoscopy with Biopsy visit, patients typically pay between $80 and $1,070, with a median cost of $308 based on negotiated insurance rates across 397 active providers. Oregon residents can browse all Colonoscopy with Biopsy providers statewide to compare costs and verify network status before booking their appointment.

Average

$486

Median

$308

Lowest

$80

Highest

$1,070

Providers

397

National avg: $577Oregon: $486

16% below national average

Compare Similar Procedures

How does colonoscopy with biopsy compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$80$309$836348
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$453$3,638355
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$85$261$691250
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$227$1,352416
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$14$851,029
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$79$158$568400
OB Ultrasound

Obstetric ultrasound, complete

76805$68$68$236738

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 45380Colonoscopy 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 Oregon

Oregon's healthcare costs run approximately 9% above the national average, driven by the state's geographic challenges and concentrated provider markets in urban corridors. The stark contrast between Portland's competitive specialist market and rural counties with limited gastroenterology access creates significant cost and availability disparities across the state.

Urban vs. Rural Provider Availability

Most of Oregon's 397 Colonoscopy with Biopsy providers practice in the Portland metro area, Eugene, and other urban centers, leaving vast rural regions underserved. Patients in eastern and southern Oregon often travel hours to reach specialized gastroenterology care, potentially adding travel costs but sometimes finding lower procedure fees. This geographic concentration drives up demand and costs in urban markets while limiting options for rural residents.

Facility Type and Overhead Costs

Oregon's healthcare market includes major systems like Kaiser Permanente, Providence, and OHSU, which operate hospital-based outpatient departments with higher overhead costs than independent practices. The growing number of ambulatory surgery centers offers a middle ground, providing specialized facilities without full hospital overhead. Independent gastroenterology practices often offer the most competitive pricing, especially for routine diagnostic procedures and follow-up visits.

Insurance Market Competition in Oregon

The state's insurance market features moderate competition between Regence BCBS, PacificSource, and UHC, though rural areas may have fewer plan options than urban markets. This competitive landscape helps keep negotiated rates reasonable in metropolitan areas, while rural regions may see higher costs due to limited provider networks. The absence of an all-payer claims database limits price transparency, making cost comparison more challenging for patients.

Physician Supply and Demand in Oregon

With 397 active providers statewide, Oregon maintains a reasonable supply of Colonoscopy with Biopsy specialists relative to its population, though distribution heavily favors urban areas. This adequate supply in metro markets helps moderate costs and reduces wait times, while rural shortages can drive up demand and pricing. The state's appeal to healthcare professionals helps maintain steady recruitment, though rural retention remains challenging.

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 with Biopsy Costs in Oregon

What is the average cost of a Colonoscopy with Biopsy visit in Oregon without insurance?

Without insurance, Oregon patients can expect to pay between $80 and $1,070 for a Colonoscopy with Biopsy procedure, with a median cost of $308 based on negotiated rates across 397 providers statewide. These costs reflect what insurers actually pay, so uninsured patients may face higher list prices but can often negotiate cash-pay discounts. Many Oregon gastroenterology practices offer self-pay rates that are 30-50% lower than list prices when paid at the time of service.

Does Oregon Medicaid cover Colonoscopy with Biopsy visits?

Yes, Oregon's expanded Medicaid program covers medically necessary Colonoscopy with Biopsy procedures for eligible adults with incomes up to 138% of the federal poverty level. Patients typically need a referral from their primary care provider and must use in-network gastroenterology specialists. Preventive colorectal cancer screening is covered without cost-sharing, though diagnostic procedures may have minimal copays depending on the specific Medicaid plan.

How do I find an affordable Colonoscopy with Biopsy near me in Oregon?

Compare costs across different facility types, as ambulatory surgery centers often charge less than hospital outpatient departments for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers or federally qualified health centers that offer sliding scale fees. Rural Oregon patients might find lower base costs outside major metro areas, though travel expenses should be factored into the total cost comparison.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on the available data for Colonoscopy with Biopsy procedures, the median cost is $308, though this typically represents the procedure itself rather than consultation visits. Initial consultations with Oregon gastroenterologists generally cost more than follow-up visits due to the comprehensive evaluation required. Many practices offer package pricing that includes pre-procedure consultation, the colonoscopy with biopsy, and follow-up care to provide more predictable costs for patients.

Can I use an HSA or FSA to pay for a Colonoscopy with Biopsy visit in Oregon?

Yes, Colonoscopy with Biopsy procedures qualify as eligible medical expenses for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes both preventive screening colonoscopies and diagnostic procedures, along with associated costs like anesthesia and pathology services. Using HSA or FSA funds provides tax savings on these medical expenses, making it a cost-effective payment option for Oregon patients with these accounts.

How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Oregon?

While the actual Colonoscopy with Biopsy procedure must be performed in person, many Oregon gastroenterologists offer telehealth consultations for pre-procedure planning and post-procedure follow-up. These virtual visits typically cost 10-20% less than in-person consultations and can save patients travel time and expenses, especially beneficial for rural Oregon residents. Telemedicine is particularly useful for reviewing biopsy results and discussing ongoing treatment plans after the initial procedure.

Click a state to compare costs

Average Visit Cost

$235
$1,938

Office visit (CPT 45380)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$5,357
$1,938
2New York
Range: $241$2,117
$948
3Massachusetts
Range: $80$2,117
$932
4Rhode Island
Range: $80$2,117
$910
5Connecticut
Range: $85$2,117
$892
6Delaware
Range: $80$2,117
$858
7Pennsylvania
Range: $80$2,117
$857
8Minnesota
Range: $85$1,970
$853
9New Hampshire
Range: $433$1,234
$829
10Nebraska
Range: $281$1,040
$742
11Iowa
Range: $85$1,373
$726
12California
Range: $80$1,785
$724
13Maine
Range: $456$887
$714
14Wyoming
Range: $217$1,313
$657
15Vermont
Range: $317$1,042
$632
16Georgia
Range: $85$1,250
$620
17New Jersey
Range: $120$1,329
$599
18North Carolina
Range: $80$1,268
$597
19North Dakota
Range: $80$1,268
$594
20District of Columbia
Range: $98$1,143
$580
21West Virginia
Range: $85$1,329
$574
22New Mexico
Range: $90$1,136
$559
23Illinois
Range: $80$1,147
$556
24Washington
Range: $80$1,143
$536
25Utah
Range: $80$944
$520
26Missouri
Range: $188$815
$512
27South Dakota
Range: $80$1,035
$501
28Maryland
Range: $175$919
$489
29Oregon
Range: $80$1,070
$486
30Hawaii
Range: $80$969
$467
31Colorado
Range: $85$969
$466
32Indiana
Range: $80$937
$461
33Mississippi
Range: $162$850
$454
34Michigan
Range: $80$887
$453
35Kentucky
Range: $80$917
$439
36Virginia
Range: $98$830
$423
37Louisiana
Range: $85$804
$422
38Idaho
Range: $80$906
$419
39Arkansas
Range: $85$815
$416
40Alabama
Range: $80$762
$405
41Texas
Range: $85$772
$396
42South Carolina
Range: $80$782
$389
43Kansas
Range: $188$646
$387
44Nevada
Range: $85$701
$372
45Ohio
Range: $85$709
$371
46Tennessee
Range: $85$714
$371
47Alaska
Range: $80$837
$332
48Arizona
Range: $85$567
$295
49Florida
Range: $35$770
$287
50Oklahoma
Range: $85$582
$251
51Montana
Range: $80$545
$235
Colonoscopy with Biopsy in Other States