Colonoscopy with polyp removal in Birmingham, AL costs $595 to $6,197. Here's every hospital's price.
5 hospitals in the Birmingham, AL metro area publish a cash price for colonoscopy with polyp removal (CPT 45385). We read their files every month so you don't have to.
Across the Birmingham, AL metro area, 5 hospitals list a cash price for colonoscopy with polyp removal (CPT 45385). The lowest is $595 at Medical West, An Affiliate of UAB Health System, the median is $4,384 and the highest is $6,197 at Grandview Medical Center. The most expensive hospital lists 10 times the cheapest for the same code.
The Birmingham, AL median of $4,384 is 186% above the national median of $1,531 across 275 US hospitals with a cash price for this code.
6 of these hospitals also publish the rates they negotiated with insurers, from $194 to $37,182. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.
The files behind these prices are dated between April 2026 and June 2026. 8 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.
Sorted by cash price
Hospital facility fee onlyBessemer · 12 mi · File Jun 2026
Alabaster · 15 mi · File Apr 2026
Jasper · 36 mi · File Apr 2026
Birmingham · 3 mi · File Apr 2026
Birmingham · 6 mi · File Apr 2026
Birmingham · 2 mi · File Apr 2026
What's in the price
The hospital facility fee for CPT 45385. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 45385, in writing, and whether it covers facility, physician and anesthesia."
About colonoscopy with polyp removal
CPT 45385 is a colonoscopy in which a polyp is removed with a wire snare. It is the most common outcome for people over 50: about a third of colonoscopies find at least one polyp, and removing it during the same exam is the point of the procedure. You cannot book 45385 in advance; it is billed when a polyp is found.
What the price covers
The hospital's price is the facility fee for the endoscopy unit: room, nursing, sedation monitoring, the snare and other disposables, and recovery. Physician, anesthesia and pathology are separate bills. Every removed polyp goes to pathology, so with several polyps the pathology bill can rival the facility fee.
Cash price versus insured price
With insurance, a screening colonoscopy that turns into a polyp removal is still supposed to be covered as preventive under the Affordable Care Act rules, but billing errors are common. Without insurance, the cash price listed here is what to negotiate from. Some hospitals' cash price is lower than the rate they negotiated with insurers; you are allowed to ask for the cash price even if you are insured.
Why prices vary
Expect a wide spread within one metro area. It follows the hospital, not the procedure: the same snare, the same 30 minutes, priced according to what each system has decided its chargemaster should say. Hospital-owned outpatient centers and community hospitals are usually the low end.
Questions to ask
- What is the self-pay price for 45385, and what for 45378 if no polyp is found?
- How is pathology billed, per specimen or flat?
- Is anesthesia by a nurse anesthetist or an anesthesiologist, and who bills it?
Hospitals in Birmingham, AL without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Bibb Medical CenterNo price file found
- St Vincent's BirminghamFile could not be read
- St Vincent's ChiltonFile could not be read
- St Vincent's St ClairFile could not be read
- St Vincents BlountFile could not be read
- St. Vincent's EastFile could not be read
- The Children's Hospital of Alabamacode not in file
- University of Alabama HospitalFile could not be read