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Colonoscopy with polyp removal in Boston, MA-NH costs $788 to $1,825. Here's every hospital's price.

5 hospitals in the Boston-Cambridge-Newton, MA-NH 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 Boston-Cambridge-Newton, MA-NH metro area, 5 hospitals list a cash price for colonoscopy with polyp removal (CPT 45385). The lowest is $788 at Boston Medical Center-Brighton, the median is $1,743 and the highest is $1,825 at Lowell General Hospital. The most expensive hospital lists 2.3 times the cheapest for the same code.

The Boston, MA-NH median of $1,743 is 14% 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 $206 to $3,864. 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 January 2026 and April 2026. 35 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.

$788
lowest cash price in Boston, MA-NH
Boston Medical Center-Brighton · 13 mi
$955 below the median
$1,743
median cash price
5 hospitals
2.3×
highest ÷ lowest
same procedure, same metro
5/41
hospitals with a cash price
35 don't · see who

Sorted by cash price

Hospital facility fee only
1
Boston Medical Center-Brighton

Brighton · 13 mi · File Mar 2026

$788
list $1,751 · lowest of 2 lines
2
Boston Medical Center

Boston · 13 mi · File Mar 2026

$1,559
list $3,464
3
Tufts Medical Center

Boston · 12 mi · File Apr 2026

$1,743
list $2,490 · lowest of 3 lines
4
Signature Healthcare Brockton Hospital

Brockton · 30 mi · File Jan 2026

$1,786
list $2,552 · lowest of 2 lines
5
Cambridge Health Alliance

Cambridge · 11 mi · File Mar 2026

$1,825
list $1,825 · lowest of 2 lines
6
Lowell General Hospital

Lowell · 19 mi · File Apr 2026

$2,705
list $3,864 · lowest of 3 lines
1

What's in the price

The hospital facility fee for CPT 45385. The doctor, anesthesia and lab work usually bill separately.

2

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.

3

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 Boston, MA-NH without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask