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PricedCare

Colonoscopy (diagnostic) in Dallas, TX costs $929 to $8,608. Here's every hospital's price.

26 hospitals in the Dallas-Fort Worth-Arlington, TX metro area publish a cash price for colonoscopy (diagnostic) (CPT 45378). We read their files every month so you don't have to.

Across the Dallas-Fort Worth-Arlington, TX metro area, 26 hospitals list a cash price for colonoscopy (diagnostic) (CPT 45378). The lowest is $929 at Dallas Medical Center, the median is $1,899 and the highest is $8,608 at Texas Health Hospital Mansfield. The most expensive hospital lists 9.3 times the cheapest for the same code.

The Dallas, TX median of $1,899 is 27% above the national median of $1,500 across 304 US hospitals with a cash price for this code.

41 of these hospitals also publish the rates they negotiated with insurers, from $161 to $118,591. 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 September 2026. 47 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.

$929
lowest cash price in Dallas, TX
Dallas Medical Center · 7 mi
$970 below the median
$1,899
median cash price
26 hospitals
9.3×
highest ÷ lowest
same procedure, same metro
26/88
hospitals with a cash price
47 don't · see who

Sorted by cash price

Hospital facility fee only
1
Dallas Medical Center

Dallas · 7 mi · File Sep 2026

$929
list $2,508 · lowest of 3 lines
2
Dallas Regional Medical Center

Mesquite · 22 mi · File Sep 2026

$929
list $3,552 · lowest of 3 lines
3
Legent Orthopedic Hospital

Grapevine · 9 mi · File Mar 2026

$1,170
list $4,762 · lowest of 2 lines
4
Parkland Health & Hospital System

Dallas · 8 mi · File May 2026

$1,508
list $3,769 · lowest of 2 lines
5
Texas Health Arlington Memorial Hospital

Arlington · 11 mi · File Apr 2026

$1,818
list $3,031 · lowest of 16 lines
6
Texas Health Harris Methodist Fort Worth

Fort Worth · 23 mi · File Apr 2026

$1,818
list $3,031 · lowest of 12 lines
7
Texas Health Harris Methodist Hospital Cleburne

Cleburne · 45 mi · File Apr 2026

$1,818
list $3,031 · lowest of 12 lines
8
Texas Health Presbyterian Hospital Denton

Denton · 28 mi · File Apr 2026

$1,818
list $3,031 · lowest of 12 lines
9
Texas Health Center for Diagnostics & Surgery Plan

Plano · 16 mi · File Apr 2026

$1,818
list $3,031 · lowest of 8 lines
10
Texas Health Heart & Vascular Hospital Arlington

Arlington · 11 mi · File Apr 2026

$1,818
list $3,031 · lowest of 4 lines
11
Texas Health Presbyterian Hospital Kaufman

Kaufman · 42 mi · File Apr 2026

$1,899
list $3,165 · lowest of 6 lines
12
Texas Health Harris Methodist Hospital Azle

Azle · 33 mi · File Apr 2026

$1,899
list $3,165 · lowest of 6 lines
1

What's in the price

The hospital facility fee for CPT 45378. 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 45378, in writing, and whether it covers facility, physician and anesthesia."

About colonoscopy (diagnostic)

A colonoscopy is an examination of the large intestine with a flexible camera passed through the rectum. The diagnostic version, CPT 45378, is the base procedure: the doctor looks, and if nothing needs to be removed or sampled, this is the code the hospital bills. Most people are sedated and go home the same day.

What the price covers

The hospital's price for 45378 is the facility fee: the endoscopy suite, nursing, the scope and its cleaning, recovery time and disposable supplies. It usually does not include the gastroenterologist's professional fee, the anesthesia provider, or pathology if a sample is taken. Those are billed separately, often by different companies, and can add several hundred dollars to what you see here.

If polyps are found and removed, the code changes to 45385 (polyp removal) or 45380 (biopsy), and the price changes with it. A hospital's cash price for 45378 is the best starting point, not a guarantee of the final bill.

Screening versus diagnostic

A screening colonoscopy for someone with no symptoms is preventive care, which most insurance plans cover without cost-sharing. A diagnostic colonoscopy, done because of symptoms or a positive stool test, is not. The same procedure, the same room, a different code and a different bill. If you are insured, ask before the appointment which one will be billed.

Why prices vary so much

The spread between hospitals is often five to ten times for this code. Academic medical centers and large systems tend to list higher gross charges and higher negotiated rates; community hospitals and hospital-owned outpatient centers tend to be cheaper. Location matters less than ownership and system size. Freestanding ambulatory surgery centers, which are not in these files, are often cheaper still.

Questions to ask before you book

  • Is this the self-pay price for CPT 45378, in writing?
  • Does it include the physician, anesthesia and pathology, or are those separate?
  • If a polyp is removed, what does the price become?
  • Is there a prompt-pay or financial-assistance discount on top of the cash price?

Hospitals in Dallas, TX 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