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PricedCare

Colonoscopy (diagnostic) in Philadelphia, PA-NJ-DE-MD costs $475 to $1,877. Here's every hospital's price.

12 hospitals in the Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metro area, 12 hospitals list a cash price for colonoscopy (diagnostic) (CPT 45378). The lowest is $475 at Mercy Catholic Medical Center- Mercy Fitzgerald, the median is $1,044 and the highest is $1,877 at St Francis Hospital. The most expensive hospital lists 4.0 times the cheapest for the same code.

The Philadelphia, PA-NJ-DE-MD median of $1,044 is 30% below the national median of $1,500 across 304 US hospitals with a cash price for this code.

16 of these hospitals also publish the rates they negotiated with insurers, from $58 to $27,015. 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 September 2025 and September 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.

$475
lowest cash price in Philadelphia, PA-NJ-DE-MD
Mercy Catholic Medical Center- Mercy Fitzgerald · 3 mi
$569 below the median
$1,044
median cash price
12 hospitals
4.0×
highest ÷ lowest
same procedure, same metro
12/51
hospitals with a cash price
35 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mercy Catholic Medical Center- Mercy Fitzgerald

Darby · 3 mi · File Mar 2026

$475
list $475 · lowest of 3 lines
2
St Mary Medical Center

Langhorne · 29 mi · File Mar 2026

$475
list $475 · lowest of 3 lines
3
Pottstown Hospital

Pottstown · 29 mi · File Jun 2026

$634
list $2,537 · lowest of 6 lines
4
Lower Bucks Hospital

Bristol · 28 mi · File Sep 2026

$914
list $1,021
5
Roxborough Memorial Hospital

Philadelphia · 11 mi · File Sep 2026

$950
list $2,905 · lowest of 12 lines
6
Jefferson Einstein Philadelphia Hospital

Philadelphia · 13 mi · File Dec 2025

$1,044
· lowest of 2 lines
7
Jefferson Einstein Montgomery Hospital

East Norriton · 18 mi · File Dec 2025

$1,044
· lowest of 2 lines
8
Jefferson Abington Hospital

Abington · 18 mi · File Mar 2026

$1,049
list $903 · lowest of 4 lines
9
Jefferson Lansdale Hospital

Lansdale · 25 mi · File Mar 2026

$1,072
list $2,683 · lowest of 4 lines
10
Thomas Jefferson University Hospital

Philadelphia · 9 mi · File Mar 2026

$1,099
list $2,843 · lowest of 2 lines
11
Jefferson Stratford Hospital

Stratford · 17 mi · File Mar 2026

$1,203
list $4,035 · lowest of 2 lines
12
Bryn Mawr Hospital

Bryn Mawr · 9 mi · File Apr 2026

$1,240
list $3,099 · lowest of 2 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 Philadelphia, PA-NJ-DE-MD 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