Chi Phí Nội soi đại tràng Là Bao Nhiêu?
A colonoscopy is a procedure that allows a doctor to examine the inner lining of the large intestine using a thin, flexible tube with a camera. It is commonly used for colorectal cancer screening and to investigate digestive symptoms.
Không Bảo Hiểm
$2,750
Có Bảo Hiểm
$825
Medicare
$630
Trung Bình Quốc Gia
$2,000
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-16 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Tổng quan
A colonoscopy is an endoscopic examination of the colon and the terminal portion of the small intestine using a flexible fiberoptic camera. It is the gold-standard screening test for colorectal cancer — the second-leading cause of cancer death in the United States — and also the principal diagnostic tool for evaluating chronic diarrhea, iron-deficiency anemia, inflammatory bowel disease, and unexplained abdominal symptoms. The procedure itself takes 20–40 minutes under conscious sedation or monitored anesthesia. Bowel preparation the day before is the most arduous part for most patients. The U.S. Preventive Services Task Force recommends routine screening colonoscopies starting at age 45 for average-risk adults, repeated every 10 years if no polyps are found. The total billed amount typically includes separate charges for the gastroenterologist, the facility, the anesthesiologist, and — if polyps are removed — a pathology fee.
Yếu tố ảnh hưởng đến chi phí
- Screening vs diagnostic: a preventive screening colonoscopy is covered in full by most ACA-compliant plans; a diagnostic colonoscopy (for symptoms or follow-up) is subject to cost-sharing.
- Polypectomy during the procedure: removal of polyps changes the CPT code and can convert a screening procedure into a diagnostic one for billing purposes, triggering cost-sharing.
- Site of service: ambulatory surgery centers typically bill 30–50% less than hospital outpatient departments.
- Anesthesia: propofol administered by a dedicated anesthesiologist adds cost versus conscious sedation delivered by the gastroenterologist.
- Pathology fees: every polyp submitted adds a separate pathology CPT charge.
- In-network status of the anesthesiologist and pathologist, who are sometimes out-of-network even at an in-network facility (protected by the No Surprises Act).
Cách Tiết Kiệm
- Confirm that the appointment is coded as preventive screening if you qualify — federal rules require no cost-sharing for screening colonoscopies under ACA plans, including when polyps are incidentally removed.
- Ask the facility whether an ambulatory surgery center is available rather than hospital outpatient.
- Verify the anesthesiologist and pathologist are in-network before the procedure.
- For self-pay patients, request the Good Faith Estimate and ask whether conscious sedation is available as a lower-cost anesthesia option.
- If you are offered virtual (CT) colonography or a FIT/Cologuard stool test, ask which is most appropriate clinically — these alternatives can be substantially cheaper but have different sensitivity profiles.
- Obtain all bills (facility, gastroenterologist, anesthesia, pathology) and reconcile against the Explanation of Benefits; coding errors are common.
Ghi chú về bảo hiểm và phạm vi bảo hiểm
Under the Affordable Care Act, screening colonoscopies (including bowel prep medications and polyp removal during a screening procedure) are covered with no cost-sharing by most commercial plans, Medicare, and Medicaid expansion programs. A HHS clarification closed the 'surprise polyp bill' loophole for most patients. Diagnostic colonoscopies — performed for symptoms or as surveillance after prior polyps — are covered but subject to deductible, copay, and coinsurance. Medicare covers screening colonoscopy every 10 years for average-risk patients (every 2 years for high-risk) at no cost-sharing. Always confirm with your plan whether the appointment is being coded as screening or diagnostic before the procedure.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-16. See editorial standards for our fact-checking process and correction policy.
Range: $2,000 to $3,780 · 50 states shown
Chi Phí Theo Tiểu Bang
| Tiểu Bang | Không Bảo Hiểm | Có Bảo Hiểm | Medicare |
|---|---|---|---|
| Mississippi | $2,000 | $600 | $460 |
| Arkansas | $2,060 | $618 | $473 |
| West Virginia | $2,060 | $618 | $473 |
| Oklahoma | $2,100 | $630 | $483 |
| Alabama | $2,130 | $639 | $488 |
| Kentucky | $2,320 | $696 | $533 |
| Louisiana | $2,370 | $711 | $545 |
| Iowa | $2,400 | $720 | $552 |
| New Mexico | $2,400 | $720 | $552 |
| South Carolina | $2,400 | $720 | $552 |
| South Dakota | $2,400 | $720 | $552 |
| Kansas | $2,430 | $729 | $558 |
| North Dakota | $2,430 | $729 | $558 |
| Idaho | $2,470 | $741 | $567 |
| Nebraska | $2,470 | $741 | $567 |
| Tennessee | $2,480 | $744 | $570 |
| Indiana | $2,560 | $768 | $588 |
| Missouri | $2,560 | $768 | $588 |
| Utah | $2,560 | $768 | $588 |
| Wyoming | $2,560 | $768 | $588 |
| Georgia | $2,590 | $777 | $595 |
| North Carolina | $2,590 | $777 | $595 |
| Michigan | $2,620 | $786 | $602 |
| Montana | $2,620 | $786 | $602 |
| Arizona | $2,680 | $804 | $616 |
| Ohio | $2,710 | $813 | $623 |
| Wisconsin | $2,710 | $813 | $623 |
| Maine | $2,720 | $816 | $625 |
| Texas | $2,750 | $825 | $632 |
| Florida | $2,800 | $840 | $644 |
| Minnesota | $2,800 | $840 | $644 |
| Illinois | $2,830 | $849 | $650 |
| Pennsylvania | $2,830 | $849 | $650 |
| Delaware | $2,870 | $861 | $659 |
| Nevada | $2,870 | $861 | $659 |
| Vermont | $2,870 | $861 | $659 |
| Virginia | $2,870 | $861 | $659 |
| Colorado | $2,920 | $876 | $671 |
| New Hampshire | $2,920 | $876 | $671 |
| Oregon | $2,950 | $885 | $678 |
| Maryland | $3,030 | $909 | $696 |
| Rhode Island | $3,080 | $924 | $707 |
| Washington | $3,080 | $924 | $707 |
| Connecticut | $3,300 | $990 | $759 |
| New Jersey | $3,300 | $990 | $759 |
| California | $3,630 | $1,089 | $833 |
| Massachusetts | $3,660 | $1,098 | $841 |
| Alaska | $3,710 | $1,113 | $851 |
| New York | $3,740 | $1,122 | $859 |
| Hawaii | $3,780 | $1,134 | $868 |
Câu Hỏi Thường Gặp
Chi phí nội soi đại tràng không bảo hiểm là bao nhiêu?
Chi phí trung bình của nội soi đại tràng không bảo hiểm tại Hoa Kỳ là $2,750. Chi phí khác nhau đáng kể theo tiểu bang.
Bảo hiểm có chi trả nội soi đại tràng không?
Hầu hết các gói bảo hiểm y tế chi trả nội soi đại tràng khi cần thiết về mặt y tế. Với bảo hiểm, chi phí tự trả trung bình là $825.
Medicare có chi trả nội soi đại tràng không?
Medicare Part B thường chi trả nội soi đại tràng khi có chỉ định của bác sĩ. Số tiền Medicare phê duyệt trung bình là $630.
Được xem xét bởi Elena Bellini · Xem xét lần cuối: 2026-04-16
Dữ liệu từ CMS Medicare Provider Utilization and Payment Data 2025. Cập nhật lần cuối: 2026-03-01. Thông tin này chỉ mang tính giáo dục và không phải lời khuyên y tế. Trang web này chỉ mang tính chất thông tin và không cấu thành lời khuyên y tế. Luôn tham khảo ý kiến chuyên gia y tế có trình độ.