Using CMS' procedure price lookup tool, consumers can view the average payment for common procedures in ASCs and hospital outpatient departments.
Here are the average costs for 10 common gastroenterology procedures:
1. Colonoscopy, flexible; with biopsy, single or multiple (45380)
ASC: $142
HOPD: $241
2. Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique (45385)
ASC: $154
HOPD: $253
3. Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) (45378)
ASC: $115
HOPD: $190
4. Cancer screening of the colon (large bowel) using an endoscope (colonoscopy) for high-risk individuals (G0105)
ASC: $0
HOPD: $0
*Covered by Medicare and private insurance
5. Colonoscopy, flexible; with endoscopic mucosal resection (45390)
ASC: $289
HOPD: $537
6. Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
ASC: $91
HOPD: $166
7. Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique (45338)
ASC: $126
HOPD: $225
8. Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope (43259)
ASC: $179
HOPD: $358
9. Diagnostic examination of esophagus, stomach and/or upper small bowel using an endoscope (43235)
ASC: $104
HOPD: $182
10. Biopsy of the esophagus, stomach and/or upper small bowel using an endoscope (43239)
ASC: $107
HOPD: $185