What patients pay for 10 gastroenterology procedures

Using CMS’ procedure price lookup tool, consumers can view the average payment for common procedures in ASCs and hospital outpatient departments.

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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

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