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Reviewed by John Caruso, FSA, MAAA • Data last updated

Colonoscopy Cost in Delaware (2026): Average Prices & What You'll Pay

What does a colonoscopy cost in Delaware?

Expect roughly $1,087 to $3,729 for a colonoscopy in Delaware if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 5 hospitals is $1,658. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Where colonoscopy costs vary in Delaware

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Ambulatory Surgery Center Click a pin for details.

26+ people checked prices near them this month.

Colonoscopy billing is more complex than most procedures - and most patients find out after the fact.

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Cheapest Colonoscopy Providers in Delaware

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 PAM Squared at Dover LLC Dover, DE $216 -$1,442
2 PAM Rehabilitation Hospital of Georgetown LLC DE $216 -$1,442
3 Beebe Medical Center Inc. Lewes, DE $942 -$716
4 Bayhealth Medical Center, Kent Campus Dover, DE $2,373 +$715
5 Bayhealth Hospital, Sussex Campus Milford, DE $2,373 +$715

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • PAM Squared at Dover LLC is the lowest-cost option at $216 - $1,442 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,658, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.

How where you go changes what you pay for colonoscopy

The same colonoscopy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$300–$10,649
  • Facility fee $216–$2,373
  • Professional fee $84–$8,276

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$2,457–$12,004
  • Facility fee $2,373–$3,728
  • Professional fee $84–$8,276

Estimated from CMS fee schedules + commercial rate multipliers

Ambulatory Surgery Center
$490–$10,410
  • Facility fee $222–$1,642
  • Professional fee $84–$8,276
  • Anesthesia $184–$492

Estimated from CMS fee schedules + commercial rate multipliers

Note: Ambulatory surgery centers (ASCs) are often 30–60% cheaper than hospital outpatient departments for the same procedure. Most ASC prices are not in the hospital transparency dataset above. Ask your doctor whether this procedure can be done at a freestanding ASC.

ChristianaCare (formerly Christiana Care) is essentially a monopoly in northern Delaware and effectively the dominant system statewide. Low facility count means cash price variation is minimal, but commercial reimbursement rates are among the highest in the Mid-Atlantic region. Patients near the Pennsylvania or Maryland border often find meaningfully lower prices by crossing state lines. Colonoscopy pricing is particularly sensitive to screening vs. diagnostic coding. A screening colonoscopy is typically covered at 100% under preventive care benefits, but if a polyp is removed or a finding is documented during the same visit, the claim is often re-coded as diagnostic - triggering your deductible and coinsurance. Ambulatory surgery centers perform over 70% of colonoscopies nationally and charge substantially less than hospital outpatient settings.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $942 versus $2,373 inpatient (about 2.5× more), so where a procedure happens often matters more than which hospital you pick. The biggest swing for this procedure is screening versus diagnostic coding - a polyp removed during a routine screening can recode the whole visit as diagnostic and trigger cost-sharing you weren't expecting.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$2,506
Deductible met - 20% coinsurance ~$501
Out-of-network provider $5,513+

Frequently asked questions: colonoscopy costs in Delaware

How much does a colonoscopy cost in Delaware?

Across 5 Delaware hospitals that publish prices, a colonoscopy ranges from $108 to $11,579, with a median of $1,658. Most facilities fall between $398 and $2,373. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a colonoscopy in Delaware?

Based on declared prices, the lowest-cost facility in our Delaware data is PAM Squared at Dover LLC in Dover at about $216. By metro, Dover has the lowest median ($1,294). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a colonoscopy so much cheaper at some Delaware hospitals?

Prices vary up to 107.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Delaware, the median cash (self-pay) price is $1,658 versus a median negotiated rate of $108 - about 15.4× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a colonoscopy in Delaware?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Delaware

Colonoscopy, elsewhere

Other Delaware Hospitals and ambulatory surgery centers for Colonoscopy

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Delaware. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ADVANCE ENDOSCOPY CENTER LLC
3026780725 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
ADVANCED SLEEP DISORDERS CENTER LLC
3027449645 		DOVER, DE Clinical Medical Laboratory -
AMERICAN MOBILE HEALTHCARE
3026453235 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
ATLANTIC WOMENS MEDICAL SRV
3027641900 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
ATLANTIC WOMENS MEDICAL SRV OF DOVER
3026783383 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
BAYHEALTH
3027447135 		DOVER, DE General Acute Care Hospital $300–$10,649 bundled est.
BAYHEALTH MEDICAL CENTER, INC.
3026744700 		DOVER, DE General Acute Care Hospital $300–$10,649 bundled est.
BEEBE HEALTHCARE
3026453728 		LEWES, DE Women's Hospital $300–$10,649 bundled est.
BEEBE HEALTHCARE
3026453728 		LEWES, DE Women's Hospital $300–$10,649 bundled est.
BEEBE HEALTHCARE
3022491448 		GEORGETOWN, DE General Acute Care Hospital $300–$10,649 bundled est.
BEEBE HEALTHCARE
3026453300 		LEWES, DE Critical Access Hospital $300–$10,649 bundled est.
BEEBE HEALTHCARE
3026453300 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
▼ Show 88 more Delaware hospitals and ambulatory surgery centers (of 113 registered)
BEEBE HEALTHCARE
3026453300 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
BEEBE MEDICAL CENTER
3029472500 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
BEEBE MEDICAL CENTER, INC.
3026453300 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
BG LABORATORY, INC
8883988841 		DOVER, DE Clinical Medical Laboratory -
BIOSYSTEMS LIFE ASSESSMENTS LLC
3027707447 		DOVER, DE Clinical Medical Laboratory -
C & S MEDICAL, LLC
3022250177 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CADE CARDIOLOGY
8773004045 		LEWES, DE Clinical Medical Laboratory -
CANNIFICENT, LLC
3023445033 		MILTON, DE Clinical Medical Laboratory -
CEDAR TREE SURGICAL LLC
3026984441 		CAMDEN, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CENTER FOR SPINE SURGERY LLC
3029847178 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CENTRAL DELAWARE ENDOSCOPY UNIT LLC
3024223393 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CENTRE FOR COSMETIC SURGERY & MEDICINE LLC
3029948492 		LEWES, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CHARLENE JENKINS
3026453300 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE
3029819931 		CLAYTON, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE
3027331000 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE
9179214618 		NEW CASTLE, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE
3023222401 		NEWARK, DE Long Term Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027336339 		NEW CASTLE, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027332410 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027332666 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027335582 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027334387 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES
3027331000 		NEWARK, DE Critical Access Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SERVICES INC
3027331000 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CHRISTIANA CARE HEALTH SERVICES, INC.
3027331000 		WILMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027331042 		NEWARK, DE Critical Access Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3026232593 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027331000 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
2158887564 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HEALTH SYSTEM
3027334176 		NEWARK, DE Critical Access Hospital $300–$10,649 bundled est.
CHRISTIANA CARE HOSPITAL
6104057662 		NEWARK, DE Critical Access Hospital $300–$10,649 bundled est.
CHRISTIANA HOSPITAL
2036452903 		NEW CASTLE, DE Critical Access Hospital $300–$10,649 bundled est.
CHRISTIANA SPINE AMBULATORY SURGICAL CENTER, LLC
3026027000 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
CHRISTIANACAREHEALTHSERVICES
3027317449 		NEWARK, DE General Acute Care Hospital $300–$10,649 bundled est.
CLEARWAY SURGERY CENTER OF DOVER LLC
8555277246 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
COMMUNITY BIRTH GROUP
8003418598 		WILMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.
CTS SURGICAL ASSOCIATES LLC
3029459730 		MILLSBORO, DE Ambulatory Surgical Center $490–$10,410 bundled est.
DAI OK MOON MD PA
3027310600 		WIMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.
DELAWARE DIAGNOSTIC LABS, LLC
3024075903 		NEWARK, DE Clinical Medical Laboratory -
DELAWARE EYE SURGERY CENTER, LLC
3026452300 		REHOBOTH BEACH, DE Ambulatory Surgical Center $490–$10,410 bundled est.
DELAWARE INSTITUTE FOR REPRODUCTIVE MEDICINE
3027384600 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
DELAWARE PCR PARTNERS LLC
2676712254 		WILMINGTON, DE Clinical Medical Laboratory -
DELAWARE SURGERY CENTER, LLC
3023464000 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
DELMARVA INTEGRATED NETWORK
3026453300 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
DIRM SURGERY CENTER
3027384600 		NEWARK, DE Ambulatory Surgery Center $490–$10,410 bundled est.
DOVER OPHTHALMOLOGY ASC, LLC
3026784688 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
DOVER SURGICENTER, LLC
3022702798 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
EGNM LLC
3026443466 		LEWES, DE Ambulatory Surgical Center $490–$10,410 bundled est.
EMPIRE MEDICAL LLC
3023874343 		CAMDEN, DE Clinical Medical Laboratory -
FERTILITY PHOENIX LLC
3025532643 		LEWES, DE Clinical Medical Laboratory -
FIRST STATE SURGERY CENTER, LLC
3026830700 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
FOULK ROAD SURGERY CENTER
3027774800 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
GLASGOW MEDICAL CENTER LLC
3028363539 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
GREEN CLINICS LABORATORY, LLC
3027345050 		DOVER, DE Clinical Medical Laboratory -
HEART TO HEART HEALTH SERVICES
3026033976 		DOVER, DE Clinical Medical Laboratory -
INFINITY ASC LLC
6103600636 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
JENIFER RUSSELL
3026453100 		LEWES, DE General Acute Care Hospital $300–$10,649 bundled est.
KIRKWOOD ENDOSCOPY CENTER LLC
3024539171 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
LAB AT SEASCAPE
3024914258 		MILFORD, DE Clinical Medical Laboratory -
LABORATORY CORPORATION OF AMERICA HOLDINGS
3024986305 		NEW CASTLE, DE Clinical Medical Laboratory -
LABORATORY CORPORATION OF AMERICA HOLDINGS
3027982520 		WILMINGTON, DE Clinical Medical Laboratory -
LABORATORY CORPORATION OF AMERICA HOLDINGS
3029948575 		WILMINGTON, DE Clinical Medical Laboratory -
LABORATORY CORPORATON OF AMERICA HOLDINGS
3027374550 		NEWARK, DE Clinical Medical Laboratory -
LEWES DE ENDOSCOPY ASC LLC
3026443852 		LEWES, DE Ambulatory Surgical Center $490–$10,410 bundled est.
LIMESTONE MEDICAL CENTER, LLC
3029929831 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
MID-ATLANTIC ENDOSCOPY CENTER, LLC
3029930310 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
MINIMALLY INVASIVE SURGICAL AND NEUROSCIENCE LLC
3027380300 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
NANTICOKE SURGICAL CENTER LLC
3025366094 		SEAFORD, DE Ambulatory Surgical Center $490–$10,410 bundled est.
NASPAC 1 PRO LLC
3024393063 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
NEWARK ENDOSCOPY ASC LLC
3028922710 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
OCEAN ENDOSCOPY CENTER LLC
3026449190 		REHOBOTH BEACH, DE Ambulatory Surgical Center $490–$10,410 bundled est.
ORTHOPAEDIC SPECIALISTS SURGI-CENTER, LLC
3023514848 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
OUTPATIENT UROLOGY CENTER OF DOVER, LLC
3027368808 		DOVER, DE Ambulatory Surgical Center $490–$10,410 bundled est.
PENINSULA ENDOSCOPY CENTER
3022833300 		NEWARK, DE Ambulatory Surgical Center $490–$10,410 bundled est.
PENINSULA REGIONAL MEDICAL CENTER
4105437437 		MILLSBORO, DE General Acute Care Hospital $300–$10,649 bundled est.
PRIME BIOMEDIX LLC
2016859531 		WILMINGTON, DE Clinical Medical Laboratory -
PURE DIAGNOSTICS
4844669379 		WILMINGTON, DE Clinical Medical Laboratory -
QPS, LLC
3023695144 		NEWARK, DE Clinical Medical Laboratory -
QUEST DIAGNOSTICS CLINICAL LAB INC.
3026360210 		WILMINGTON, DE Clinical Medical Laboratory -
RESPONSIVE HEALTH LLC
3023874343 		CAMDEN, DE Clinical Medical Laboratory -
ROCKLAND SURGERY CENTER, L.P.
3029990200 		WILMINGTON, DE Ambulatory Surgical Center $490–$10,410 bundled est.
RSM DIAGNOSTICS LAB LLC
3027401347 		WILMINGTON, DE Clinical Medical Laboratory -
SEAFORD SPECIALTY SURGERY CENTER LLC
3027347246 		SEAFORD, DE Ambulatory Surgical Center $490–$10,410 bundled est.
SEASCAPE HEALTH ALLIANCE
3024914258 		MILFORD, DE Clinical Medical Laboratory -
SELECT SPECIALTY HOSPITAL - WILMINGTON INC
3024214591 		WILMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.
ST FRANCIS HEALTHCARE, INC.
3024214100 		WILMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.
ST. FRANCIS HOSPITAL
3025758041 		WILMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.
ST. FRANCIS HOSPITAL
3025758041 		WILMINGTON, DE General Acute Care Hospital $300–$10,649 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same colonoscopy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

What's on your bill

A colonoscopy involves multiple providers who bill separately - typically Facility Fee, Gastroenterologist Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this colonoscopy changes the billing code, and what you pay. For example: Billed as preventive care - often covered at $0 under the ACA when you are average-risk and in-network.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for colonoscopy before you schedule.

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Delaware

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published July 17, 2026

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