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

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

What does a colonoscopy cost in Massachusetts?

For a commercially insured patient, a colonoscopy in Massachusetts typically runs $1,023–$3,037 once facility and physician fees are combined. The median reported facility price across 37 hospitals is $851. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

Where colonoscopy costs vary in Massachusetts

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.

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Cheapest Colonoscopy Providers in Massachusetts

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

# Facility City Price vs Median
1 MetroWest Medical Center - Framingham Framingham, MA $368 -$483
2 MetroWest Medical Center - Natick Natick, MA $368 -$483
3 Signature Healthcare Brockton Hospital Brockton, MA $404 -$447
4 Heywood Hospital Gardner, MA $419 -$432
5 Beth Israel Deaconess Hospital - Needham Needham, MA $444 -$407
6 Beth Israel Deaconess Hospital - Plymouth Plymouth, MA $444 -$407
7 Beth Israel Deaconess Medical Center Boston, MA $445 -$406
8 Beth Israel Deaconess Hospital-Milton Inc Milton, MA $445 -$406

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

Quick take

  • MetroWest Medical Center - Framingham is the lowest-cost option at $368 - $483 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 $851, 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
$298–$12,556
  • Facility fee $214–$4,280
  • Professional fee $84–$8,276

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$298–$12,556
  • Facility fee $214–$4,280
  • 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.

Massachusetts has the highest commercial hospital reimbursement rates in the country, driven by extreme labor costs, the dominance of Mass General Brigham (Partners HealthCare), and a regulatory environment that has struggled to contain negotiated rate growth. The state has enacted multiple price transparency and rate growth laws aimed at curbing this pattern. Self-pay cash discounts in Massachusetts tend to be proportionally larger than in other high-cost states. 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

A small number of hospitals (2) report prices above $3,940, including Baystate Medical Center at $4,280, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $773 versus $1,675 inpatient (about 2.2× 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.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$1,699
Deductible met - 20% coinsurance ~$340
Out-of-network provider $3,738+

Frequently asked questions: colonoscopy costs in Massachusetts

How much does a colonoscopy cost in Massachusetts?

Across 37 Massachusetts hospitals that publish prices, a colonoscopy ranges from $161 to $21,353, with a median of $851. Most facilities fall between $462 and $1,681. 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 Massachusetts?

Based on declared prices, the lowest-cost facility in our Massachusetts data is Cape Cod Hospital in Hyannis at about $217. By metro, South Weymouth has the lowest median ($552). 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 Massachusetts hospitals?

Prices vary up to 132.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Massachusetts, the median cash (self-pay) price is $851 versus a median negotiated rate of $492 - about 1.7× 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 Massachusetts?

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 Massachusetts

Colonoscopy, elsewhere

Other Massachusetts 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 Massachusetts. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
4499 ACUSHNET AVENUE OPERATING COMPANY
5089956900 		NEW BEDFORD, MA Long Term Care Hospital $298–$12,556 bundled est.
4499 ACUSHNET AVENUE OPERATING COMPANY, LLC
5089956900 		NEW BEDFORD, MA Long Term Care Hospital $298–$12,556 bundled est.
4499 ACUSHNET AVENUE OPERATING COMPANY, LLC
5089956900 		NEW BEDFORD, MA Long Term Care Hospital $298–$12,556 bundled est.
ABBOTTWOOD, INC.
5087621146 		WORCESTER, MA Clinical Medical Laboratory -
ACCURATE AESTHETICS
7812630011 		WELLESLEY, MA Ambulatory Surgical Center $490–$10,410 bundled est.
ACCURATE LABS
6172821400 		QUINCY, MA Clinical Medical Laboratory -
ADCARE HOSPITAL OF WORCESTER, INC.
5087999000 		WORCESTER, MA General Acute Care Hospital $298–$12,556 bundled est.
ADVANCED CALLOWAY LABORATORIES, LLC
7815696664 		WOBURN, MA Clinical Medical Laboratory -
ADVANCED EYE SURGERY CENTER
5087170270 		N DARTMOUTH, MA Ambulatory Surgical Center $490–$10,410 bundled est.
AERODIAGNOSTICS LLC
6176083832 		CONCORD, MA Clinical Medical Laboratory -
ALLETESS INC.
7818714426 		NORWELL, MA Clinical Medical Laboratory -
ALLIED HEALTH INC
6173023343 		QUINCY, MA Clinical Medical Laboratory -
▼ Show 88 more Massachusetts hospitals and ambulatory surgery centers (of 754 registered)
AMERICAN HEALTH NE, LLC
5082814888 		MANSFIELD, MA Clinical Medical Laboratory -
AMERIPATH NEW YORK LLC
8663709787 		BRAINTREE, MA Clinical Medical Laboratory -
AMERIPATH NEW YORK, LLC
8843629801 		MARLBOROUGH, MA Clinical Medical Laboratory -
AMMON ANALYTICAL LABORATORIES LLC
9088624404 		WEBSTER, MA Clinical Medical Laboratory -
ANDOVER SURGERY CENTER, LP
9784752880 		ANDOVER, MA Ambulatory Surgical Center $490–$10,410 bundled est.
ANH DUONG
6174127812 		SAUGUS, MA General Acute Care Hospital $298–$12,556 bundled est.
ANJUM BAQAI MD PLLC
7819355050 		WOBURN, MA General Acute Care Hospital $298–$12,556 bundled est.
AP MEDICAL LLC
5089715190 		STOUGHTON, MA Long Term Care Hospital $298–$12,556 bundled est.
ARC WORCESTER CENTER, L.P.
5087540700 		WORCESTER, MA Ambulatory Surgical Center $490–$10,410 bundled est.
ASSOCIATES IN OTOLARYNGOLOGY HEAD & NECK SURGERY PC
5087970330 		WORCESTER, MA Ambulatory Surgical Center $490–$10,410 bundled est.
ASSOCIATES OF CAPE COD
8005680058 		EAST FALMOUTH, MA Clinical Medical Laboratory -
ATHENA DIAGNOSTICS, INC.
5087562886 		MARLBOROUGH, MA Clinical Medical Laboratory -
ATRIUS HEALTH, INC.
6174213525 		NEEDHAM, MA Clinical Medical Laboratory -
BAYSTATE MEDICAL CENTER INC
4137940000 		SPRINGFIELD, MA General Acute Care Hospital $298–$12,556 bundled est.
BAYSTATE MEDICAL SURGICAL INC
7814317998 		WELLESLEY, MA Critical Access Hospital $298–$12,556 bundled est.
BAYSTATE NEW ENGLAND ORTHOPEDIC SURGEONS ALLIANCE, LLC
4132861020 		SPRINGFIELD, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BAYSTATE NOBLE HOSPITAL CORPORATION
4135682811 		WESTFIELD, MA General Acute Care Hospital $298–$12,556 bundled est.
BC SNP MASS LLC
9202173519 		CONCORD, MA Clinical Medical Laboratory -
BEACON PATHOLOGY LLC
6173145976 		DOVER, MA Clinical Medical Laboratory -
BEACON POINT DIAGNOSTICS LLC
5133143700 		WORCESTER, MA Clinical Medical Laboratory -
BEDFORD RESEARCH FOUNDATION
6176237447 		BEDFORD, MA Clinical Medical Laboratory -
BEDFORD VAMC
7172776565 		BEDFORD, MA General Acute Care Hospital $298–$12,556 bundled est.
BERG DIAGNOSTICS, LLC
6175882170 		NATICK, MA Clinical Medical Laboratory -
BERKSHIRE COSMETIC & RECONSTRUCTIVE SURGERY CENTER INC.
4134969272 		PITTSFIELD, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BERKSHIRE HEALTH SYSTEMS
4134460400 		DALTON, MA Women's Hospital $298–$12,556 bundled est.
BERKSHIRE MEDICAL CENTER, INC
4134472000 		PITTSFIELD, MA General Acute Care Hospital $298–$12,556 bundled est.
BERKSHIRE MEDICAL CENTER, INC
4134472000 		PITTSFIELD, MA General Acute Care Hospital $298–$12,556 bundled est.
BERNARD J. DURANTE,MD,PC
5087468977 		PLYMOUTH, MA Clinical Medical Laboratory -
BETH ISRAEL DEACONESS HOSPITAL
6176675864 		BOSTON, MA Critical Access Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
5087462000 		PLYMOUTH, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
5087462000 		PLYMOUTH, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6177542598 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176329929 		BOSTON, MA Critical Access Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176679600 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176329929 		BOSTON, MA Critical Access Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6262031917 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176674623 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176328268 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6177542523 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176671901 		BOSTON, MA Critical Access Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER
6176679600 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL DEACONESS MEDICAL CENTER, INC.
6176671961 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BETH ISRAEL LAHEY HEALTH SURGERY CENTER PLYMOUTH LLC
7812174007 		PLYMOUTH, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BETH ISREAL DEACONESS MEDICAL CENTER
6176329847 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BIDMC
6176329847 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BIO-LAB, INC.
5084786226 		MILFORD, MA Clinical Medical Laboratory -
BIOMEDICAL LABORATORIES
6177830600 		BRIGHTON, MA Clinical Medical Laboratory -
BIONOVA LABS LLC
3512526083 		CHICOPEE, MA Clinical Medical Laboratory -
BLA OF MASSACHUSETTS, LLC
8442679674 		WOBURN, MA Clinical Medical Laboratory -
BLUEPRINT GENETICS INC.
5087562886 		MARLBOROUGH, MA Clinical Medical Laboratory -
BOSTON ADVANCED MEDICINE INC
7818957900 		WALTHAM, MA Clinical Medical Laboratory -
BOSTON CENTER FOR FACIAL AESTHETICS
6172865780 		MEDFORD, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BOSTON CHILDREN'S HOSPITAL
6179193203 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CHILDREN'S HOSPITAL
4135310158 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CHILDREN'S HOSPITAL
6173556329 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CHILDREN'S HOSPITAL
6173557212 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CHILDREN'S HOSPITAL
6176029730 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CHILDREN'S HOSPITAL
8572184974 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CHILDRENS HOSPITAL
6173557431 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON CHILDRENS HOSPITAL
6173556832 		BOSTON, MA Children's Hospital $298–$12,556 bundled est.
BOSTON CLINICAL LABORATORIES, INC
7818931995 		WALTHAM, MA Clinical Medical Laboratory -
BOSTON EYE SURGERY & LASER CENTER TRUST
7817685590 		WALTHAM, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BOSTON EYE SURGERY & LASER CENTER TRUST
6177232015 		BOSTON, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BOSTON HEART DIAGNOSTICS CORPORATION
5088778711 		FRAMINGHAM, MA Clinical Medical Laboratory -
BOSTON IVF, INC.
7814346400 		WALTHAM, MA Clinical Medical Laboratory -
BOSTON IVF, INC.
7814346400 		WALTHAM, MA Ambulatory Surgery Center $490–$10,410 bundled est.
BOSTON LASER EYE INSTITUTE, PC
6172022020 		BROOKLINE, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BOSTON LASER SURGERY CENTER LLC
9786855366 		LAWRENCE, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BOSTON MEDICAL CENTER
6176388000 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6174146321 		BOSTON, MA Ambulatory Surgical Center $490–$10,410 bundled est.
BOSTON MEDICAL CENTER
6176388400 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176386286 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176389004 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
3478380287 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176388124 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176388013 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6174145235 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6175488858 		BROOKLINE, MA Children's Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176386500 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176386500 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176388992 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6174144257 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6174145481 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
5189283817 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER
6176388000 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER - BRIGHTON CORPORATION
6177796500 		BOSTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER - SOUTH CORPORATION
5084273000 		BROCKTON, MA General Acute Care Hospital $298–$12,556 bundled est.
BOSTON MEDICAL CENTER CORPORATION
6174141609 		BOSTON, MA General Acute Care Hospital $298–$12,556 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 Massachusetts

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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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