CostKits Your Healthcare Budget

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

What does a colonoscopy cost in Rhode Island?

For a commercially insured patient, a colonoscopy in Rhode Island typically runs $910$2,464 once facility and physician fees are combined. The median reported facility price across 8 hospitals is $703. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

Lifespan (Rhode Island Hospital, Miriam Hospital) and Care New England (Women & Infants, Kent Hospital) dominate a market that is effectively a single metro area — Providence and its immediate suburbs. Rhode Island approved a merger between the two systems, which when complete will create a near-monopoly in the state's hospital market. Prices here already trend above the Northeast average.

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.

Location within the state matters too: Providence has the lowest metro median ($518) while Newport runs highest ($1,540) — a 3× difference inside Rhode Island alone. Rhode Island prices for a colonoscopy span 292.6× across 8 reporting hospitals, from $131 (Prospect CharterCare RWMC, LLC in Providence) up to $38,334 (The Miriam Hospital in Providence) for identical care. The median Rhode Island price is $703. Most facilities fall between $401 and $1,108. Insurers negotiate this down to a median of $283, while self-pay patients are quoted $703 — about 2.5× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.

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

The free toolkit shows you:

  • ✓ Which 3–4 separate bills typically arrive (and which to dispute)
  • ✓ Why anesthesia is often billed out-of-network even at in-network facilities
  • ✓ The exact questions to ask before you schedule — that can cut your bill 30–50%
  • ✓ What insurance actually covers vs. what they hope you won't notice
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

Forecast your out-of-pocket cost

How prices are distributed across Rhode Island hospitals:
  • Lower-cost hospitals (bottom 25%): under $401
  • Median hospital: $703
  • Higher-cost hospitals (top 30%): $1,108+

That's a 3× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Providence:
  • Patient A (higher-rate plan or out-of-network): ~$1,108
  • Patient B (lower-rate in-network plan): ~$402
Same procedure. Same week. $706 difference.

Where colonoscopy costs vary in Rhode Island

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.

See every Rhode Island hospital's price

The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 3 remaining facilities — instantly.

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Estimate YOUR exact out-of-pocket cost →

Cheapest Colonoscopy Providers in Rhode Island

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

# Facility City Price vs Median
1 Landmark Medical Center RI $401 -$302
2 Rhode Island Hospital Providence, RI $401 -$302
3 Newport Hospital Newport, RI $403 -$300
4 Rhode Island Hospital Providence, RI $635 -$68
5 Prospect CharterCare SJHSRI, LLC North Providence, RI $703 +$0
6 Westerly Hospital RI $768 +$65
7 SOUTH COUNTY HEALTH RI $780 +$77
8 Prospect CharterCare RWMC, LLC Providence, RI $1,599 +$896

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

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Colonoscopy costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: Declared gross charges vary significantly across Rhode Island hospitals — the same procedure can look very different on a hospital's price list versus what you actually owe. Cash and negotiated prices are a more practical guide.
Every hospital in this dataset offers a cash price — with a median of $703. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$1,551
Deductible met — 20% coinsurance ~$310
Out-of-network provider $3,412+

Based on a typical episode cost of $1,551 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should verify your hospital is in-network before an elective visit when possible
  • The cheapest facility can save you $492+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Rhode Island start around $401 or below. Most hospitals cluster between $401 and $1,599. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Prospect CharterCare RWMC, LLC in Providence (cash price from $211); The Miriam Hospital in Providence (cash price from $354); Rhode Island Hospital in Providence (cash price from $401). These are declared cash prices — contact each facility for a formal quote before scheduling.

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
$295–$10,954
  • Facility fee $211–$2,678
  • Professional fee $84–$8,276

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$719–$10,954
  • Facility fee $635–$2,678
  • 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.

Quick decision guide:
  • Best value hospitals (lowest prices): Prospect CharterCare RWMC, LLC: $211; The Miriam Hospital: $354; Landmark Medical Center: $401
  • Most expensive (outpatient): SOUTH COUNTY HEALTH: ~$780; Westerly Hospital: ~$768

→ Choosing the right facility can save $492+ vs. the state median.

Rhode Island Colonoscopy prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Prospect CharterCare RWMC, LLC Providence, RI $211 -$492 $131–$6,494
#2 The Miriam Hospital Providence, RI $354 -$349 $354–$38,334
#3 Landmark Medical Center RI $401 -$302 $1,758–$8,307
#4 Rhode Island Hospital Providence, RI $401 -$302 $401–$28,691
#5 Newport Hospital Newport, RI $403 -$300 $403–$29,718
#6 Prospect CharterCare SJHSRI, LLC North Providence, RI $703 +$0 $169–$11,514
#7 Westerly Hospital RI $768 +$65 $2,133–$3,218
#8 SOUTH COUNTY HEALTH RI $780 +$77 $1,301–$8,081

Unlock all 3 remaining Rhode Island hospitals

Enter your email to reveal the full table instantly — and we'll email you the complete price list as a PDF to keep.

We'll email you the full Rhode Island price list as a PDF. Sourced from CMS files. No spam.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Rhode Island:

Where you can save the most on colonoscopy in Rhode Island

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Prospect CharterCare RWMC, LLC Providence, RI $211 -$492
The Miriam Hospital Providence, RI $354 -$349
Landmark Medical Center RI $401 -$302
Rhode Island Hospital Providence, RI $401 -$302
Newport Hospital Newport, RI $403 -$300

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive colonoscopy providers in Rhode Island

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
SOUTH COUNTY HEALTH RI $780 +$77
Westerly Hospital RI $768 +$65
Prospect CharterCare SJHSRI, LLC North Providence, RI $703 +$0
Newport Hospital Newport, RI $403 -$300
Landmark Medical Center RI $401 -$302

Why prices vary this much

Setting drives much of the gap in Rhode Island: the median outpatient price is $635 versus $1,599 inpatient — about 2.5× more, so where a procedure is performed often matters more than which hospital you choose. Of the Rhode Island facilities reporting prices, 4 fall in a low-cost tier (up to $401) while 4 sit in a high-cost tier ($1,599 and up) — a lower-priced option almost always exists within the same state.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Colonoscopy Costs by Metro Area in Rhode Island

Prices vary across Rhode Island metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:

Compare colonoscopy costs in nearby states

Frequently asked questions: colonoscopy costs in Rhode Island

How much does a colonoscopy cost in Rhode Island?

Across 8 Rhode Island hospitals that publish prices, a colonoscopy ranges from $131 to $38,334, with a median of $703. Most facilities fall between $401 and $1,108. 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 Rhode Island?

Based on declared prices, the lowest-cost facility in our Rhode Island data is Prospect CharterCare RWMC, LLC in Providence at about $211. By metro, Providence has the lowest median ($518). 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 Rhode Island hospitals?

Prices vary up to 292.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Rhode Island, the median cash (self-pay) price is $703 versus a median negotiated rate of $283 — about 2.5× 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 Rhode Island?

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.

Explore all colonoscopy cost data

See colonoscopy costs across all states

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

Provider City Type Est. Cost
ALBERTO V. ERFE, MD, INC.
4017650030
WOONSOCKET, RI General Acute Care Hospital $295–$10,954 bundled est.
ALPHA LABS, INC.
3177339454
EAST PROVIDENCE, RI Clinical Medical Laboratory
ANESTHETICS OF MASS
4014902130
RIVERSIDE, RI General Acute Care Hospital $295–$10,954 bundled est.
APHMFP
4017694100
WOONSOCKET, RI General Acute Care Hospital $295–$10,954 bundled est.
ARTISTIC CONTOURS LLC
4017395500
WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
ARTISTIC SURGICAL CENTER
4015417170
EAST GREENWICH, RI Ambulatory Surgical Center $490–$10,410 bundled est.
BAYSIDE ENDOSCOPY CENTER LLC
4012741810
EAST GREENWICH, RI Ambulatory Surgical Center $490–$10,410 bundled est.
BLACKSTONE MEDICAL CENTER, INC.
4017694100
WOONSOCKET, RI General Acute Care Hospital $295–$10,954 bundled est.
BLACKSTONE VALLEY SURGICARE ACQUISITION LP
4014593800
JOHNSTON, RI Ambulatory Surgical Center $490–$10,410 bundled est.
BROWN MEDICINE
4016494030
EAST PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
CANDESCENT EYE SURGICENTER LLC
4013846537
WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
CHARTERCARE BLACKSTONE SURGERY CENTER, LLC
4014593800
JOHNSTON, RI Ambulatory Surgical Center $490–$10,410 bundled est.
▼ Show 80 more Rhode Island hospitals and ambulatory surgery centers
CHARTERCARE OUR LADY OF FATIMA HOSPITAL
4014563000
NORTH PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
CHARTERCARE ROGER WILLIAMS MEDICAL CENTER
4014562000
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
COASTAL MEDICAL INC
4014215434
PROVIDENCE, RI Clinical Medical Laboratory
COASTAL MEDICAL PHYSICIANS, INC.
4014214000
PROVIDENCE, RI Clinical Medical Laboratory
CROSSINGS SURGERY CENTER, LLC
7162081708
WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
DOMINION DIAGNOSTICS, LLC
8777349600
NORTH KINGSTOWN, RI Clinical Medical Laboratory
DUDLEY STREET OPERATORY
4018555633
PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
EAST SIDE CLINICAL LABORATORY, INC.
4014558400
EAST PROVIDENCE, RI Clinical Medical Laboratory
FERGUSON ANIMAL HOSPITAL
4013494280
NORTH PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
FIRST PHYSICIANS CORP
4013334411
LINCOLN, RI General Acute Care Hospital $295–$10,954 bundled est.
GIULIO G DIAMANTE MD INC
4015213606
JOHNSTON, RI Ambulatory Surgical Center $490–$10,410 bundled est.
INNOVATIVE WORKS
4013168315
WAKEFIELD, RI Ambulatory Surgical Center $490–$10,410 bundled est.
JOSEPH C. CAMBIO, MD LTD
4018287110
WEST WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
KENT COUNTY MEMORIAL HOSPITAL
4017377000
WARWICK, RI Clinical Medical Laboratory
KENT COUNTY MEMORIAL HOSPITAL - NAVY RESOURCE SHARING
4017377000
WARWICK, RI General Acute Care Hospital $295–$10,954 bundled est.
KENT HOSPITAL
4017377010
WARWICK, RI General Acute Care Hospital $295–$10,954 bundled est.
LIFESPAN PHYSICIAN GROUP INC
4016494030
EAST PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
LIFESPAN PHYSICIAN GROUP, INC.
4012762026
PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
LINN HEALTH & REHABILITATION
4014387210
EAST PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
LMW HEALTHCARE INC.
4015966000
WESTERLY, RI Clinical Medical Laboratory
MEMORIAL HOSPITAL OF RI
4018085991
PAWTUCKET, RI Rural Acute Care Hospital $295–$10,954 bundled est.
MHRI/BROWN UNIVERSITY
4017292221
PAWTUCKET, RI General Acute Care Hospital $295–$10,954 bundled est.
MMHC
4016247500
TIVERTON, RI Clinical Medical Laboratory
MOLECULAR MS DIAGNOSTICS, LLC
4013830811
CRANSTON, RI Clinical Medical Laboratory
MS CENTER OF CARE NEW ENGLAD
4018860629
EAST GREENWICH, RI General Acute Care Hospital $295–$10,954 bundled est.
NEW ENGLAND PAIN ASSOCIATES
4017672525
WOONSOCKET, RI Ambulatory Surgical Center $490–$10,410 bundled est.
NEWPORT HOSPITAL
4014446966
NEWPORT, RI General Acute Care Hospital $295–$10,954 bundled est.
NEWPORT HOSPITAL
4014445640
NEWPORT, RI General Acute Care Hospital $295–$10,954 bundled est.
NEWPORT HOSPITAL
4014446966
NEWPORT, RI General Acute Care Hospital $295–$10,954 bundled est.
NEWPORT MEMORIAL HOSPITAL - NAVY RESOURCE SHARING
4018414234
NEWPORT, RI General Acute Care Hospital $295–$10,954 bundled est.
OCEAN STATE LAB LLC
4013057245
LINCOLN, RI Clinical Medical Laboratory
ORTHOPEDICS RHODE ISLAND, INC.
4017777000
WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
PRIMA CARE, PC
5086763292
NORTH PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
PRIME HEALTHCARE SERVICES LANDMARK LLC
4017694100
WOONSOCKET, RI General Acute Care Hospital $295–$10,954 bundled est.
PROSPECT BLACKSTONE VALLEY SURGICARE, LLC
4014593800
JOHNSTON, RI Ambulatory Surgical Center $490–$10,410 bundled est.
PROSPECT CHARTERCARE RWMC, LLC
4014562000
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
PROSPECT CHARTERCARE RWMC, LLC
4014807002
COVENTRY, RI General Acute Care Hospital $295–$10,954 bundled est.
PROSPECT CHARTERCARE SJHSRI, LLC
4014563000
NORTH PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC
4012779729
PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
PROVIDENCE VAMC
7172776565
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
QUEST DIAGNOSTICS INCORPORATED
4018472290
NEWPORT, RI Clinical Medical Laboratory
QUEST DIAGNOSTICS LLC
4015210232
JOHNSTON, RI Clinical Medical Laboratory
RHODE ISLAND BLOOD CENTER
4014532393
PROVIDENCE, RI Clinical Medical Laboratory
RHODE ISLAND BLOOD CENTER
4014538374
PROVIDENCE, RI Clinical Medical Laboratory
RHODE ISLAND DERMATOLOGY OBS
4014759140
LINCOLN, RI Ambulatory Surgical Center $490–$10,410 bundled est.
RHODE ISLAND DIAGNOSTIC CENTER, LLC
4016224488
EAST GREENWICH, RI Clinical Medical Laboratory
RHODE ISLAND HOSPITAL
4014445685
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
RHODE ISLAND HOSPITAL
4014446966
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
RHODE ISLAND HOSPITAL
4014447585
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
RHODE ISLAND HOSPITAL
4014443420
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
RHODE ISLAND MEDICAL CENTER LLC
4016224488
EAST GREENWICH, RI Clinical Medical Laboratory
RI PLASTIC SURGERY OPERATORY
4014530120
PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
ROGER WILLIAMS MED. CENTER
4013979931
CPU SUMMIT GENERAL STORE, RI General Acute Care Hospital $295–$10,954 bundled est.
ROGER WILLIAMS MEDICAL CENTER
4014562033
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
ROGER WILLIAMS MEDICAL CENTER
4014562033
PROVIDENCE, RI Long Term Care Hospital $295–$10,954 bundled est.
ROGER WILLIAMS MEDICAL CENTER
4014562000
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
SONOTEC IMAGING INC.
5085674241
PROVIDENCE, RI Clinical Medical Laboratory
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
4017288000
WAKEFIELD, RI General Acute Care Hospital $295–$10,954 bundled est.
SPINAL THERAPEUTICS, LLC
4014042975
NEWPORT, RI Ambulatory Surgical Center $490–$10,410 bundled est.
STATE OF RHODE ISLAND
4014621405
CRANSTON, RI Long Term Care Hospital $295–$10,954 bundled est.
STATE OF RHODE ISLAND
4012225600
PROVIDENCE, RI Clinical Medical Laboratory
STATE OF RHODE ISLAND
4014621405
CRANSTON, RI Long Term Care Hospital $295–$10,954 bundled est.
THE ENT CENTER OF RHODE ISLAND LLC
4017374711
WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
THE MIRIAM HOSPITAL
4014446542
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
THE MIRIAM HOSPITAL
4014446966
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
THE WESTERLY HOSPITAL
4015966000
WESTERLY, RI General Acute Care Hospital $295–$10,954 bundled est.
THE WESTERLY HOSPITAL
4015966000
WESTERLY, RI General Acute Care Hospital $295–$10,954 bundled est.
UNITED SPECIALISTS PATHOLOGY LABORATORY INC
4014757308
LINCOLN, RI Clinical Medical Laboratory
UNIVERSITY ORTHOPEDICS, INC.
4014434230
E PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
UOI EAST BAY SURGERY CENTER LLC
4014434230
EAST PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
UROLOGIC SPECIALISTS OF NEW ENGLAND LLC
4018287110
WEST WARWICK, RI Ambulatory Surgical Center $490–$10,410 bundled est.
VA MEDICAL CENTER
4012737100
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
VA MEDICAL CENTER
4012737100
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
WAYLAND SQUARE SURGICARE ACQUISITION LP
4014353311
PROVIDENCE, RI Ambulatory Surgical Center $490–$10,410 bundled est.
WESTERLY HOSPITAL CARDIOLOGY DEPARTMENT
4015966000
WESTERLY, RI General Acute Care Hospital $295–$10,954 bundled est.
WESTERLY HOSPITAL DIETARY DEPARTMENT
4015966000
WESTERLY, RI General Acute Care Hospital $295–$10,954 bundled est.
WILLOW STREET MEDICAL LABORATORY LLC
4017210970
PAWTUCKET, RI Clinical Medical Laboratory
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
4012741122
PROVIDENCE, RI Clinical Medical Laboratory
WOMEN AND INFANTS HOSPITAL
4012741100
PROVIDENCE, RI General Acute Care Hospital $295–$10,954 bundled est.
WOONSOCKET LABORATORY SERVICES
4013394987
WOONSOCKET, RI Clinical Medical Laboratory

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.

Where You Get a Colonoscopy Matters

Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.

Hospital Outpatient Department

Hospital Outpatient Department typically carries a higher price for a colonoscopy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.

Ambulatory Surgery Center

Ambulatory Surgery Center typically carries a mid-range price for a colonoscopy. Typically 40–60% less than hospital OP for surgical procedures. Anesthesia billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.

What's Actually on Your Colonoscopy Bill

A colonoscopy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.

Hospital Outpatient

  • Facility Fee
  • Gastroenterologist Fee
  • Anesthesia — Anesthesiologist bills separately. Common source of surprise bills.
  • Pathology (if biopsy) (conditional) — CPT 88305 for polyp specimen. Add only for 45380, 45381, 45385 — not for diagnostic 45378.

Asc

  • ASC Facility Fee — Medicare ASC rate is ~$510 diagnostic, ~$657 therapeutic — approximately 46% less than OPPS at facility level.
  • Gastroenterologist Fee
  • Anesthesia
  • Pathology (if biopsy) (conditional)

Colonoscopy Cost by Type

Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.

Screening Colonoscopy

Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. Diagnostic only — no biopsy or polypectomy. ACA-covered at $0 for average-risk adults 45+.

Diagnostic Colonoscopy

Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. Same CPT as screening but billed as diagnostic — cost-sharing applies.

Colonoscopy with Biopsy

Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges.

Colonoscopy with Polypectomy

Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges.

Colonoscopy with Submucosal Injection

Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges.

Covered at $0 — But Only If It Stays a Screening

Under the ACA (§2713), preventive services — including colonoscopy for average-risk adults — must be covered at $0 with no cost-sharing when performed by an in-network provider.

The risk: Screening colonoscopy is covered at $0 under the ACA. If polyps are removed during the same procedure, it converts to a diagnostic colonoscopy and cost-sharing applies.

This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands

Colonoscopy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP, ASC for identical clinical outcomes.

How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.

Watch for Separate Bills from These Providers

A colonoscopy involves multiple providers: the facility, the operating physician, and often Anesthesia, Pathology (if biopsy). These providers bill independently — and each one may or may not be in your network, even if the facility is.

Action step: Before your procedure, ask the facility coordinator to confirm that all participating providers are in-network on your plan. The No Surprises Act (2022) protects you from unexpected out-of-network bills in many scenarios — but not all. Request a Good Faith Estimate (GFE) if you ask for one.

Who performs this: Colonoscopy is typically performed by a Gastroenterology or Colorectal Surgery. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
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Colonoscopy billing is more complex than most procedures — and most patients find out after the fact.

The free toolkit shows you:

  • ✓ Which 3–4 separate bills typically arrive (and which to dispute)
  • ✓ Why anesthesia is often billed out-of-network even at in-network facilities
  • ✓ The exact questions to ask before you schedule — that can cut your bill 30–50%
  • ✓ What insurance actually covers vs. what they hope you won't notice
  • ✓ A real patient billing breakdown, line by line

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Other Procedure Costs in Rhode Island

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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 March 16, 2026 · Updated May 7, 2026

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