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

What does a colonoscopy cost in Texas?

A typical colonoscopy in Texas costs $836–$2,302 for a commercially insured patient, including facility and physician fees. The median reported facility price across 278 hospitals is $482. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.

Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas — particularly West Texas and the Panhandle — has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals.

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.

Insurers negotiate this down to a median of $142, while self-pay patients are quoted $526 — about 3.7× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Across 278 Texas hospitals that publish prices, a colonoscopy runs from as little as $100 (PAM Specialty Hospital of San Antonio LLC in San Antonio) to $57,052 (Lake Granbury Medical Center in Granbury) — a 570.5× spread for the same procedure. A typical Texas facility lands around $482 — most sit in the $297–$946 band. Where you go inside Texas counts as much as which plan you have: Edinburg's median ($1,483) runs 3.5× Fort Worth's ($421).

Where colonoscopy costs vary in Texas

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.

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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

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Lower-cost options in Texas start around $297 or below. Most hospitals cluster between $297 and $1,166. 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: PAM Specialty Hospital of San Antonio LLC in San Antonio (cash price from $201); Resolute Health Hospital in New Braunfels (cash price from $201); Seymour Hospital in Seymour (cash price from $203). These are declared cash prices — contact each facility for a formal quote before scheduling.

Texas 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.

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 Texas:

• Appendectomy Cost in Texas
• Cataract Surgery Cost in Texas

Where you can save the most on colonoscopy in Texas

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.

Most expensive colonoscopy providers in Texas

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.

Why prices vary this much

A small number of hospitals (49) report very high prices above $2,470, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in Texas: the median outpatient price is $425 versus $696 inpatient — about 1.6× more, so where a procedure is performed often matters more than which hospital you choose. Of the Texas facilities reporting prices, 104 fall in a low-cost tier (up to $297) while 102 sit in a high-cost tier ($1,166 and up) — a lower-priced option almost always exists within the same state.

Among the cities with the most reporting hospitals, Houston has a median reported price of $650 across 34 facilities, while facilities in Fort Worth tend to report lower prices (median: $421). City-level variation within a state often reflects local market structure, not procedure complexity.

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 Texas

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

• Colonoscopy Cost in Amarillo, TX
• Colonoscopy Cost in Austin, TX
• Colonoscopy Cost in Beaumont, TX
• Colonoscopy Cost in Brownsville, TX
• Colonoscopy Cost in College Station, TX
• Colonoscopy Cost in Corpus Christi, TX
• Colonoscopy Cost in Dallas, TX
• Colonoscopy Cost in El Paso, TX
• Colonoscopy Cost in Houston, TX
• Colonoscopy Cost in Killeen, TX
• Colonoscopy Cost in Longview, TX
• Colonoscopy Cost in Lubbock, TX
• Colonoscopy Cost in Mcallen, TX
• Colonoscopy Cost in San Antonio, TX
• Colonoscopy Cost in Sherman, TX
• Colonoscopy Cost in Tyler, TX
• Colonoscopy Cost in Victoria, TX
• Colonoscopy Cost in Wichita Falls, TX

Compare colonoscopy costs in nearby states

• Oklahoma
• Louisiana
• Arkansas
• New Mexico

Frequently asked questions: colonoscopy costs in Texas

How much does a colonoscopy cost in Texas?

Across 278 Texas hospitals that publish prices, a colonoscopy ranges from $100 to $57,052, with a median of $482. Most facilities fall between $297 and $946. 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 Texas?

Based on declared prices, the lowest-cost facility in our Texas data is Frio Regional Hospital in Pearsall at about $48. By metro, Fort Worth has the lowest median ($421). 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 Texas hospitals?

Prices vary up to 570.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $526 versus a median negotiated rate of $142 — about 3.7× 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 Texas?

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