Colonoscopy Cost in Austin, TX (2026): Average Prices & What You'll Pay
What does a colonoscopy cost in Austin, TX?
Where you have a colonoscopy done in Austin, TX swings the bill from $201 to $236 for identical care. The median cash price across 18 reporting hospitals is $219. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Your colonoscopy prep plan is ready: the bills to expect and the questions to ask before you go. See your plan.
Where colonoscopy costs vary in Austin, TX
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
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The first question to ask before you schedule: “Is this a screening or a diagnostic colonoscopy, and what changes if a polyp is removed?” Here’s your plan:
- ✓ The four bills a colonoscopy can produce (facility, doctor, anesthesia, pathology) and which can be out of network
- ✓ Five questions to ask before you schedule, with what to listen for
- ✓ What changes if a polyp is removed: a screening can be billed as diagnostic
- ✓ A reminder timed to your date, and a slot for each bill as it arrives
- ✓ A free check of your first bill
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Cheapest Colonoscopy Providers in Austin, TX
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Ascension Seton | TX | $201 | -$18 |
| 2 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital | TX | $201 | -$18 |
| 3 | Ascension Cedar Park | TX | $201 | -$18 |
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Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Your colonoscopy prep plan and all 18 facilities are ready
Where should we send them? The plan covers the bills to expect and the questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Ascension Seton is the lowest-cost option at $201 - $18 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 $219, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $950 to $2,352 | $1,223 |
| With insurance (commercial, average) | 11 | $1,239 to $2,325 | $1,898 |
| Without insurance (cash price) | 24 | $201 to $236 | $219 |
| Blue Cross and Blue Shield of Texas | 10 | $231 to $1,697 | $1,096 |
| Humana | 10 | $411 to $2,842 | $1,169 |
| Aetna | 9 | $1,192 to $3,511 | $1,265 |
| Cigna | 9 | $2,520 to $3,156 | $2,975 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a colonoscopy cost with Medicare in Austin, TX?
Medicare's national hospital outpatient payment for colonoscopy is about $950 to $2,352 (typically near $1,223). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $245 on a $1,223 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a colonoscopy cost with insurance in Austin, TX?
Across 11 Austin, TX hospitals, the negotiated rates commercial insurers pay for colonoscopy average $1,239 to $2,325 per hospital, with a median near $1,898. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a colonoscopy cost without insurance in Austin, TX?
Cash (self-pay) prices for colonoscopy at 24 Austin, TX hospitals range from $201 to $236, with a median of $219. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a colonoscopy cost with Blue Cross and Blue Shield of Texas in Austin, TX?
Blue Cross and Blue Shield of Texas negotiated rates for colonoscopy at 10 Austin, TX hospitals range from $231 to $1,697, with a median near $1,096. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a colonoscopy cost with Humana in Austin, TX?
Humana negotiated rates for colonoscopy at 10 Austin, TX hospitals range from $411 to $2,842, with a median near $1,169. If a hospital is out of network for your Humana plan, you may owe more than the negotiated rate, so check the network first.
How much does a colonoscopy cost with Aetna in Austin, TX?
Aetna negotiated rates for colonoscopy at 9 Austin, TX hospitals range from $1,192 to $3,511, with a median near $1,265. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does a colonoscopy cost with Cigna in Austin, TX?
Cigna negotiated rates for colonoscopy at 9 Austin, TX hospitals range from $2,520 to $3,156, with a median near $2,975. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
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.
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Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $288, including Post Acute Medical at Luling LLC at $328, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. 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.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$219 |
| Deductible met - 20% coinsurance | ~$44 |
| Out-of-network provider | $482+ |
Frequently asked questions: colonoscopy costs in Austin, TX
How much does a colonoscopy cost in Austin, TX?
The typical insurer-negotiated rate is $56, with most facilities between $49 and $104 (based on 24 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $201 to $328 across all 18 Austin, TX hospitals that publish prices. 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 Austin, TX?
Based on declared prices, the lowest-cost facility in our Austin, TX data is Ascension Seton at about $201. By metro, Austin has the lowest median ($228). Freestanding ambulatory surgery 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 Austin, TX hospitals?
Prices vary up to 1.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Austin, TX, the median cash (self-pay) price is $219 versus a median negotiated rate of $1,898 - cash is the lower number at many hospitals. Asking for the cash price as well as 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 Austin, TX?
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
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
Other procedures in Austin, TX
Colonoscopy, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ambulatory surgery 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).
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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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