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

Creator: John Caruso, FSA, MAAA
Published: 2026-03-16T10:15:14.859998-05:00
Keywords: colonoscopy cost virginia, colonoscopy price virginia, Virginia healthcare costs, colonoscopy costs, Medicare hospital outpatient, commercial insurance

What does a colonoscopy cost in Virginia?

Expect roughly $1,077 to $2,281 for a colonoscopy in Virginia if you're commercially insured — that range already folds in both the facility charge and the physician fee. The median reported facility price across 55 hospitals is $885. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs — among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market.

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.

The same colonoscopy that costs $100 at WINCHESTER MEDICAL CENTER, INC in Winchester reaches $72,360 at Clinch Valley Health — a 723.6× gap across the 55 Virginia hospitals reporting prices. The median Virginia price is $885. Most facilities fall between $393 and $925. Self-pay patients are quoted more than insurers actually pay: the median cash price is $904 versus a median negotiated rate of $692. Even within Virginia, Woodbridge ($504) and Norfolk ($782) are 1.6× apart on the median price.

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 Virginia hospitals:

Lower-cost hospitals (bottom 25%): under $393
Median hospital: $885
Higher-cost hospitals (top 30%): $925+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Norfolk:

Patient A (higher-rate plan or out-of-network): ~$925
Patient B (lower-rate in-network plan): ~$569

Same procedure. Same week. $356 difference.

Where colonoscopy costs vary in Virginia

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 Virginia hospital's price

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Cheapest Colonoscopy Providers in Virginia

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

#	Facility	City	Price	vs Median
1	Sentara Hospitals	Suffolk, VA	$307	-$578
2	Potomac Hospital Corporation of Prince William	Woodbridge, VA	$307	-$578
3	Sentara Hospitals	Norfolk, VA	$307	-$578
4	Sentara Princess Anne Hospital	Virginia Beach, VA	$307	-$578
5	Sentara Hospitals	Hampton, VA	$307	-$578
6	Hospital for Extended Recovery	Suite 700, VA	$307	-$578
7	Sentara Hospitals	Norfolk, VA	$307	-$578
8	Sentara Hospitals	Virginia Beach, VA	$307	-$578

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: A small number of hospitals report very high prices above $1,870, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.

Every hospital in this dataset offers a cash price — with a median of $904. 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)	~$1,733
Deductible met — 20% coinsurance	~$347
Out-of-network provider	$3,813+

Based on a typical episode cost of $1,733 (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 $785+ vs. the median.

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

Lower-cost options in Virginia start around $393 or below. Most hospitals cluster between $393 and $984. 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: Bath Community Hospital in Hot Springs (cash price from $206); Chesapeake General Hospital in North (cash price from $209); Hospital for Extended Recovery in Suite 700 (cash price from $307). 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

$184–$12,031

Facility fee $100–$3,755
Professional fee $84–$8,276

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$290–$13,220

Facility fee $206–$4,944
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): WINCHESTER MEDICAL CENTER, INC: $100; WARREN MEMORIAL HOSPITAL, INC: $100; Bath Community Hospital: $206
Most expensive (outpatient): DOMINION HOSPITAL: ~$3,755; VCU Community Memorial Hospital: ~$3,144

→ Choosing the right facility can save $785+ vs. the state median.

Virginia 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:

Cash price — the self-pay rate you can actually negotiate and pay
Negotiated rate — if reported by the hospital across insurance contracts
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	WINCHESTER MEDICAL CENTER, INC	Winchester, VA	$100	-$785	$100–$196
#2	WARREN MEMORIAL HOSPITAL, INC	Front Royal, VA	$100	-$785	$100–$196
#3	Bath Community Hospital	Hot Springs, VA	$206	-$679	$130–$3,421
#4	Chesapeake General Hospital	North, VA	$209	-$676	$104–$21,000
#5	Centra Specialty Hospital	VA	$217	-$668	$115–$15,335
#6	Sovah Health - Martinsville	VA	$222	-$663	$557–$14,463
#7	University of Virginia Haymarket Medical Center	Haymarket, VA	$1,066	+$181	$2,133–$11,719
#8	Sentara Hospitals	Suffolk, VA	$925	+$40	$925–$23,989
#9	Potomac Hospital Corporation of Prince William	Woodbridge, VA	$700	-$185	$700–$13,996
#10	Sentara Hospitals	Norfolk, VA	$925	+$40	$925–$17,983
#11	Sentara Princess Anne Hospital	Virginia Beach, VA	$925	+$40	$925–$20,562
#12	Sentara Hospitals	Hampton, VA	$925	+$40	$925–$20,712
#13	Hospital for Extended Recovery	Suite 700, VA	$307	-$578	$614–$2,329
#14	Sentara Hospitals	Virginia Beach, VA	$925	+$40	$925–$19,404
#15	Clinch Valley Health	VA	$336	-$549	$840–$54,458
#16	Russell County Hospital	Lebanon, VA	$393	-$492	$2,625–$3,227
#17	Smyth County Community Hospital	Marion, VA	$393	-$492	$2,625–$3,227
#18	Johnston Memorial Hospital	Abingdon, VA	$393	-$492	$2,625–$3,227
#19	Lonesome Pine Hospital	Big Stone Gap, VA	$393	-$492	$2,625–$3,227
#20	Lee County Community Hospital	Pennington Gap, VA	$474	-$411	$2,065
#21	Dickenson Community Hospital	Clintwood, VA	$474	-$411	$2,065
#22	Carilion New River Valley Medical Center	VA	$580	-$305	$968–$5,348
#23	Carilion Giles Community Hospital	VA	$580	-$305	$968–$9,182
#24	Carilion Rockbridge Community Hospital	VA	$597	-$288	$995–$9,182
#25	Carilion Franklin Memorial Hospital	VA	$634	-$251	$1,057–$5,348
#26	Carilion Medical Center doing business as Carilion Roanoke Community Hospital	VA	$634	-$251	$1,057–$13,483
#27	Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital	VA	$634	-$251	$1,057–$13,483
#28	Augusta Health	Fishersville, VA	$909	+$24	$909–$4,347
#29	SHENANDOAH MEMORIAL HOSPITAL INC	Woodstock, VA	$699	-$186	$699–$1,791
#30	Carilion Tazewell Community Hospital	VA	$703	-$182	$1,172–$5,348
#31	Stafford Hospital	VA	$712	-$173	$161–$6,121
#32	Sovah Health - Danville	VA	$729	-$156	$1,824–$15,319
#33	Children's Hospital of the King's Daughters	Norfolk, VA	$782	-$103	$782–$9,536
#34	Mary Washington Hospital	Fredericksburg, VA	$871	-$14	$161–$6,121
#35	STONESPRINGS HOSPITAL CENTER	Dulles, VA	$899	+$14	$899–$13,520
#36	Inova Fairfax Hospital	Falls Church, VA	$911	+$26	$911–$3,796
#37	Inova Alexandria Hospital	Alexandria, VA	$911	+$26	$911–$3,796
#38	Inova Fair Oaks Hospital	VA	$911	+$26	$911–$3,796
#39	Inova Loudoun Hospital	Leesburg, VA	$911	+$26	$911–$3,796
#40	Inova Mount Vernon Hospital	Alexandria, VA	$911	+$26	$911–$3,796
#41	Sentara Hospitals	Williamsburg, VA	$925	+$40	$925–$22,285
#42	Sentara RMH Medical Center	Harrisonburg, VA	$925	+$40	$925–$12,894
#43	Sentara Martha Jefferson Hospital	Charlottesville, VA	$925	+$40	$925–$21,656
#44	Sentara Halifax Regional Hospital	South Boston, VA	$932	+$47	$932–$13,470
#45	PAGE MEMORIAL HOSPITAL, INC	Luray, VA	$1,001	+$116	$1,430
#46	Wythe County Community Hospital	VA	$1,447	+$562	$3,619–$11,462
#47	SPOTSYLVANIA REGIONAL MEDICAL CENTER	Fredericksburg, VA	$1,573	+$688	$1,573–$10,126
#48	Twin County Regional Healthcare	VA	$1,608	+$723	$4,021–$12,577
#49	Select Specialty Hospital - Richmond	Richmond, VA	$1,618	+$733	$1,618–$2,332
#50	Buchanan General Hospital	Grundy, VA	$2,096	+$1,211	$5,990
#51	TRICITIES HOSPITAL	Hopewell, VA	$1,995	+$1,110	$1,995–$11,744
#52	LTACH at Riverside, LLC	VA	$2,067	+$1,182	$2,067–$2,845
#53	VCU Health Tappahannock Hospital	Tappahannock, VA	$3,085	+$2,200	$3,085–$3,362
#54	VCU Community Memorial Hospital	South Hill, VA	$3,144	+$2,259	$3,144–$3,428
#55	DOMINION HOSPITAL	Falls Church, VA	$3,755	+$2,870	$3,755–$5,124

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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 Virginia:

Where you can save the most on colonoscopy in Virginia

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
WINCHESTER MEDICAL CENTER, INC	Winchester, VA	$100	-$785
WARREN MEMORIAL HOSPITAL, INC	Front Royal, VA	$100	-$785
Bath Community Hospital	Hot Springs, VA	$206	-$679
Chesapeake General Hospital	North, VA	$209	-$676
Centra Specialty Hospital	VA	$217	-$668

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 Virginia

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
DOMINION HOSPITAL	Falls Church, VA	$3,755	+$2,870
VCU Community Memorial Hospital	South Hill, VA	$3,144	+$2,259
VCU Health Tappahannock Hospital	Tappahannock, VA	$3,085	+$2,200
Buchanan General Hospital	Grundy, VA	$2,096	+$1,211
LTACH at Riverside, LLC	VA	$2,067	+$1,182

Why prices vary this much

A small number of hospitals (7) report very high prices above $1,870, 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 Virginia: the median outpatient price is $868 versus $712 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Virginia facilities reporting prices, 20 fall in a low-cost tier (up to $393) while 19 sit in a high-cost tier ($984 and up) — a lower-priced option almost always exists within the same state.

Among the cities with the most reporting hospitals, Norfolk has a median reported price of $782 across 5 facilities, while facilities in Woodbridge tend to report lower prices (median: $504). 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 Virginia

Prices vary across Virginia 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 Virginia

How much does a colonoscopy cost in Virginia?

Across 55 Virginia hospitals that publish prices, a colonoscopy ranges from $100 to $72,360, with a median of $885. Most facilities fall between $393 and $925. 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 Virginia?

Based on declared prices, the lowest-cost facility in our Virginia data is WINCHESTER MEDICAL CENTER, INC in Winchester at about $100. By metro, Woodbridge has the lowest median ($504). 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 Virginia hospitals?

Prices vary up to 723.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $904 versus a median negotiated rate of $692 — about 1.3× 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 Virginia?

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

Provider

City

Type

Est. Cost

1ST CHOICE LAB SERVICES LLC
2762605424

RICHMOND, VA

Clinical Medical Laboratory

—

1ST CLASS SLEEP DIAGNOSTIC CENTER INC
7033859222

CENTREVILLE, VA

Clinical Medical Laboratory

—