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Package

Colonoscopy

Package

Colonoscopy

A diagnostic colonoscopy is a procedure that allows a doctor to examine the lining of the large intestine using a thin, flexible tube with a camera. It is used to screen for colon cancer, investigate symptoms like rectal bleeding or changes in bowel habits, or look for signs of inflammation. Small biopsies or simple polyp removal may be performed as part of the exam, but no advanced surgical treatment is carried out. You will receive sedation, and bowel preparation the day before is required.
You'd pay up to
$4,157 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$4,157

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$1,827
Highest
$5,599
Cash price
up to $4,157

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Colonoscopy Standard Service Package (SSP GA003). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS J3490 Facility Fee Pharmaceuticals without Categories
HCPCS C1889 Facility Fee Implantable/insertable Device of Unspecified Type
HCPCS J2704 Facility Fee Intramuscular injection of 10mg propofol
HCPCS 45385 Facility Fee Colonoscopy with Snare Resection of Tumor/Polyps/lesions
HCPCS 45381 Facility Fee Flexible Colonoscopy with Submucosal Injections of Any Substance
HCPCS 45385 Professional Fee Colonoscopy with Snare Resection of Tumor/Polyps/lesions
HCPCS 45381 Professional Fee Flexible Colonoscopy with Submucosal Injections of Any Substance
Revenue Code 710 Facility Fee Recovery Room - General
HCPCS J0171 Facility Fee Injection of 0.1mg Epinephrine/Adrenaline into Body

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$4,157 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Colonoscopy
Service Codes HCPCS J3490, HCPCS C1889, HCPCS J2704, HCPCS 45385, HCPCS 45381
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Colonoscopy I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS J3490, HCPCS C1889, HCPCS J2704, HCPCS 45385, HCPCS 45381. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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