Capsule endoscopy Cost (2026) — Compare Hospital Prices

Capsule endoscopy is an endoscopic (scope) procedure. Prices are from 1441 US hospitals across 51 states, from their machine-readable files.

$2,126median cash price · 1441 hospitals, 51 statestypically $808–$5,712 depending on the hospital

≈ 2.6× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$3,593

Cash / self-pay

$2,126

Insurer-negotiated

$1,177

Medicare pays

$802

$808$5,712

Median cash $2,126 · Medicare $802 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $2,126 — about 2.6× the Medicare rate ($802). On the higher side. A fair cash price is usually within ~2× Medicare ($1,605).

💡 Asking for the cash price instead of the $3,593 list price could save about $1,467 (41%).

Estimate what you’ll pay

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Southwestern Vermont Medical Center	Bennington, VT	$320	—	★ 3/5	202 min	—
Montgomery General Hospital	Montgomery, WV	$324	$1,251	—	100 min	—
Oklahoma Center for Orthopaedic & Multi-Sp	Oklahoma City, OK	$333	$1,748	—	—	—
Finley Hospital	Dubuque, IA	$338	$916	★ 3/5	114 min	—
Jones Regional Medical Center	Anamosa, IA	$338	$622	★ 4/5	116 min	—
Eisenhower Medical Center	Rancho Mirage, CA	$346	$1,167	★ 4/5	259 min	—
Sidney Health Center	Sidney, MT	$365	$1,116	★ 3/5	152 min	—
Wellmont Bristol Regional Medical Center	Bristol, TN	$382	$895	★ 2/5	196 min	—
Wellmont Holston Valley Medical Center	Kingsport, TN	$382	$895	★ 2/5	204 min	—
Hawkins County Memorial Hospital	Rogersville, TN	$382	$856	—	113 min	—
Greeneville Community Hospital	Greeneville, TN	$382	$876	★ 2/5	154 min	—
Lonesome Pine Hospital	Big Stone Gap, VA	$382	$925	★ 4/5	131 min	—
Jennie Stuart Medical Center	Hopkinsville, KY	$396	$656	★ 1/5	167 min	—
Hospital Pavia Caguas	Caguas, PR	$400	$105	—	—	—
Jefferson Regional Medical Center	Pine Bluff, AR	$410	$844	★ 1/5	198 min	—
Cincinnati Children's Hospital Medical Center	Cincinnati, OH	$421	$666	—	—	—
Baptist Health Medical Center North Little Rock	North Little Rock, AR	$445	$891	★ 1/5	186 min	—
Baptist Health Medical Center-Little Rock	Little Rock, AR	$445	$891	★ 3/5	140 min	—
University of Michigan Health-West	Wyoming, MI	$456	$497	★ 4/5	188 min	—
Kings Daughters Medical Center Ohio	Portsmouth, OH	$487	$974	—	146 min	—
Nacogdoches Memorial Hospital	Nacogdoches, TX	$496	$1,075	★ 2/5	174 min	—
Scripps Mercy Hospital	San Diego, CA	$507	$1,167	★ 4/5	194 min	—
Scripps Memorial Hospital La Jolla	La Jolla, CA	$507	$1,167	★ 5/5	186 min	—
Scripps Green Hospital	La Jolla, CA	$507	$1,167	★ 5/5	—	—
Scripps Memorial Hospital-Encinitas	Encinitas, CA	$507	$1,167	★ 4/5	200 min	—

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Capsule endoscopy

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $2,126; Medicare pays $802.

Insurer	Hospitals	Negotiated median
Medicaid	191	$549 $84 – $827
Univera	13	$591 $91 – $855
Highmark	80	$796 $141 – $1,608
Priority Health	39	$808 $149 – $2,806
Amerigroup	114	$810 $514 – $1,092
Medicare	300	$828 $110 – $1,167
Anthem	367	$858 $177 – $3,116
Molina Healthcare	398	$862 $117 – $1,845
Tricare / VA	199	$864 $233 – $1,281
AmeriHealth	146	$883 $160 – $3,349
Devoted Health	121	$903 $597 – $1,049
Humana	612	$907 $180 – $2,738
Geisinger	39	$943 $221 – $2,389
UCare	33	$947 $113 – $1,926
Centene / Ambetter	509	$977 $178 – $2,896
UPMC Health Plan	64	$983 $572 – $2,588
HealthPartners	121	$1,030 $204 – $3,144
Independent Health	23	$1,067 $161 – $1,861
Aetna	805	$1,088 $242 – $3,282
Blue Cross Blue Shield	723	$1,111 $208 – $3,818
Sanford Health Plan	29	$1,118 $189 – $2,260
MVP Health Care	52	$1,133 $132 – $2,852
Kaiser Permanente	152	$1,139 $407 – $3,547
Harvard Pilgrim	35	$1,141 $293 – $2,633
UnitedHealthcare	939	$1,177 $409 – $4,850
Medica	83	$1,216 $331 – $2,679
Bright Health	22	$1,270 $1,176 – $1,900
EmblemHealth	62	$1,359 $763 – $12,590
Workers' Comp / No-Fault	68	$1,467 $252 – $3,997
Coventry	61	$1,470 $408 – $3,296
Cigna	623	$1,502 $454 – $4,148
Security Health Plan	31	$1,568 $331 – $2,900
SelectHealth	32	$1,593 $543 – $2,989
AvMed	43	$1,694 $813 – $4,041
Health Net	154	$2,100 $484 – $4,298
Healthcare Highways	37	$2,434 $1,709 – $3,160
MultiPlan / PHCS network	467	$2,471 $747 – $4,781
Oscar Health	181	$3,549 $1,101 – $4,723

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

State	Median cash
New Mexico	$665
Arkansas	$934
Louisiana	$948
Maryland	$973
Arizona	$1,009
Tennessee	$1,104

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Stephen Kim, MD	Gastroenterology	Los Angeles, CA	138
Michelle Stefka, MD	Gastroenterology	Burlington, MA	89
David Cave, M.D.	Gastroenterology	Worcester, MA	81
Jay Guan, M.D.	Gastroenterology	Los Angeles, CA	80
Soundarapandian Baskar, MD	Gastroenterology	Tavares, FL	76
Ian Storch, DO	Gastroenterology	New Hyde Park, NY	72
Bhaumik Brahmbhatt, MBBS	Gastroenterology	Jacksonville, FL	71
Azzam Muftah, M.D.	Gastroenterology	Brooksville, FL	69
Amer El Sayed, M.D	Gastroenterology	Iowa City, IA	67
Laurel Fisher, MD	Gastroenterology	Philadelphia, PA	66
Deepthi Deconda, MD	Gastroenterology	Fall River, MA	66
Joseph Yarze, MD	Gastroenterology	Glens Falls, NY	63

Browse doctors by specialty & city →

Does Medicare cover Capsule endoscopy?

Yes — Medicare generally covers Capsule endoscopy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $802. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $160 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1441 US hospitals across 51 states, the typical (median) cash price is $2,126, versus a chargemaster (list) price around $3,593, a median insurer-negotiated rate of $1,177, a Medicare rate of about $802. Most cash prices fall between $808 and $5,712 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
Compare several nearby hospitals; prices for the same service can differ severalfold.
Request a written estimate and the billing code (CPT/DRG) before scheduling.
Use the Medicare benchmark above to judge whether a quote is reasonable.
If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Capsule endoscopy cost without insurance?

The median cash (self-pay) price across 1441 US hospitals is $2,126. Most hospitals fall between $808 and $5,712. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Capsule endoscopy?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $802). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for Capsule endoscopy?

Medicare pays about $802. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Capsule endoscopy prices vary between hospitals?

Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.

Is the cash price lower than using insurance?

Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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