Flexible sigmoidoscopy Cost by Hospital

Flexible sigmoidoscopy is an endoscopic (scope) procedure. Prices are from 1891 US hospitals across 52 states, from their machine-readable files.

$1,190median cash price · 1891 hospitals, 52 statestypically $341–$3,272 depending on the hospital
≈ 3.7× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$2,257
Cash / self-pay
$1,190
Insurer-negotiated
$1,011
Medicare pays
$323
$341$3,272
Median cash $1,190  ·  Medicare $323  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,190 — about 3.7× the Medicare rate ($323). High vs Medicare. A fair cash price is usually within ~2× Medicare ($646).

💡 Asking for the cash price instead of the $2,257 list price could save about $1,067 (47%).

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

HospitalLocationCashInsurerCMS ratingER waitReadmit
Red Bud Regional Hospital Red Bud, IL $184 $292 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $184 $110 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $184 $184 ★ 5/5 128 min
Deaconess Henderson Hospital Henderson, KY $184 $256 ★ 2/5 127 min 15.1%
Lake Region Healthcare Corporation Fergus Falls, MN $185 $80 ★ 4/5 147 min 13.8%
Maimonides Medical Center Brooklyn, NY $188 ★ 2/5 206 min 17.2%
Artesia General Hospital Artesia, NM $188 $472 101 min 15.0%
Providence Mount Carmel Hospital Colville, WA $190 ★ 3/5 149 min 14.3%
UPMC Cole Coudersport, PA $194 $235 ★ 4/5 151 min 14.9%
Brattleboro Memorial Hospital Brattleboro, VT $195 $201 ★ 3/5 176 min 14.4%
Altru Hospital Grand Forks, ND $197 $1,073 ★ 3/5 167 min 13.9%
Richardson Medical Center Rayville, LA $215 $273 57 min 15.1%
Big Sandy Medical Center Big Sandy, MT $219 $270 72 min
Washington Regional Medical Center Fayetteville, AR $225 ★ 4/5 216 min 13.3%
Washington County Hospital Washington, KS $225 $225 96 min 14.8%
Whitesburg ARH Hospital Whitesburg, KY $225 $64 ★ 3/5 160 min 14.9%
East Jefferson General Hospital Metairie, LA $226 $3,904 ★ 2/5 162 min 15.3%
University Health System, Inc Knoxville, TN $226 $538 ★ 4/5 245 min 14.9%
East Tennessee Childrens Hospital Knoxville, TN $226 $538
Gordon Memorial Hospital District Gordon, NE $227 $213 105 min 15.4%
Community Memorial Hospital Cloquet, MN $228 $569 128 min 15.2%
St Mary's Healthcare Amsterdam, NY $229 $682 ★ 3/5 155 min 15.4%
Summersville Regional Medical Center Summersville, WV $232 ★ 2/5 140 min 15.1%
West Jefferson Medical Center Marrero, LA $238 $1,142 ★ 3/5 154 min 15.0%
Memorial Hospital of Lafayette County Darlington, WI $239 $98 103 min 14.9%

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 August 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 Flexible sigmoidoscopy

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: $1,190; Medicare pays $323.

InsurerHospitalsNegotiated median
Medicaid 255
$23
$3 – $161
Medicare 446
$32
$4 – $956
Univera 15
$84
$46 – $281
Highmark 112
$91
$9 – $1,720
Independent Health 36
$157
$36 – $911
Tricare / VA 305
$167
$8 – $1,113
Geisinger 62
$197
$76 – $1,521
MVP Health Care 71
$276
$57 – $2,633
Blue Cross Blue Shield 1094
$329
$17 – $2,691
Amerigroup 140
$345
$131 – $983
AmeriHealth 168
$349
$56 – $3,473
Anthem 475
$381
$20 – $3,720
Workers' Comp / No-Fault 90
$454
$194 – $1,420
HealthPartners 181
$465
$29 – $1,893
UCare 62
$470
$50 – $1,695
Molina Healthcare 499
$472
$26 – $2,702
Priority Health 48
$477
$46 – $2,643
Health Net 231
$594
$20 – $2,990
Sanford Health Plan 56
$736
$53 – $1,663
Harvard Pilgrim 44
$745
$125 – $1,568
UPMC Health Plan 84
$813
$70 – $2,513
Bright Health 52
$827
$607 – $2,644
Centene / Ambetter 682
$855
$20 – $1,982
Medica 143
$889
$71 – $2,037
Security Health Plan 51
$908
$58 – $2,120
Kaiser Permanente 190
$912
$21 – $2,690
Devoted Health 133
$913
$790 – $1,083
Humana 849
$913
$34 – $2,634
SelectHealth 42
$1,008
$125 – $5,307
UnitedHealthcare 1263
$1,018
$71 – $3,400
Coventry 101
$1,042
$66 – $2,505
MultiPlan / PHCS network 530
$1,268
$43 – $2,871
Aetna 1160
$1,343
$84 – $3,861
Healthcare Highways 43
$1,616
$1,217 – $2,251
Cigna 920
$2,340
$210 – $7,480
Oscar Health 192
$2,837
$587 – $3,505
EmblemHealth 55
$3,362
$385 – $12,211
AvMed 43
$4,922
$93 – $11,304

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

StateMedian cash
Vermont$334
Maine$409
Indiana$452
Maryland$487
Puerto Rico$500
Arkansas$577

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.

ClinicianSpecialtyLocationMedicare services
Martin Weiser, MDColorectal Surgery (Proctology)New York, NY142
John Marks, MDColorectal Surgery (Proctology)Wynnewood, PA124
Emmanouil Pappou, M.D., PH.D.Colorectal Surgery (Proctology)New York, NY123
Jesse Smith, MD, PHDSurgical OncologyHouston, TX120
Maria Castano, M.D.Colorectal Surgery (Proctology)New York, NY109
Joseph Notaro, M.D.Colorectal Surgery (Proctology)Edison, NJ101
Julio Garcia-Aguilar, MDColorectal Surgery (Proctology)Duarte, CA95
Scott Fengler, MDColorectal Surgery (Proctology)Tulsa, OK93
Emmanouil Pappou, M.D., PH.D.Colorectal Surgery (Proctology)New York, NY92
Ron Landmann, MDColorectal Surgery (Proctology)Jacksonville, FL81
Steven Harper, MDColorectal Surgery (Proctology)Abington, PA80
Dean Pappas, MDColorectal Surgery (Proctology)Garden City, NY69

Browse doctors by specialty & city →

Does Medicare cover Flexible sigmoidoscopy?

Yes — Medicare generally covers Flexible sigmoidoscopy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $323. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $65 — 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 1891 US hospitals across 52 states, the typical (median) cash price is $1,190, versus a chargemaster (list) price around $2,257, a median insurer-negotiated rate of $1,011, a Medicare rate of about $323. Most cash prices fall between $341 and $3,272 — 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 Flexible sigmoidoscopy cost without insurance?
The median cash (self-pay) price across 1891 US hospitals is $1,190. Most hospitals fall between $341 and $3,272. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Flexible sigmoidoscopy?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $323). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Flexible sigmoidoscopy?
Medicare pays about $323. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Flexible sigmoidoscopy 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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