Flexible sigmoidoscopy Cost by Hospital

Flexible sigmoidoscopy is an endoscopic (scope) procedure. Prices are from 1904 US hospitals across 52 states, from their machine-readable files.

$1,167median cash price · 1904 hospitals, 52 statestypically $339–$3,272 depending on the hospital
≈ 3.6× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$2,278
Cash / self-pay
$1,167
Insurer-negotiated
$1,008
Medicare pays
$323
$339$3,272
Median cash $1,167  ·  Medicare $323  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,167 — about 3.6× 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 $2,278 list price could save about $1,110 (49%).

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
Hunterdon Medical Center Flemington, NJ $175 $460 ★ 4/5 230 min —
University of Michigan Health-West Wyoming, MI $176 $509 ★ 4/5 188 min —
Prowers Medical Center Lamar, CO $177 — — 118 min —
Calais Community Hospital Calais, ME $178 $97 — 154 min —
Red Bud Regional Hospital Red Bud, IL $184 $292 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $184 $110 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $184 $184 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $184 $256 ★ 2/5 127 min —
Lake Region Healthcare Corporation Fergus Falls, MN $185 $80 — — —
Maimonides Medical Center Brooklyn, NY $188 — ★ 2/5 208 min —
Artesia General Hospital Artesia, NM $188 $472 — 99 min —
Providence Mount Carmel Hospital Colville, WA $190 — ★ 3/5 150 min —
UPMC Cole Coudersport, PA $194 $235 ★ 4/5 147 min —
Brattleboro Memorial Hospital Brattleboro, VT $195 $201 ★ 3/5 171 min —
Altru Hospital Grand Forks, ND $197 $1,073 ★ 3/5 177 min —
Richardson Medical Center Rayville, LA $215 $273 — 65 min —
Big Sandy Medical Center Big Sandy, MT $219 $270 — 77 min —
Washington Regional Medical Center Fayetteville, AR $225 — ★ 4/5 222 min —
Washington County Hospital Washington, KS $225 $225 — 99 min —
Whitesburg ARH Hospital Whitesburg, KY $225 $64 ★ 3/5 160 min —
East Jefferson General Hospital Metairie, LA $226 $3,904 ★ 2/5 157 min —
University Health System, Inc Knoxville, TN $226 $538 ★ 4/5 249 min —
East Tennessee Childrens Hospital Knoxville, TN $226 $538 — — —
Community Memorial Hospital Cloquet, MN $228 $569 — 123 min —
St Mary's Healthcare Amsterdam, NY $229 $682 ★ 3/5 155 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 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: $1,167; Medicare pays $323.

InsurerHospitalsNegotiated median
Medicaid 258
$23
$3 – $168
Medicare 450
$32
$4 – $958
Univera 15
$84
$46 – $281
Highmark 117
$92
$9 – $1,720
Independent Health 36
$157
$36 – $911
Tricare / VA 308
$167
$9 – $1,112
Geisinger 63
$197
$75 – $1,517
MVP Health Care 71
$276
$57 – $2,656
Blue Cross Blue Shield 1098
$329
$17 – $2,710
Amerigroup 141
$345
$131 – $983
AmeriHealth 169
$350
$56 – $3,473
Workers' Comp / No-Fault 90
$454
$194 – $1,420
Molina Healthcare 501
$460
$26 – $2,702
HealthPartners 182
$465
$29 – $1,894
UCare 63
$470
$50 – $1,695
Priority Health 47
$477
$46 – $2,686
Health Net 232
$600
$20 – $2,990
Anthem 492
$667
$20 – $3,638
Sanford Health Plan 58
$736
$53 – $1,663
Harvard Pilgrim 44
$745
$125 – $1,568
UPMC Health Plan 87
$806
$66 – $2,513
Bright Health 52
$827
$607 – $2,644
Centene / Ambetter 697
$861
$21 – $1,970
Medica 144
$889
$71 – $2,047
Security Health Plan 51
$908
$58 – $2,120
Kaiser Permanente 191
$912
$21 – $2,690
Devoted Health 135
$913
$790 – $1,083
Humana 860
$913
$34 – $2,569
Coventry 104
$950
$66 – $2,493
SelectHealth 42
$1,008
$125 – $5,307
UnitedHealthcare 1287
$1,013
$76 – $3,373
MultiPlan / PHCS network 541
$1,268
$43 – $2,838
Aetna 1181
$1,313
$83 – $3,793
Healthcare Highways 43
$1,616
$1,217 – $2,251
EmblemHealth 67
$1,790
$385 – $9,640
Cigna 943
$2,340
$200 – $7,480
Oscar Health 205
$2,837
$587 – $3,549
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
Arkansas$577
Louisiana$588

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 1904 US hospitals across 52 states, the typical (median) cash price is $1,167, versus a chargemaster (list) price around $2,278, a median insurer-negotiated rate of $1,008, a Medicare rate of about $323. Most cash prices fall between $339 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 1904 US hospitals is $1,167. Most hospitals fall between $339 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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