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Diagnostic Tests

Colonoscopy Cost in Illinois

A colonoscopy is a procedure that examines the inside of your colon using a flexible camera. In Illinois, colonoscopy costs range from $1,200 to $4,500, with significant variation based on whether it's a screening or diagnostic procedure.

49 Illinois hospitals compared
Updated December 2025
Compare Colonoscopy Prices

Illinois Price Range

Lowest Price$1,200
Median Price$2,400
Highest Price$4,500
Potential Savings$3,300

By choosing the lowest-cost provider

What is a Colonoscopy?

During a colonoscopy, a gastroenterologist inserts a flexible tube with a camera into your rectum to examine your entire colon. The procedure can detect polyps, cancer, and other abnormalities. Polyps found during the exam can be removed immediately.

Common Billing Codes (CPT/DRG)

45378453804538545384G0121

Why Colonoscopy Prices Vary So Much

Colonoscopy prices vary based on the facility (hospital vs. ambulatory surgery center), whether polyps are removed, anesthesia type, and pathology fees. Ambulatory surgery centers typically charge 40-60% less than hospital outpatient departments.

Lower-Cost Options

  • Community hospitals in suburbs
  • Freestanding imaging/surgery centers
  • Cash-pay discounts (20-40% off)

Higher-Cost Options

  • Academic medical centers (Northwestern, Rush)
  • Hospital outpatient departments
  • Out-of-network facilities

Colonoscopy Prices at Illinois Hospitals

Compare actual colonoscopy prices reported by hospitals. Prices shown are cash-pay/self-pay rates from hospital transparency files.

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Payment Options Comparison

See how different payment methods affect your out-of-pocket cost

Cash/Self-Pay

Hospital list price

$2,400

Full price

  • No insurance needed
  • May qualify for discounts

With Insurance

Estimated negotiated rate

~$1,920

Save ~$480 vs cash

  • Negotiated network rate
  • Counts toward deductible
  • Actual cost depends on plan
Best Value

With HSA/FSA

Tax-free payment

$1,570

Save $830 in taxes (~35%)

  • Pay with pre-tax dollars
  • Federal + State + FICA savings
  • Rolls over year to year

No monthly fees. FDIC insured.

HSA savings based on 22% federal + 4.95% IL state + 7.65% FICA tax rates. Actual savings vary by tax bracket.

Can I Afford This?

Check if your savings can cover this $2,400 procedure.

Procedure Cost$2,400
With HSA Tax Savings$1,570
$
Open an HSA to save $830 in taxes

No monthly fees. Invest your balance. FDIC insured.

Insurance Tips for Colonoscopy

Screening colonoscopies are covered 100% under the ACA with no cost-sharing for most plans. However, if polyps are removed, the procedure may be reclassified as "diagnostic," potentially triggering your deductible. Always confirm coverage with your insurer before scheduling.

Before Scheduling, Ask:

  • 1.Is this facility in my insurance network?
  • 2.Does this procedure require prior authorization?
  • 3.What is my out-of-pocket cost after deductible?
  • 4.Is there a cash-pay discount if I pay upfront?

When Do You Need a Colonoscopy?

The American Cancer Society recommends regular colorectal screening starting at age 45 for average-risk adults. You may need earlier or more frequent screening if you have family history of colon cancer, inflammatory bowel disease, or previous polyps.

Frequently Asked Questions

Under the Affordable Care Act, screening colonoscopies for average-risk adults are covered 100% with no out-of-pocket cost. However, if polyps are found and removed, your plan may apply deductible and coinsurance to the procedure.

Related Procedures

Compare Colonoscopy Prices by City

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Price data sourced from hospital transparency files as required by the Hospital Price Transparency Rule. Last updated December 2025.

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