Please Do NOT overpay for your Colonoscopy!

Different institutes and insurances are charging for and covering colonoscopies in very different ways. One reader received a bill for a colonoscopy which was a staggering $13,000+ although was 80% covered by insurance it still left a patient balance of $2,600. However, the good news is another reader received an insurance statement for $432 with zero $ due to be paid by patient for the exact same procedure.

On further research we have the following advice for you:

(1) Ensure your Doctor refers you for a colonoscopy based on "medical reasons"i.e. one or more of the following family history, unexplained anemia, fatigue, blood in stool, change in bowel movements etc. If you are over 50 you are entitled to a colonoscopy as part of routine physical check-up.
(2) Ensure your Doctor refers you to a Gastroenterology specialist that is(a)in your insurance network and (b) Performs the colonoscopy at their own surgery.
(3) Check in advance with the specialist’s office as to the full cost and with your insurance company for their coverage so you know that you have little or no payment for the test.

If you do not have Health Insurance, research your State Health Departments website and look for specialists that offer the test for free or reduced price for the uninsured.

ABOVE ALL;

(1) Where possible, avoid getting your colonoscopy at a hospital facility this apparently is where large unnecessary $'s get added to your bill.
(2) Shop around, ask questions. We have heard of several people who have received the test the total insurance price of $1,100 with insurance paying all or most of the bill.

All this being said, don't let the extra effort (a couple of phone calls) put you off getting a colonoscopy remember;

The True Cost of A Colonoscopy - Means Saving Your Life = Priceless.