CPT45380

Colonoscopy With Biopsy Cost in Georgia

Colonoscopy and biopsy

$1,400Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Georgia Medicare physician rate (2026)

-2.7% vs national

Average of 2 localities. Office range $444.86–$488.74.

Georgia (Hospital)
$178.43
Facility physician fee
Private plan est.
$607–$934
~130–200% of Medicare
Cash / self-pay est.
$373–$700
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$834
$178 physician + $657 facility
Physician fee alone
$178
Only 13% of the hospital total

Choosing a surgery centre over a hospital saves about $566 on the Medicare allowed amount for colonoscopy with biopsy. Ask whether your procedure can be done at an ambulatory surgery centre.

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Georgia

Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.

What colonoscopy with biopsy costs at hospitals near you

Everything above is a national average. The hospital you pick in Georgia moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Georgia the office and hospital physician lines for this CPT differ by $288.37.

National vs Georgia

National office$479.97
National hospital (physician)$177.69
Georgia vs national3% below the national office rate of $479.97

Where Georgia ranks for this CPT

Rank (lowest physician fee first)#23 of 51
Lowest stateArkansas ($423.81)
Highest stateAlaska ($554.38)

CPT 45380 by Georgia locality

LocalityOffice
atlanta$488.74
rest of georgia$444.86

PE GPCI ranges from 0.892 to 1.016 in Georgia. That index is why the same CPT is not one price statewide.

Colonoscopy With Biopsy and how Georgia is priced

Georgia divides into an Atlanta metro locality and a rest-of-state locality, so the fee schedule itself recognizes the cost gap between the capital region and the rest of the state. Atlanta's higher wages and rents translate into higher Medicare-approved amounts inside its locality, while Savannah, Augusta, Columbus, Macon, and rural Georgia share the lower rest-of-state pricing. The split is one of the cleaner examples of a two-tier state in the fee schedule. Patients near the locality boundary can see different approved amounts a short drive apart.

Metro Atlanta concentrates the state's academic medicine and most of its subspecialists, drawing referrals from across the Southeast. Outside the metro, south Georgia has seen repeated rural hospital closures, leaving longer trips for even routine procedures in some counties. Augusta and Savannah serve as important secondary hubs, and border residents sometimes cross into Chattanooga, Tallahassee, or Jacksonville for care.

This procedure: This is a colonoscopy during which the physician passes small forceps through the scope to take one or more tissue samples, called cold biopsies, from the colon lining. It is used when the doctor sees inflammation, an unusual patch, or needs to test for conditions like microscopic colitis, which can only be diagnosed under a microscope. From the patient's perspective it is identical to any colonoscopy: prep the day before, IV sedation, a 20 to 45 minute exam, and home the same day.

What Is Colonoscopy With Biopsy?

This is a colonoscopy during which the physician passes small forceps through the scope to take one or more tissue samples, called cold biopsies, from the colon lining. It is used when the doctor sees inflammation, an unusual patch, or needs to test for conditions like microscopic colitis, which can only be diagnosed under a microscope. From the patient's perspective it is identical to any colonoscopy: prep the day before, IV sedation, a 20 to 45 minute exam, and home the same day.

What Affects the Cost

  • Every biopsy container sent to the lab is billed separately by pathology, and workups for conditions like microscopic colitis involve samples from multiple colon segments.
  • The physician fee for 45380 is higher than the diagnostic-only code 45378 because sampling was performed.
  • Facility choice between hospital outpatient and freestanding endoscopy center remains the largest single price driver.
  • Separate anesthesia billing applies when a dedicated provider administers sedation.
  • If a polyp is also removed by snare during the same exam, an additional code (45385) is billed alongside this one.

Questions to Ask Before Booking

  • 1.Was my colonoscopy ordered as a screening or for symptoms, and how will biopsies affect what I owe under my specific plan?
  • 2.How many specimen jars might be sent to pathology and what is the charge per jar?
  • 3.Is the pathology lab in my insurance network?
  • 4.If you also remove a polyp with a snare, will both procedure codes be billed and what does that total?
  • 5.For Medicare patients: what coinsurance applies this year when a screening turns into a biopsy?

Colonoscopy With Biopsy in Georgia: questions

The 2026 Medicare physician office rate for CPT 45380 averages $466.80 across 2 Georgia localities, from $444.86 in REST OF GEORGIA to $488.74 in ATLANTA. The hospital physician rate averages $178.43. Enter a ZIP for the exact locality.

Yes. CMS splits Georgia into 2 payment localities. For this CPT the office physician fee spans $43.88 from the lowest to highest locality. Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $93 for the office physician line or $36 for the hospital physician line in Georgia. Medigap may cover that 20%. This is not the hospital facility fee.

No. $466.80 is only the physician's share. Adding Medicare's facility payment brings the total to about $1,400 in a hospital outpatient department, or about $834 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Georgia ranks #23 of 51 states on the physician line (3% below the national office rate of $479.97).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.