Colonoscopy Price in the Philippines 2026: Hospital Costs & PhilHealth

A colonoscopy does not have one standard nationwide price in the Philippines. Among hospital package prices current published net-of-PhilHealth examples range from ₱6,600 to ₱24,000+, while qualified PhilHealth members may be able to receive a screening colonoscopy with no cash out under participating programs.
The final amount depends heavily on whether the quotation includes the gastroenterologist’s professional fee, sedation or anesthesia, operating/endoscopy room, medicines, supplies, biopsy, polyp removal, and pathology.
An endoscopy through the mouth is the counterpart procedure for the upper digestive tract. You can check the endoscopy cost.
Colonoscopy Price in the Philippines: Quick Comparison
| Facility / Price Type | Published Price | What the Price Means |
|---|---|---|
| Healthway QualiMed Manila | ₱0 for eligible PhilHealth members | Current PhilHealth-covered program; screening and assessment requirements apply |
| St. Elizabeth Hospital, General Santos | ₱6,600 | Net of PhilHealth; OR fees, medicines, and supplies listed |
| Señor Sto. Niño Hospital, Tarlac | ₱15,291.64 | Listed as net of discount/PhilHealth |
| Marikina Valley Medical Center | Starts at ₱24,000 | Net of PhilHealth; doctor PF, OR services/supplies, and post-op care included |
| Bicol Medical Center | ₱5,500 procedure fee | 2025 government schedule; additional accessories can be charged separately |
These are published facility examples, not a Philippine national average. The packages are also not identical, so a lower price does not automatically mean a lower total bill.
Actual Published Colonoscopy Prices at Philippine Hospitals
St. Elizabeth Hospital — ₱6,600 Net of PhilHealth
St. Elizabeth Hospital in General Santos City currently displays a colonoscopy package at ₱6,600 net of PhilHealth.
The hospital specifically lists:
- Operating room fees
- Medicines
- Supplies
The published package does not explicitly list the doctor’s professional fee among those inclusions, so patients should confirm whether professional and anesthesia or sedation fees are already covered before booking.
Señor Sto. Niño Hospital — ₱15,291.64
Señor Sto. Niño Hospital in Camiling, Tarlac currently lists its colonoscopy package at ₱15,291.64 net of discount/PhilHealth.
Its public package table does not provide a detailed breakdown of what is included, so ask the billing or endoscopy unit whether gastroenterologist, anesthesiologist, medicines, biopsy, and pathology charges are part of that amount.
Marikina Valley Medical Center — Starts at ₱24,000
Marikina Valley Medical Center publishes a colonoscopy package starting at ₱24,000 net of PhilHealth for non-emergency, uncomplicated cases.
Its stated inclusions are:
- Doctor’s professional fee
- Operating room services and supplies
- Post-operative care
Because the hospital uses the wording “starts at,” more complicated cases or additional procedures can cost more.
Healthway QualiMed Manila — Free for Eligible PhilHealth Members
Healthway QualiMed Manila currently states that its colonoscopy procedure is free for eligible PhilHealth members under its program.
The facility says patients must be enrolled in PhilHealth, undergo eligibility screening, and have a doctor’s request or referral. Additional tests, medicines, consultations, or procedures may still result in separate charges.
Why Some Colonoscopy Prices Look Much Lower Than Others
One of the easiest mistakes to make is comparing a procedure fee with an all-in package.
Bicol Medical Center’s 2025 Citizen’s Charter, for example, lists ₱5,500 for colonoscopy/bronchoscopy, but it also publishes separate accessory charges. A biopsy forceps or snare is listed at ₱1,500, while other accessories can add further cost.
A private package may already bundle some of those charges.
So when a hospital says “colonoscopy ₱6,000” and another says “₱20,000,” the two numbers may not represent the same thing.
What Can Be Charged Separately?
| Possible Extra Cost | Why It May Apply |
|---|---|
| Gastroenterologist professional fee | Not included in every facility quotation |
| Anesthesiologist / sedation | May be billed separately depending on the package |
| Biopsy | Tissue may be taken from a suspicious area |
| Polypectomy | Polyps may be removed during the procedure |
| Pathology / histopathology | Removed tissue may need laboratory examination |
| Endoscopy accessories | Snare, biopsy forceps, clips, and other devices may be required |
| Bowel-preparation medicine | Usually required before the examination |
| Pre-procedure consultation | Some hospitals require assessment first |
| Laboratory/ECG testing | May be requested before sedation depending on the patient |
| Additional medicines or supplies | Depends on the procedure and findings |
Do not ask only “Magkano ang colonoscopy?”
Ask whether the quotation is the final package price and exactly what is included.
Colonoscopy With Biopsy or Polyp Removal Can Cost More
A basic diagnostic colonoscopy and a therapeutic colonoscopy are not necessarily billed the same way. This is also reflected in PhilHealth’s procedure case-rate schedule.
| PhilHealth Procedure | Case Rate |
|---|---|
| Diagnostic flexible colonoscopy, RVS 45378 | ₱23,634 |
| Colonoscopy with biopsy, RVS 45380 | ₱23,634 |
| Colonoscopy with control of bleeding, RVS 45382 | ₱35,100 |
| Colonoscopy with snare removal of polyp/lesion, RVS 45385 | ₱35,100 |
For diagnostic colonoscopy code 45378, PhilHealth’s published first case rate is divided into ₱10,530 health-facility fee + ₱13,104 professional fee. These are PhilHealth benefit rates, not a hospital’s advertised cash price. That distinction is important.
Does PhilHealth Cover Colonoscopy?
Yes. PhilHealth currently has both screening and procedure-case-rate coverage relevant to colonoscopy.
For eligible colorectal cancer screening, PhilHealth established a ₱23,640 colonoscopy screening benefit. The policy also states that the cancer-screening package is subject to no copayment and no balance billing at participating public or private facilities. The package covers direct and indirect costs of the test as well as professional fees.
PhilHealth also maintains All Case Rates for diagnostic and therapeutic colonoscopy procedures, including diagnostic colonoscopy, biopsy, and polypectomy.
Who May Qualify for PhilHealth Colorectal Cancer Screening?
PhilHealth’s current colorectal-screening policy identifies the target population as:
- Adults 45 to 75 years old, or
- People with specified risk factors, including certain family histories and conditions such as familial adenomatous polyposis, Lynch syndrome, or inflammatory bowel disease with colitis.
PhilHealth identifies the fecal immunochemical test (FIT) as the preferred first-line stool test. Its quality standards state that colonoscopy may be performed following a positive FIT or FOBT result under the screening pathway.
This means the ₱23,640 benefit should not be interpreted as “any Filipino can walk into any hospital and receive a free colonoscopy.”
Eligibility, referral, facility accreditation, and the clinical screening pathway matter.
Some readers ask about cleansing preparations and alternatives before booking a scope. You can check the colon cleansing cost to see how it compares.
A Real Example of PhilHealth No-Cash-Out Colonoscopy
Healthway QualiMed Manila’s current PhilHealth-covered program provides a useful example of how the benefit can work in practice.
The hospital states that eligible PhilHealth members can receive the colonoscopy procedure free under the program, but a doctor’s referral is required and patients undergo screening or pre-operative assessment first.
Before going to a hospital, ask:
- Do you participate in the PhilHealth outpatient colonoscopy screening benefit?
- Am I eligible under the current screening criteria?
- Do I need a YAKAP or primary-care referral?
- Is the doctor performing the colonoscopy PhilHealth-accredited?
- Will anything be charged outside the PhilHealth package?
Public vs Private Hospital Colonoscopy Cost
It is tempting to say simply that government hospitals are cheaper, but published rates are not always directly comparable.
Bicol Medical Center’s 2025 government schedule lists a ₱5,500 colonoscopy/bronchoscopy fee plus accessories, whereas current private-provider pages show net-of-PhilHealth packages ranging from ₱6,600 to ₱24,000+ depending on the hospital and inclusions.
The government figure may represent a base or procedure charge rather than the complete amount you will ultimately pay.
For a fair comparison, ask every facility for an all-in written estimate.
Colonoscopy Prices by Location: Published Facility Examples
Rather than inventing city-wide averages, here are real facility examples.
| Location | Facility | Published Example |
|---|---|---|
| Manila | Healthway QualiMed Manila | ₱0 for eligible PhilHealth patients under program |
| Marikina | Marikina Valley Medical Center | Starts at ₱24,000 net of PhilHealth |
| Camiling, Tarlac | Señor Sto. Niño Hospital | ₱15,291.64 net of discount/PhilHealth |
| General Santos | St. Elizabeth Hospital | ₱6,600 net of PhilHealth |
| Naga City | Bicol Medical Center | ₱5,500 procedure fee + possible accessories |
These should be treated as facility examples—not Manila, Tarlac, General Santos, or Naga “average prices.”
Does an HMO Cover Colonoscopy?
It may, depending on your plan and why the procedure is being performed.
Do not rely on generic claims such as “all HMOs cover ₱20,000” because coverage limits and exclusions differ significantly between plans.
Before the procedure, ask your HMO:
- Is colonoscopy covered under my plan?
- Is a doctor’s referral required?
- Do I need an LOA or pre-authorization?
- Is the gastroenterologist accredited?
- Is the anesthesiologist covered?
- Are biopsy and pathology covered?
- Is polypectomy covered if a polyp is found?
- Is the endoscopy room or facility charge included?
- What is my remaining annual benefit limit?
Get the authorization before the procedure where your plan requires it.
Senior Citizen Discount for Colonoscopy
Qualified senior citizens are entitled under Republic Act No. 9994 to a 20% discount and VAT exemption, when applicable, on medical services, diagnostic/laboratory fees, and professional fees in private healthcare facilities.
The law also provides for free medical, dental, diagnostic, and laboratory services in government facilities subject to the applicable rules.
Because PhilHealth, hospital packages, and senior discounts can interact differently depending on billing, do not simply subtract 20% from a published “net of PhilHealth” package yourself.
Ask the hospital billing department for the actual computation.
PWD Discount for Colonoscopy
Qualified persons with disability are entitled to at least a 20% discount and VAT exemption on eligible medical services and diagnostic/laboratory services under Republic Act No. 10754 and its implementing rules.
Again, ask the hospital how the PWD benefit is applied together with PhilHealth or an existing package price.
Do You Need a Doctor’s Request for a Colonoscopy?
Policies can vary, but you should expect to have a medical consultation or referral before the procedure.
For example, Healthway QualiMed Manila requires a doctor’s request or referral for its PhilHealth-covered colonoscopy program and conducts a pre-operative consultation or screening to assess eligibility and readiness.
If you already have a gastroenterologist, ask where the doctor performs colonoscopy and whether the doctor’s professional fee is included in the hospital’s quoted package.
What Preparation Is Needed?
Your healthcare team will give you the exact instructions.
Typical preparation may include:
- Following a special diet before the procedure
- Taking bowel-preparation medicine
- Discussing medicines that may need adjustment
Healthway also notes that sedation may be used when appropriate.
Do not change prescription medication on your own. Follow the instructions from the healthcare professional managing your procedure.
How Long Does a Colonoscopy Take?
Healthway states that the procedure itself typically takes around 30 to 60 minutes, although the overall visit can be longer because of preparation and recovery.
If sedation is used, ask the facility about recovery arrangements and whether you need someone to accompany you home.
What to Ask Before Booking
The most useful question is not simply “How much?”
Ask:
- Is this the total colonoscopy price?
- Is the gastroenterologist’s professional fee included?
- Is sedation included?
- Is the anesthesiologist’s fee included?
- Are operating/endoscopy room charges included?
- Are medicines and supplies included?
- Is biopsy included if needed?
- How much does polyp removal add?
- Is pathology or histopathology charged separately?
- Is bowel preparation included?
- Do I need pre-procedure laboratory tests?
- Can I use PhilHealth?
- Do you participate in the ₱23,640 PhilHealth screening benefit?
- Is my HMO accepted?
- Does my senior citizen or PWD benefit apply?
- How long will results take?
If the facility cannot give one all-in amount in advance, ask for the expected minimum and possible additional charges.
Frequently Asked Questions
Magkano ang colonoscopy sa Pilipinas?
Current provider-published net-of-PhilHealth package examples reviewed by CareCost PH range from ₱6,600 at St. Elizabeth Hospital to ₱24,000+ at Marikina Valley Medical Center. Señor Sto. Niño Hospital lists ₱15,291.64.
These are facility examples rather than a national average.
Can Colonoscopy Be Free With PhilHealth?
Yes, qualifying patients may receive screening colonoscopy under PhilHealth’s outpatient cancer-screening benefit.
PhilHealth sets the screening package at ₱23,640, and its policy provides no copayment or balance billing under the benefit at participating facilities. Eligibility and referral requirements apply.
Is Biopsy Included in the Colonoscopy Price?
Not necessarily.
Always ask the hospital. Packages differ, and pathology may also be a separate charge even when biopsy equipment is included.
Does Removing a Polyp Cost Extra?
It can.
PhilHealth itself uses different procedure rates for diagnostic colonoscopy versus certain therapeutic colonoscopies such as snare polypectomy, showing that the procedure category changes when treatment is performed.
Do I Need a Referral?
Facility policies differ.
Healthway’s PhilHealth-covered program specifically requires a doctor’s request or referral. Confirm the requirement with your chosen endoscopy unit.
Is Sedation Automatically Included?
No.
Some packages may include it while others may charge sedation or the anesthesiologist separately. Ask specifically before comparing two hospital quotes.
How CareCost PH Checked These Prices
CareCost PH reviewed publicly available information from Philippine hospitals and official PhilHealth documents.
We gave priority to current provider pages and government sources rather than copying hospital prices from third-party blogs.
Where a provider publishes a price “net of PhilHealth,” we preserve that wording instead of presenting it as a general cash price.
Where a government document lists a procedure fee rather than an all-inclusive package, we identify it as such.
Prices and benefit information checked: September 21, 2026.
You can read our How We Research Prices page for more information about our methodology.
Before You Book
For a straightforward colonoscopy, the published number can be only part of the story.
A ₱6,600 package that excludes professional or anesthesia fees could ultimately cost more than a higher package that includes them.
Before choosing a facility, get an itemized quotation showing:
Procedure + doctor PF + anesthesia/sedation + room/facility + supplies + possible biopsy/polypectomy + pathology.
Then apply your PhilHealth, HMO, senior, or PWD benefits to the correct eligible components.
That is the most reliable way to know what you may actually pay.
Medical note: Prices are provided for general information and can change. Confirm the current rate and inclusions directly with the facility. Whether you need a colonoscopy should be discussed with a qualified healthcare professional.







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