As the most common cancer in Singapore, colorectal cancer impacts approximately 45 out of every
100,000 people. Recognising the critical importance of early detection and prevention,
colonoscopy has emerged as a vital tool in the fight against this disease.
As a diagnostic and preventive procedure, colonoscopy offers several key advantages to reduce
mortality rates and improve treatment outcomes. This article explores the estimated costs
associated with this procedure.
A colonoscopy is a vital medical procedure that offers significant benefits for maintaining your colorectal health. Undergoing this procedure aids in the following:
- Early Detection of Cancer: Colonoscopy is a highly effective tool for detecting early-stage colorectal cancer, which is crucial for successful treatment and improved outcomes. In Singapore, regular colonoscopy screenings are recommended starting from the age of 45–50 for average-risk individuals.
- Removal of Polyps: Many colorectal cancers develop from polyps, abnormal growths on the inner lining of the colon. Colonoscopy allows for the identification and removal of these polyps, effectively preventing them from developing into cancer.
- Diagnosis of Bowel Conditions: Colonoscopy can help diagnose various bowel conditions, including inflammatory bowel disease, ulcerative colitis, Crohn's disease, and diverticulitis.
The cost of a colonoscopy in Singapore can vary significantly depending on several factors.
Colonoscopies performed in public healthcare institutions generally have subsidised
rates, making them a more cost-effective option for many individuals. In contrast,
procedures conducted in private hospitals and clinics typically incur higher costs.
This cost differential can be attributed to several factors, including the equipment
and technology used in private hospitals. Furthermore, private clinics often offer a
higher level of personalised service, including shorter wait times for appointments,
more individualised patient care, and potentially a more comfortable and private
environment for the procedure. These factors can contribute to a more positive
patient experience and may justify the higher costs associated with private
healthcare.
A doctor's fees can vary based on several factors, including their level of experience and expertise. Highly experienced colorectal surgeons with advanced training in techniques like endoscopic mucosal resection or polypectomy may charge higher fees. Additionally, colorectal surgeons affiliated with prestigious academic institutions or with recognised research contributions often have higher consultation fees.
The type and level of sedation or anaesthesia administered during the colonoscopy
significantly impact the overall cost of the procedure. Furthermore, the fees
charged by the anaesthesiologist can also contribute to the overall cost of the
procedure.
Moderate sedation generally results in lower costs compared to deeper levels of
sedation or general anaesthesia. Deep sedation/anaesthesia requires the presence of
an anaesthesiologist and specialised monitoring equipment, which can significantly
increase the overall cost.
If biopsies are taken during the procedure to examine tissue samples for abnormalities, additional costs will be incurred for pathology services and analysis. Similarly, if polyps are detected and removed during the colonoscopy, the cost may be higher due to the additional time and expertise required for polypectomy.
Colonoscopies are typically covered by private insurance when they are medically
necessary. The extent of insurance coverage varies significantly depending on your
coverage details. Generally, most private health insurance plans cover a substantial
portion of the colonoscopy costs, including hospital fees and surgeon's fees.
However, it is crucial to consult with your insurer directly to understand your
specific coverage and any associated out-of-pocket expenses.
For individuals aged 50 and above, MediSave can be utilised to help cover the costs
of a colonoscopy. However, there are prevailing withdrawal limits for such
procedures.
According to the Ministry of Health in Singapore, the average cost of a colonoscopy in public
hospitals typically ranges from SGD 700 to SGD 1,500. For individuals opting for private
healthcare, the cost of a colonoscopy can be substantially higher, ranging from SGD 1,200 to SGD
5,000 or more. These costs can vary depending on the complexity of the procedure, the specific
hospital, and individual patient needs.
In Singapore, MediSave can be used to cover the costs of colonoscopy treatment or surgery,
provided the treatment is deemed medically necessary by a healthcare professional. In some
cases, private insurance may also be used to cover the whole or a part of the costs. Many
insurance policies cover colonoscopy as a preventive measure, especially for individuals over a
certain age or those with a family history of colorectal cancer.
It is crucial to review your insurance coverage thoroughly to understand what portion of the costs will be covered by your plan. If you are planning to get a colonoscopy, discuss your financial options with your doctor to explore potential cost-saving strategies.