Key Takeaways
- The endoscopy cost in Singapore varies depending on the type of procedure, hospital or clinic, and additional services required.
- Insurance coverage and government subsidies can significantly reduce out-of-pocket expenses.
- Preparation, sedation, and specialist fees are major contributors to the total endoscopy cost.
- Understanding the factors influencing endoscopy cost helps patients plan financially and choose the most suitable healthcare provider.
Many patients in Singapore often ask, “How much does an endoscopy cost?” The final endoscopy cost depends on several factors, including the type of procedure, hospital, specialist fees, and any additional tests or interventions required. While endoscopy is an essential diagnostic tool for conditions such as ulcers, gastrointestinal bleeding, or chronic digestive symptoms, the overall price can vary widely depending on individual circumstances and healthcare settings.
Endoscopy involves inserting a flexible tube equipped with a camera into the gastrointestinal tract to visualize and, if necessary, treat abnormalities [1]. In Singapore, the cost is influenced by whether the procedure is done in a public hospital, private hospital, or specialist clinic, as well as whether sedation, biopsies, or additional imaging are needed. Understanding these cost drivers helps patients make informed healthcare decisions and manage their budget effectively.
1. Type of Endoscopy
The most significant factor affecting endoscopy cost is the type of procedure:
- Gastroscopy – Examines the upper gastrointestinal tract, including the esophagus, stomach, and duodenum.
- Colonoscopy – Inspects the large intestine and rectum.
- Combined procedures – Some patients may require both procedures, which will naturally increase the total endoscopy cost.
Gastroscopy is generally less expensive than colonoscopy because it is shorter in duration and requires simpler preparation [2]. Combined procedures or specialized endoscopies, such as double-balloon or enteroscopy, may incur higher costs due to their complexity.
2. Hospital or Clinic Choice
The healthcare facility selected plays a significant role in determining endoscopy cost:
- Public hospitals in Singapore provide lower costs due to government subsidies, particularly for Singapore Citizens and Permanent Residents.
- Private hospitals and specialist clinics may charge higher fees, reflecting convenience, shorter waiting times, and personalized care [3].
Patients should consider both cost and service quality when deciding between public and private options, particularly if urgent scheduling or specialized care is needed.
3. Specialist Fees
The experience and reputation of the gastroenterologist or endoscopist influence the endoscopy cost. Senior specialists with extensive expertise in complex procedures often command higher fees, which may be reflected in private clinics or hospitals. While this adds to cost, it may be worth it for patients with high-risk or complicated conditions.
4. Sedation and Anesthesia
Most endoscopy procedures in Singapore involve some form of sedation to improve patient comfort. The type and level of sedation significantly influence the endoscopy cost [4]:
- Minimal sedation – Usually lower cost.
- Moderate or deep sedation – Higher fees, which may include anesthetist services and monitoring during the procedure.
Patients with anxiety, low pain tolerance, or longer procedures may require deeper sedation, which increases overall cost but ensures safety and comfort.
5. Biopsies and Polyp Removal
If tissue samples (biopsies) or polyp removal are needed during the procedure, additional charges are applied. These procedures increase both the complexity and duration of the endoscopy, raising the total endoscopy cost [5]. Biopsies are important for diagnosing infections, cancer, or other gastrointestinal conditions, and while they increase cost, they provide critical information for treatment planning.
6. Diagnostic Tests
Some patients require extra tests before, during, or after endoscopy. These may include:
- Blood tests to check for anemia or clotting disorders
- Imaging studies like X-rays or ultrasounds
- Histopathology for biopsy samples
Including these diagnostic tests in your endoscopy cost estimate ensures a more realistic understanding of total expenses and avoids unexpected bills.
7. Preparation Requirements
Preparation for endoscopy varies depending on the type:
- Gastroscopy usually requires fasting for 6–8 hours.
- Colonoscopy requires bowel preparation, which may include laxatives or specialized diets.
In some cases, medications or additional consultations are needed before the procedure. These preparation steps contribute to the total endoscopy cost, and proper adherence ensures accurate results and minimizes complications.
8. Hospital Stay
While most endoscopies are outpatient procedures, certain patients may require overnight observation due to sedation effects, comorbidities, or potential complications. Hospital stay increases the overall endoscopy cost, including room charges and nursing care. Patients should discuss this possibility with their doctor, especially if they have chronic health conditions.
9. Insurance and Subsidies
Coverage can significantly offset endoscopy cost in Singapore [6]:
- Private insurance – Many plans cover part or all of the procedure.
- MediSave – Eligible Singaporeans can use MediSave for approved endoscopy procedures.
- CHAS subsidies – Community Health Assist Scheme may reduce out-of-pocket costs for eligible patients.
Understanding insurance benefits and subsidy eligibility can make endoscopy more affordable while ensuring timely care.
10. Urgency and Scheduling
Emergency or urgent endoscopies typically have higher fees due to after-hours staffing and resources. Elective procedures scheduled in advance often benefit from standard pricing and may include bundled packages, which can reduce overall endoscopy procedure cost. Planning ahead helps patients manage both logistics and expenses efficiently.
Average Endoscopy Cost in Singapore
| Procedure Type | Public Hospital (Subsidized) | Private Hospital/Clinic | Notes |
| Gastroscopy | SGD 200–600 | SGD 800–1,500 | Sedation may add SGD 100–300 |
| Colonoscopy | SGD 300–700 | SGD 1,200–2,500 | Biopsy/polyp removal extra |
| Combined Gastroscopy + Colonoscopy | SGD 500–1,000 | SGD 2,000–3,500 | Depends on sedation and additional tests |
Note: Costs are indicative and may vary depending on hospital, specialist, and additional procedures.
Tips to Manage Endoscopy Cost
- Compare hospitals and clinics – Check both public and private options for pricing and service quality.
- Verify insurance coverage – Understand what your plan covers to reduce out-of-pocket expenses.
- Check for subsidies – CHAS or MediSave options may be available for eligible Singaporeans.
- Clarify additional fees – Ask about sedation, biopsy, and lab test costs.
- Plan elective procedures – Scheduling ahead can help avoid higher fees for urgent or emergency endoscopies.
Conclusion
The endoscopy cost in Singapore depends on multiple factors, including procedure type, hospital or clinic choice, specialist fees, sedation, additional tests, and preparation. By understanding these cost drivers, patients can make informed decisions and plan their healthcare budget effectively.
Discussing options with your doctor and hospital administration ensures clarity on total costs, preparation requirements, and potential additional charges. Taking these steps allows patients to receive accurate diagnoses, appropriate treatment, and a safe healthcare experience without unexpected financial strain.
Being aware of subsidies, insurance coverage, and elective scheduling options further helps in managing the endoscopy cost while accessing quality medical care in Singapore.
References
- Mayo Clinic. (2023). Endoscopy: Uses, risks, and preparation. Mayo Foundation for Medical Education and Research. https://www.mayoclinic.org/tests-procedures/endoscopy/about/pac-20395197
- Mayo Clinic. (2023). Gastroscopy (upper endoscopy). Mayo Foundation for Medical Education and Research. https://www.mayoclinic.org/tests-procedures/endoscopy/about/pac-20395197
- American Society for Gastrointestinal Endoscopy (ASGE). (2021). Guidelines for endoscopy in adults. Gastrointestinal Endoscopy, 93(1), 1–24. https://doi.org/10.1016/j.gie.2020.10.041
- ASGE Technology Committee. (2017). Endoscopic accessories and devices for therapeutic endoscopy. Gastrointestinal Endoscopy, 85(2), 337–350. https://doi.org/10.1016/j.gie.2016.09.023
- Rondonotti, E., Spada, C., Adler, S. N., May, A., Despott, E. J., Koulaouzidis, A., … & Pennazio, M. (2018). Capsule endoscopy in clinical practice: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline. Endoscopy, 50(4), 357–378. https://doi.org/10.1055/a-0583-5082
- HealthHub Singapore. (2023). Understanding MediSave, insurance, and CHAS subsidies for procedures. https://www.healthhub.sg/live-healthy/1924/understanding-medisave-and-subsidies
