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Procedure price report · Colonoscopy and biopsy

Colonoscopy through a surgical stoma with biopsy

CPT 44389the billing code this page is about

Exam of the colon using a flexible scope passed through a surgical opening in the abdominal wall, with one or more tissue samples taken for testing.

Hospitals typically charge $1,338 cash for this outpatient procedure — the median across 1,198 hospitals that filed a usable cash price; the average of the middle 60% is $1,440. Most fall between $610 and $2,948 (20th–80th percentile).

Hospitals
1,198
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,198 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$419$738$1,338$2,455$4,236

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($419 vs $4,236).

How the prices are spread

$281 – $375: 43 hospitals$281$375 – $502: 81 hospitals$502 – $670: 83 hospitals$502$670 – $896: 148 hospitals$896 – $1,198: 136 hospitals$896$1,198 – $1,601: 170 hospitals$1,601 – $2,140: 129 hospitals$1,601$2,140 – $2,860: 111 hospitals$2,860 – $3,823: 102 hospitals$2,860$3,823 – $5,110: 85 hospitals$3,823median $1,338price bands are equal on a log scale
Hospitals per price band (1,088 of 1,198 — the bands cover the 5th to 95th percentile)
FromToHospitals
$281$37543
$375$50281
$502$67083
$670$896148
$896$1,198136
$1,198$1,601170
$1,601$2,140129
$2,140$2,860111
$2,860$3,823102
$3,823$5,11085

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,338
Cash as a multiple of Medicare1.09×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,338.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $626 across 11 hospitalsME$626Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $760 across 13 hospitalsNH$760Washington: median $1,000 across 28 hospitalsWA$1,000Idaho: median $2,443 across 13 hospitalsID$2,443Montana: median $1,217 across 15 hospitalsMT$1,217North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,219 across 56 hospitalsMN$1,219Illinois: median $1,216 across 39 hospitalsIL$1,216Wisconsin: median $1,786 across 43 hospitalsWI$1,786Michigan: median $964 across 41 hospitalsMI$964New York: median $1,229 across 49 hospitalsNY$1,229Massachusetts: median $2,562 across 27 hospitalsMA$2,562Oregon: median $938 across 26 hospitalsOR$938Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $984 across 35 hospitalsIA$984Indiana: median $452 across 15 hospitalsIN$452Ohio: median $2,609 across 62 hospitalsOH$2,609Pennsylvania: median $1,726 across 68 hospitalsPA$1,726New Jersey: median $1,573 across 39 hospitalsNJ$1,573Connecticut: median $4,214 across 12 hospitalsCT$4,214Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 82 hospitalsCA$2,288Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,112 across 23 hospitalsCO$1,112Nebraska: median $1,001 across 21 hospitalsNE$1,001Missouri: median $985 across 31 hospitalsMO$985Kentucky: median $458 across 17 hospitalsKY$458West Virginia: median $580 across 22 hospitalsWV$580Virginia: median $1,463 across 18 hospitalsVA$1,463Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,813 across 13 hospitalsAZ$1,813New Mexico: median $2,734 across 18 hospitalsNM$2,734Kansas: median $767 across 21 hospitalsKS$767Arkansas: median $581 across 10 hospitalsAR$581Tennessee: median $1,261 across 22 hospitalsTN$1,261North Carolina: median $1,425 across 17 hospitalsNC$1,425South Carolina: median $2,021 across 20 hospitalsSC$2,021Oklahoma: median $803 across 21 hospitalsOK$803Louisiana: median $796 across 27 hospitalsLA$796Mississippi: median $960 across 15 hospitalsMS$960Alabama: median $1,152 across 14 hospitalsAL$1,152Georgia: median $802 across 31 hospitalsGA$802Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $761 across 68 hospitalsTX$761Florida: median $2,648 across 35 hospitalsFL$2,648
Cash price by state, most expensive first. National median $1,338. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT12$4,214+215%$1,674 – $4,461
New Mexico NM18$2,734+104%$1,097 – $3,609
Florida FL35$2,648+98%$1,904 – $3,598
Ohio OH62$2,609+95%$864 – $4,115
Massachusetts MA27$2,562+91%$1,281 – $3,491
Idaho ID13$2,443+83%$1,050 – $3,234
California CA82$2,288+71%$1,260 – $4,620
South Carolina SC20$2,021+51%$759 – $2,021
Arizona AZ13$1,813+35%$625 – $7,394
Wisconsin WI43$1,786+33%$1,093 – $2,456
Pennsylvania PA68$1,726+29%$553 – $3,236
New Jersey NJ39$1,573+18%$1,306 – $5,339
Virginia VA18$1,463+9%$539 – $3,804
North Carolina NC17$1,425+6%$1,083 – $2,038
Tennessee TN22$1,261−6%$383 – $1,692
New York NY49$1,229−8%$497 – $1,605
Minnesota MN56$1,219−9%$695 – $1,923
Montana MT15$1,217−9%$344 – $2,358
Illinois IL39$1,216−9%$453 – $2,149
Alabama AL14$1,152−14%$944 – $3,430
Colorado CO23$1,112−17%$863 – $2,470
Nebraska NE21$1,001−25%$774 – $1,890
Washington WA28$1,000−25%$508 – $2,567
Missouri MO31$985−26%$603 – $2,550
Iowa IA35$984−26%$572 – $1,205
Michigan MI41$964−28%$517 – $1,786
Mississippi MS15$960−28%$712 – $1,307
Oregon OR26$938−30%$726 – $1,394
Oklahoma OK21$803−40%$281 – $2,018
Georgia GA31$802−40%$802 – $2,427
Louisiana LA27$796−41%$484 – $1,067
Kansas KS21$767−43%$416 – $1,364
Texas TX68$761−43%$485 – $2,085
New Hampshire NH13$760−43%$214 – $1,597
Maine ME11$626−53%$323 – $1,109
Arkansas AR10$581−57%$573 – $1,307
West Virginia WV22$580−57%$187 – $1,571
Kentucky KY17$458−66%$394 – $4,734
Indiana IN15$452−66%$237 – $3,624
North Dakota ND9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,338.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care890$1,414$708 – $3,253
Children’s14fewer than 20 hospitals
Critical access289$964$485 – $2,126
Ownership
For-profit125$1,368$762 – $3,490
Government224$1,184$537 – $2,523
Non-profit844$1,346$585 – $3,044
System affiliation
Part of a system951$1,387$673 – $3,236
Independent247$1,079$489 – $2,025

Cash price vs list price

Median list price (chargemaster)$2,449
Median cash price$1,338
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

751 hospitals filed a usable inpatient cash price for this code. The median is $1,329 and the average of the middle 60% is $1,425; most fall between $614 and $2,716.

Cash price percentiles, inpatient, across 751 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$416$708$1,329$2,426$3,862

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($416 vs $3,862).

Of the 815 hospitals that filed this code inpatient, 751 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,198 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,292 hospitals that filed this code at all gave us
Usable cash price — counted1,198
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded38
Hospitals that filed this code1,292

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Colonoscopy and biopsy family.

Hospitals file this code under descriptions such as Colonoscopy Stoma W/Biopsy Single/Multiple.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Colonoscopy through a surgical stoma with biopsy (CPT 44389) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44389-colonoscopy-through-a-surgical-stoma-with-biopsy