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Procedure price report · Colonoscopy and biopsy

Colonoscopy through a stoma with ultrasound imaging

CPT 44406the billing code this page is about

Exam of the colon through a surgical opening in the abdominal wall, using a scope with an ultrasound probe to image the bowel wall and nearby tissue.

Hospitals typically charge $1,611 cash for this outpatient procedure — the median across 341 hospitals that filed a usable cash price; the average of the middle 60% is $1,967. Most fall between $784 and $3,505 (20th–80th percentile).

Hospitals
341
States
37
Filings dated
Nov 2024 – 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 341 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
$435$1,099$1,611$3,220$4,222

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($435 vs $4,222).

How the prices are spread

$348 – $452: 21 hospitals$348$452 – $588: 6 hospitals$588 – $764: 23 hospitals$588$764 – $993: 12 hospitals$993 – $1,291: 20 hospitals$993$1,291 – $1,679: 78 hospitals$1,679 – $2,182: 12 hospitals$1,679$2,182 – $2,836: 54 hospitals$2,836 – $3,686: 41 hospitals$2,836$3,686 – $4,792: 40 hospitals$3,686median $1,611price bands are equal on a log scale
Hospitals per price band (307 of 341 — the bands cover the 5th to 95th percentile)
FromToHospitals
$348$45221
$452$5886
$588$76423
$764$99312
$993$1,29120
$1,291$1,67978
$1,679$2,18212
$2,182$2,83654
$2,836$3,68641
$3,686$4,79240

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,611
Cash as a multiple of Medicare1.32×

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 $1,611.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $1,449 across 18 hospitalsIL$1,449Wisconsin: median $2,322 across 20 hospitalsWI$2,322Michigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $1,395 across 19 hospitalsNY$1,395Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $629 across 14 hospitalsIA$629Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $3,321 across 41 hospitalsOH$3,321Pennsylvania: median $936 across 17 hospitalsPA$936New Jersey: median $3,222 across 24 hospitalsNJ$3,222Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,222 across 44 hospitalsCA$4,222Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $375 across 15 hospitalsOK$375Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $1,611 across 15 hospitalsGA$1,611Hawaii: no hospital in the corpus filed a usable priceHITexas: median $1,522 across 20 hospitalsTX$1,522Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,611. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA44$4,222+162%$2,704 – $4,222
Ohio OH41$3,321+106%$2,495 – $3,526
New Jersey NJ24$3,222+100%$1,305 – $5,419
Wisconsin WI20$2,322+44%$1,467 – $2,322
Georgia GA15$1,6110%$1,611 – $1,611
Texas TX20$1,522−6%$1,162 – $2,190
Illinois IL18$1,449−10%$651 – $3,124
New York NY19$1,395−13%$941 – $1,420
Pennsylvania PA17$936−42%$98 – $1,993
Iowa IA14$629−61%$629 – $779
Oklahoma OK15$375−77%$375 – $2,178
Louisiana LA9not enough hospitals filed a usable price
Michigan MI9not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
Vermont VT1not 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 $1,611.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care296$1,611$779 – $3,526
Children’s6fewer than 20 hospitals
Critical access36$1,654$629 – $3,209
Ownership
For-profit26$1,611$760 – $2,495
Government49$1,522$960 – $3,082
Non-profit263$1,713$760 – $3,526
System affiliation
Part of a system300$1,645$836 – $3,526
Independent41$1,162$490 – $2,958

Cash price vs list price

Median list price (chargemaster)$3,484
Median cash price$1,611
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

256 hospitals filed a usable inpatient cash price for this code. The median is $2,322 and the average of the middle 60% is $2,311; most fall between $934 and $3,820.

Cash price percentiles, inpatient, across 256 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
$449$1,241$2,322$3,401$4,484

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($449 vs $4,484).

Of the 297 hospitals that filed this code inpatient, 256 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

341 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 380 hospitals that filed this code at all gave us
Usable cash price — counted341
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code380

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 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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/Endoscopic Ultrasound Exam.

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 stoma with ultrasound imaging (CPT 44406) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44406-colonoscopy-through-a-stoma-with-ultrasound-imaging