HRHospitalRates.comCompare prices

Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Biopsy of the rectal wall through the anus

CPT 45100the billing code this page is about

A tissue sample is taken from the wall of the rectum or anal area using instruments passed through the anal opening.

Hospitals typically charge $2,218 cash for this outpatient procedure — the median across 1,082 hospitals that filed a usable cash price; the average of the middle 60% is $2,415. Most fall between $617 and $5,610 (20th–80th percentile).

Hospitals
1,082
States
50
Filings dated
Mar 2023 – 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 1,082 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
$456$731$2,218$4,463$7,559

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($456 vs $7,559).

How the prices are spread

$324 – $456: 64 hospitals$324$456 – $643: 134 hospitals$643 – $905: 97 hospitals$643$905 – $1,276: 54 hospitals$1,276 – $1,797: 74 hospitals$1,276$1,797 – $2,532: 108 hospitals$2,532 – $3,568: 144 hospitals$2,532$3,568 – $5,027: 124 hospitals$5,027 – $7,083: 86 hospitals$5,027$7,083 – $9,979: 98 hospitals$7,083median $2,218price bands are equal on a log scale
Hospitals per price band (983 of 1,082 — the bands cover the 5th to 95th percentile)
FromToHospitals
$324$45664
$456$643134
$643$90597
$905$1,27654
$1,276$1,79774
$1,797$2,532108
$2,532$3,568144
$3,568$5,027124
$5,027$7,08386
$7,083$9,97998

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,218
Cash as a multiple of Medicare0.78×

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 $2,218.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $412 across 10 hospitalsME$412Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,022 across 33 hospitalsWA$3,022Idaho: median $3,047 across 10 hospitalsID$3,047Montana: median $639 across 12 hospitalsMT$639North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,501 across 31 hospitalsMN$1,501Illinois: median $1,726 across 38 hospitalsIL$1,726Wisconsin: median $1,593 across 46 hospitalsWI$1,593Michigan: median $1,593 across 55 hospitalsMI$1,593New York: median $3,245 across 55 hospitalsNY$3,245Massachusetts: median $3,581 across 20 hospitalsMA$3,581Oregon: median $845 across 28 hospitalsOR$845Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $740 across 30 hospitalsIA$740Indiana: median $919 across 22 hospitalsIN$919Ohio: median $1,278 across 27 hospitalsOH$1,278Pennsylvania: median $2,560 across 37 hospitalsPA$2,560New Jersey: median $3,885 across 33 hospitalsNJ$3,885Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,056 across 73 hospitalsCA$4,056Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,620 across 20 hospitalsCO$1,620Nebraska: median $735 across 13 hospitalsNE$735Missouri: median $2,975 across 28 hospitalsMO$2,975Kentucky: median $493 across 15 hospitalsKY$493West Virginia: median $821 across 19 hospitalsWV$821Virginia: median $1,914 across 35 hospitalsVA$1,914Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $7,393 across 11 hospitalsAZ$7,393New Mexico: median $5,875 across 12 hospitalsNM$5,875Kansas: median $520 across 19 hospitalsKS$520Arkansas: median $1,568 across 11 hospitalsAR$1,568Tennessee: median $1,160 across 23 hospitalsTN$1,160North Carolina: median $3,468 across 22 hospitalsNC$3,468South Carolina: median $3,525 across 19 hospitalsSC$3,525Oklahoma: median $633 across 15 hospitalsOK$633Louisiana: median $1,854 across 26 hospitalsLA$1,854Mississippi: median $575 across 20 hospitalsMS$575Alabama: median $2,662 across 16 hospitalsAL$2,662Georgia: median $1,950 across 23 hospitalsGA$1,950Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,738 across 68 hospitalsTX$2,738Florida: median $4,288 across 40 hospitalsFL$4,288
Cash price by state, most expensive first. National median $2,218. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ11$7,393+233%$3,406 – $7,393
New Mexico NM12$5,875+165%$1,174 – $7,462
Florida FL40$4,288+93%$2,598 – $11,474
California CA73$4,056+83%$2,218 – $9,979
New Jersey NJ33$3,885+75%$3,038 – $6,311
Massachusetts MA20$3,581+61%$842 – $3,949
South Carolina SC19$3,525+59%$3,525 – $4,935
North Carolina NC22$3,468+56%$1,361 – $3,612
New York NY55$3,245+46%$562 – $6,165
Idaho ID10$3,047+37%$842 – $7,189
Washington WA33$3,022+36%$575 – $6,146
Missouri MO28$2,975+34%$740 – $6,600
Texas TX68$2,738+23%$1,886 – $7,230
Alabama AL16$2,662+20%$847 – $5,357
Pennsylvania PA37$2,560+15%$205 – $4,637
Georgia GA23$1,950−12%$1,950 – $4,862
Virginia VA35$1,914−14%$1,280 – $5,015
Louisiana LA26$1,854−16%$829 – $2,946
Illinois IL38$1,726−22%$708 – $6,905
Colorado CO20$1,620−27%$527 – $7,489
Michigan MI55$1,593−28%$506 – $6,615
Wisconsin WI46$1,593−28%$580 – $2,051
Arkansas AR11$1,568−29%$678 – $3,585
Minnesota MN31$1,501−32%$625 – $2,627
Ohio OH27$1,278−42%$351 – $9,312
Tennessee TN23$1,160−48%$510 – $1,160
Indiana IN22$919−59%$382 – $3,353
Oregon OR28$845−62%$562 – $6,451
West Virginia WV19$821−63%$338 – $3,545
Iowa IA30$740−67%$514 – $816
Nebraska NE13$735−67%$504 – $2,519
Montana MT12$639−71%$446 – $1,763
Oklahoma OK15$633−71%$633 – $5,364
Mississippi MS20$575−74%$423 – $2,082
Kansas KS19$520−77%$455 – $1,248
Kentucky KY15$493−78%$324 – $11,012
Maine ME10$412−81%$317 – $1,282
New Hampshire NH9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not 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 $2,218.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care804$2,997$740 – $6,451
Children’s39$1,726$674 – $5,945
Critical access236$800$498 – $2,086
Ownership
For-profit79$2,745$656 – $7,393
Government199$1,247$583 – $3,582
Non-profit801$2,419$633 – $5,875
System affiliation
Part of a system868$2,580$661 – $6,146
Independent214$934$502 – $3,406

Cash price vs list price

Median list price (chargemaster)$3,810
Median cash price$2,218
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

697 hospitals filed a usable inpatient cash price for this code. The median is $2,086 and the average of the middle 60% is $2,454; most fall between $633 and $6,148.

Cash price percentiles, inpatient, across 697 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
$458$740$2,086$4,750$8,261

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($458 vs $8,261).

Of the 760 hospitals that filed this code inpatient, 697 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 45 a list price only.

How complete is this

1,082 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,173 hospitals that filed this code at all gave us
Usable cash price — counted1,082
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded38
Hospitals that filed this code1,173

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 Sigmoidoscopy, proctoscopy, and anoscopy family.

Hospitals file this code under descriptions such as Bx Anorectal Wall Anal Approach.

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, “Biopsy of the rectal wall through the anus (CPT 45100) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45100-biopsy-of-the-rectal-wall-through-the-anus