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Procedure price report · Other non-OR lower GI therapeutic procedures

Destruction of a rectal tumor through the anus

CPT 45190the billing code this page is about

A rectal tumor is destroyed rather than cut out, using heat, electric current, laser, or cryotherapy applied through the anus.

Hospitals typically charge $2,841 cash for this outpatient procedure — the median across 371 hospitals that filed a usable cash price; the average of the middle 60% is $2,910. Most fall between $1,148 and $5,047 (20th–80th percentile).

Hospitals
371
States
43
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 371 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
$876$1,281$2,841$4,836$7,204

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($876 vs $7,204).

How the prices are spread

$593 – $778: 13 hospitals$593$778 – $1,020: 30 hospitals$1,020 – $1,337: 41 hospitals$1,020$1,337 – $1,753: 34 hospitals$1,753 – $2,299: 28 hospitals$1,753$2,299 – $3,014: 42 hospitals$3,014 – $3,953: 43 hospitals$3,014$3,953 – $5,182: 57 hospitals$5,182 – $6,795: 20 hospitals$5,182$6,795 – $8,910: 31 hospitals$6,795median $2,841price bands are equal on a log scale
Hospitals per price band (339 of 371 — the bands cover the 5th to 95th percentile)
FromToHospitals
$593$77813
$778$1,02030
$1,020$1,33741
$1,337$1,75334
$1,753$2,29928
$2,299$3,01442
$3,014$3,95343
$3,953$5,18257
$5,182$6,79520
$6,795$8,91031

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,841
Cash as a multiple of Medicare1.00×

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 $2,841.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $957 across 15 hospitalsIL$957Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,290 across 16 hospitalsMI$1,290New York: median $3,245 across 30 hospitalsNY$3,245Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,743 across 19 hospitalsIA$1,743Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,709 across 11 hospitalsOH$2,709Pennsylvania: median $2,086 across 21 hospitalsPA$2,086New Jersey: median $3,786 across 24 hospitalsNJ$3,786Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,836 across 44 hospitalsCA$4,836Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 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: 4 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: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,148 across 14 hospitalsOK$1,148Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $5,047 across 27 hospitalsGA$5,047Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,998 across 22 hospitalsTX$2,998Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,841. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA27$5,047+78%$3,886 – $15,686
California CA44$4,836+70%$2,218 – $8,910
New Jersey NJ24$3,786+33%$3,035 – $5,741
New York NY30$3,245+14%$1,733 – $4,050
Texas TX22$2,998+6%$2,998 – $2,998
Ohio OH11$2,709−5%$2,628 – $3,065
Pennsylvania PA21$2,086−27%$312 – $4,637
Iowa IA19$1,743−39%$1,362 – $2,091
Michigan MI16$1,290−55%$1,146 – $3,817
Oklahoma OK14$1,148−60%$1,148 – $5,269
Illinois IL15$957−66%$874 – $1,341
Oregon OR8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not 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 $2,841.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care316$2,998$1,148 – $5,047
Children’s3fewer than 20 hospitals
Critical access51$1,840$1,145 – $4,507
Ownership
For-profit39$2,873$876 – $5,047
Government67$2,495$1,274 – $4,247
Non-profit264$2,998$1,148 – $5,047
System affiliation
Part of a system297$2,998$1,148 – $5,047
Independent74$1,678$1,109 – $3,406

Cash price vs list price

Median list price (chargemaster)$3,406
Median cash price$2,841
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

238 hospitals filed a usable inpatient cash price for this code. The median is $2,159 and the average of the middle 60% is $2,688; most fall between $1,082 and $5,047.

Cash price percentiles, inpatient, across 238 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
$693$1,148$2,159$4,836$8,910

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($693 vs $8,910).

Of the 257 hospitals that filed this code inpatient, 238 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

371 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 409 hospitals that filed this code at all gave us
Usable cash price — counted371
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
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 — excluded4
Hospitals that filed this code409

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 23, 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 Other non-OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Destruction Rectal Tumor Transanal 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, “Destruction of a rectal tumor through the anus (CPT 45190) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45190-destruction-of-a-rectal-tumor-through-the-anus