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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Rigid scope exam of the rectum and lower colon

CPT 45300the billing code this page is about

A diagnostic look at the rectum and lowest part of the colon using a rigid viewing scope passed through the anus.

Hospitals typically charge $692 cash for this outpatient procedure — the median across 1,356 hospitals that filed a usable cash price; the average of the middle 60% is $760. Most fall between $186 and $1,725 (20th–80th percentile).

Hospitals
1,356
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 1,356 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
$114$232$692$1,500$2,537

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($114 vs $2,537).

How the prices are spread

$86 – $125: 96 hospitals$86$125 – $184: 99 hospitals$184 – $269: 120 hospitals$184$269 – $395: 110 hospitals$395 – $578: 100 hospitals$395$578 – $847: 182 hospitals$847 – $1,242: 186 hospitals$847$1,242 – $1,820: 138 hospitals$1,820 – $2,668: 132 hospitals$1,820$2,668 – $3,910: 65 hospitals$2,668median $692price bands are equal on a log scale
Hospitals per price band (1,228 of 1,356 — the bands cover the 5th to 95th percentile)
FromToHospitals
$86$12596
$125$18499
$184$269120
$269$395110
$395$578100
$578$847182
$847$1,242186
$1,242$1,820138
$1,820$2,668132
$2,668$3,91065

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$692
Cash as a multiple of Medicare0.73×

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 $692.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $531 across 53 hospitalsWA$531Idaho: median $1,000 across 16 hospitalsID$1,000Montana: median $320 across 17 hospitalsMT$320North Dakota: median $506 across 10 hospitalsND$506Minnesota: median $580 across 43 hospitalsMN$580Illinois: median $510 across 56 hospitalsIL$510Wisconsin: median $552 across 46 hospitalsWI$552Michigan: median $118 across 36 hospitalsMI$118New York: median $832 across 58 hospitalsNY$832Massachusetts: median $1,807 across 27 hospitalsMA$1,807Oregon: median $236 across 38 hospitalsOR$236Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,402 across 12 hospitalsSD$1,402Iowa: median $302 across 40 hospitalsIA$302Indiana: median $456 across 26 hospitalsIN$456Ohio: median $636 across 59 hospitalsOH$636Pennsylvania: median $1,069 across 51 hospitalsPA$1,069New Jersey: median $3,470 across 39 hospitalsNJ$3,470Connecticut: median $832 across 10 hospitalsCT$832Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,613 across 95 hospitalsCA$1,613Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $252 across 14 hospitalsCO$252Nebraska: median $429 across 31 hospitalsNE$429Missouri: median $623 across 32 hospitalsMO$623Kentucky: median $617 across 25 hospitalsKY$617West Virginia: median $481 across 26 hospitalsWV$481Virginia: median $1,059 across 33 hospitalsVA$1,059Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,391 across 18 hospitalsAZ$1,391New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $187 across 29 hospitalsKS$187Arkansas: median $709 across 14 hospitalsAR$709Tennessee: median $263 across 20 hospitalsTN$263North Carolina: median $1,397 across 17 hospitalsNC$1,397South Carolina: median $729 across 26 hospitalsSC$729Oklahoma: median $151 across 22 hospitalsOK$151Louisiana: median $526 across 23 hospitalsLA$526Mississippi: median $200 across 15 hospitalsMS$200Alabama: median $1,020 across 14 hospitalsAL$1,020Georgia: median $686 across 47 hospitalsGA$686Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,095 across 99 hospitalsTX$1,095Florida: median $1,615 across 45 hospitalsFL$1,615
Cash price by state, most expensive first. National median $692. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ39$3,470+402%$1,010 – $4,881
Massachusetts MA27$1,807+161%$718 – $2,540
Florida FL45$1,615+133%$281 – $2,871
California CA95$1,613+133%$848 – $2,537
South Dakota SD12$1,402+103%$1,088 – $1,916
North Carolina NC17$1,397+102%$692 – $4,832
Arizona AZ18$1,391+101%$296 – $1,500
Texas TX99$1,095+58%$361 – $1,650
Pennsylvania PA51$1,069+55%$506 – $1,858
Virginia VA33$1,059+53%$641 – $1,189
Alabama AL14$1,020+48%$154 – $3,216
Idaho ID16$1,000+45%$285 – $2,509
Connecticut CT10$832+20%$253 – $1,276
New York NY58$832+20%$134 – $1,450
South Carolina SC26$729+5%$647 – $1,071
Arkansas AR14$709+3%$208 – $2,850
Georgia GA47$686−1%$482 – $715
Ohio OH59$636−8%$208 – $2,372
Missouri MO32$623−10%$176 – $2,261
Kentucky KY25$617−11%$119 – $1,025
Minnesota MN43$580−16%$229 – $1,751
Wisconsin WI46$552−20%$301 – $682
Washington WA53$531−23%$236 – $1,642
Louisiana LA23$526−24%$370 – $750
Illinois IL56$510−26%$185 – $2,166
North Dakota ND10$506−27%$103 – $1,638
West Virginia WV26$481−31%$52 – $1,091
Indiana IN26$456−34%$114 – $710
Nebraska NE31$429−38%$187 – $871
Montana MT17$320−54%$103 – $714
Iowa IA40$302−56%$186 – $617
Tennessee TN20$263−62%$136 – $673
Colorado CO14$252−64%$119 – $1,198
Oregon OR38$236−66%$112 – $1,124
Mississippi MS15$200−71%$110 – $540
Kansas KS29$187−73%$98 – $880
Oklahoma OK22$151−78%$151 – $882
Michigan MI36$118−83%$86 – $552
Alaska AK9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not 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 $692.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care989$863$248 – $2,138
Children’s18fewer than 20 hospitals
Critical access344$279$116 – $848
Ownership
For-profit127$934$368 – $2,300
Government255$482$162 – $1,196
Non-profit969$696$191 – $1,863
System affiliation
Part of a system1,092$729$214 – $1,916
Independent264$331$117 – $1,135

Cash price vs list price

Median list price (chargemaster)$1,122
Median cash price$692
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

917 hospitals filed a usable inpatient cash price for this code. The median is $715 and the average of the middle 60% is $816; most fall between $198 and $1,650.

Cash price percentiles, inpatient, across 917 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
$114$263$715$1,500$2,372

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($114 vs $2,372).

Of the 1,002 hospitals that filed this code inpatient, 917 gave a usable cash price; 41 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,356 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,476 hospitals that filed this code at all gave us
Usable cash price — counted1,356
Cash price carrying a plausibility flag — shown on the compare tool, excluded here75
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded43
Hospitals that filed this code1,476

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 Proctosgmdsc Rgd Dx W/WO Collj Spec Br/Wa Spx.

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, “Rigid scope exam of the rectum and lower colon (CPT 45300) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45300-rigid-scope-exam-of-the-rectum-and-lower-colon