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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Rigid scope exam of the rectum with stretching of narrowing

CPT 45303the billing code this page is about

A rigid scope is inserted into the rectum and lower colon to look inside, and a narrowed area is widened with a dilator during the same visit.

Hospitals typically charge $1,376 cash for this outpatient procedure — the median across 396 hospitals that filed a usable cash price; the average of the middle 60% is $1,428. Most fall between $465 and $2,734 (20th–80th percentile).

Hospitals
396
States
47
Filings dated
Jun 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 396 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
$155$628$1,376$2,326$3,971

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($155 vs $3,971).

How the prices are spread

$131 – $188: 32 hospitals$131$188 – $268: 14 hospitals$268 – $383: 12 hospitals$268$383 – $547: 16 hospitals$547 – $782: 26 hospitals$547$782 – $1,116: 42 hospitals$1,116 – $1,595: 74 hospitals$1,116$1,595 – $2,278: 50 hospitals$2,278 – $3,254: 57 hospitals$2,278$3,254 – $4,648: 39 hospitals$3,254median $1,376price bands are equal on a log scale
Hospitals per price band (362 of 396 — the bands cover the 5th to 95th percentile)
FromToHospitals
$131$18832
$188$26814
$268$38312
$383$54716
$547$78226
$782$1,11642
$1,116$1,59574
$1,595$2,27850
$2,278$3,25457
$3,254$4,64839

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,376
Cash as a multiple of Medicare1.13×

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 $1,376.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,110 across 12 hospitalsWA$1,110Idaho: 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: median $1,973 across 12 hospitalsMN$1,973Illinois: median $720 across 18 hospitalsIL$720Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $171 across 12 hospitalsMI$171New York: median $1,395 across 26 hospitalsNY$1,395Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $196 across 14 hospitalsOR$196Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,326 across 20 hospitalsIA$2,326Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $364 across 11 hospitalsOH$364Pennsylvania: median $1,376 across 15 hospitalsPA$1,376New Jersey: median $3,786 across 28 hospitalsNJ$3,786Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,016 across 48 hospitalsCA$3,016Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,891 across 10 hospitalsNE$1,891Missouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $92 across 14 hospitalsWV$92Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $141 across 16 hospitalsOK$141Louisiana: median $628 across 11 hospitalsLA$628Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,376. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$3,786+175%$1,306 – $5,419
California CA48$3,016+119%$1,096 – $4,648
Iowa IA20$2,326+69%$1,363 – $2,326
Minnesota MN12$1,973+43%$1,502 – $1,973
Nebraska NE10$1,891+37%$1,063 – $2,351
New York NY26$1,395+1%$628 – $1,420
Pennsylvania PA15$1,3760%$812 – $2,222
Washington WA12$1,110−19%$363 – $1,810
Illinois IL18$720−48%$230 – $2,075
Louisiana LA11$628−54%$496 – $1,111
Ohio OH11$364−74%$311 – $1,152
Oregon OR14$196−86%$155 – $2,734
Michigan MI12$171−88%$171 – $1,645
Oklahoma OK16$141−90%$141 – $1,247
West Virginia WV14$92−93%$91 – $1,422
Florida FL9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not 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 $1,376.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care307$1,395$496 – $3,016
Children’s7fewer than 20 hospitals
Critical access80$1,277$431 – $2,351
Ownership
For-profit33$1,166$720 – $3,222
Government60$1,247$304 – $1,948
Non-profit301$1,395$383 – $3,016
System affiliation
Part of a system319$1,395$543 – $3,016
Independent77$954$250 – $2,099

Cash price vs list price

Median list price (chargemaster)$2,242
Median cash price$1,376
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

234 hospitals filed a usable inpatient cash price for this code. The median is $1,277 and the average of the middle 60% is $1,530; most fall between $295 and $3,016.

Cash price percentiles, inpatient, across 234 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
$155$628$1,277$2,709$4,648

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($155 vs $4,648).

Of the 264 hospitals that filed this code inpatient, 234 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

396 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 453 hospitals that filed this code at all gave us
Usable cash price — counted396
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
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 — excluded13
Hospitals that filed this code453

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 23, 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 PR Proctosigmoidoscopy,Rigid,W/Dilation.

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 with stretching of narrowing (CPT 45303) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45303-rigid-scope-exam-of-the-rectum-with-stretching-of-narrowing