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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Rigid scope exam of the rectum with biopsy

CPT 45305the billing code this page is about

A rigid scope exam of the rectum and lower colon during which one or more tissue samples are taken.

Hospitals typically charge $805 cash for this outpatient procedure — the median across 821 hospitals that filed a usable cash price; the average of the middle 60% is $935. Most fall between $231 and $2,441 (20th–80th percentile).

Hospitals
821
States
49
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 821 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
$153$287$805$1,925$3,914

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($153 vs $3,914).

How the prices are spread

$106 – $155: 44 hospitals$106$155 – $226: 76 hospitals$226 – $332: 80 hospitals$226$332 – $485: 83 hospitals$485 – $711: 54 hospitals$485$711 – $1,041: 90 hospitals$1,041 – $1,524: 109 hospitals$1,041$1,524 – $2,232: 71 hospitals$2,232 – $3,268: 77 hospitals$2,232$3,268 – $4,786: 55 hospitals$3,268median $805price bands are equal on a log scale
Hospitals per price band (739 of 821 — the bands cover the 5th to 95th percentile)
FromToHospitals
$106$15544
$155$22676
$226$33280
$332$48583
$485$71154
$711$1,04190
$1,041$1,524109
$1,524$2,23271
$2,232$3,26877
$3,268$4,78655

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$805
Cash as a multiple of Medicare0.66×

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 $805.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $550 across 23 hospitalsWA$550Idaho: median $1,166 across 10 hospitalsID$1,166Montana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $477 across 22 hospitalsMN$477Illinois: median $654 across 35 hospitalsIL$654Wisconsin: median $805 across 29 hospitalsWI$805Michigan: median $212 across 32 hospitalsMI$212New York: median $1,395 across 36 hospitalsNY$1,395Massachusetts: median $2,100 across 14 hospitalsMA$2,100Oregon: median $324 across 24 hospitalsOR$324Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $397 across 29 hospitalsIA$397Indiana: median $463 across 22 hospitalsIN$463Ohio: median $2,085 across 50 hospitalsOH$2,085Pennsylvania: median $1,360 across 44 hospitalsPA$1,360New Jersey: median $1,616 across 35 hospitalsNJ$1,616Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,016 across 61 hospitalsCA$3,016Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $824 across 11 hospitalsCO$824Nebraska: median $430 across 16 hospitalsNE$430Missouri: median $358 across 14 hospitalsMO$358Kentucky: median $193 across 13 hospitalsKY$193West Virginia: median $87 across 13 hospitalsWV$87Virginia: median $310 across 15 hospitalsVA$310Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $231 across 12 hospitalsKS$231Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $174 across 10 hospitalsTN$174North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,044 across 19 hospitalsSC$1,044Oklahoma: median $120 across 14 hospitalsOK$120Louisiana: median $610 across 18 hospitalsLA$610Mississippi: median $173 across 12 hospitalsMS$173Alabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $926 across 27 hospitalsGA$926Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $749 across 49 hospitalsTX$749Florida: median $1,188 across 15 hospitalsFL$1,188
Cash price by state, most expensive first. National median $805. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA61$3,016+274%$1,498 – $4,704
Massachusetts MA14$2,100+161%$1,166 – $3,310
Ohio OH50$2,085+159%$299 – $2,567
New Jersey NJ35$1,616+101%$1,305 – $4,961
New York NY36$1,395+73%$215 – $1,494
Pennsylvania PA44$1,360+69%$119 – $2,579
Florida FL15$1,188+48%$299 – $2,388
Idaho ID10$1,166+45%$363 – $3,234
South Carolina SC19$1,044+30%$1,044 – $1,742
Georgia GA27$926+15%$926 – $3,011
Colorado CO11$824+2%$287 – $1,905
Wisconsin WI29$8050%$464 – $805
Texas TX49$749−7%$394 – $1,158
Illinois IL35$654−19%$214 – $5,770
Louisiana LA18$610−24%$298 – $993
Washington WA23$550−32%$243 – $1,676
Minnesota MN22$477−41%$163 – $937
Indiana IN22$463−43%$173 – $710
Nebraska NE16$430−47%$302 – $923
Iowa IA29$397−51%$249 – $770
Missouri MO14$358−56%$242 – $2,499
Oregon OR24$324−60%$277 – $655
Virginia VA15$310−62%$49 – $1,463
Kansas KS12$231−71%$178 – $334
Michigan MI32$212−74%$212 – $874
Kentucky KY13$193−76%$173 – $4,734
Tennessee TN10$174−78%$90 – $498
Mississippi MS12$173−78%$153 – $960
Oklahoma OK14$120−85%$120 – $1,849
West Virginia WV13$87−89%$77 – $1,477
North Carolina NC9not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $805.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care603$1,044$292 – $2,720
Children’s11fewer than 20 hospitals
Critical access204$396$173 – $976
Ownership
For-profit60$1,083$216 – $3,011
Government161$530$225 – $1,571
Non-profit597$805$242 – $2,567
System affiliation
Part of a system652$926$272 – $2,567
Independent169$363$169 – $1,460

Cash price vs list price

Median list price (chargemaster)$1,248
Median cash price$805
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

530 hospitals filed a usable inpatient cash price for this code. The median is $926 and the average of the middle 60% is $1,101; most fall between $247 and $2,567.

Cash price percentiles, inpatient, across 530 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
$148$324$926$2,388$3,907

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($148 vs $3,907).

Of the 593 hospitals that filed this code inpatient, 530 gave a usable cash price; 21 carried a plausibility flag, 9 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

821 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 901 hospitals that filed this code at all gave us
Usable cash price — counted821
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded29
Hospitals that filed this code901

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 PR Proctosigmoidoscopy,Biopsy.

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 biopsy (CPT 45305) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45305-rigid-scope-exam-of-the-rectum-with-biopsy