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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Rigid rectal scope with removal of one polyp by cautery

CPT 45308the billing code this page is about

A rigid scope is inserted into the rectum and lower colon and a single polyp or growth is removed using heated forceps or electric cautery.

Hospitals typically charge $1,321 cash for this outpatient procedure — the median across 377 hospitals that filed a usable cash price; the average of the middle 60% is $1,849. Most fall between $247 and $4,836 (20th–80th percentile).

Hospitals
377
States
45
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 377 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
$140$266$1,321$3,817$5,855

The most expensive tenth of hospitals charges at least 42× what the cheapest tenth charges ($140 vs $5,855).

How the prices are spread

$95 – $148: 23 hospitals$95$148 – $230: 35 hospitals$230 – $359: 41 hospitals$230$359 – $559: 43 hospitals$559 – $870: 19 hospitals$559$870 – $1,355: 12 hospitals$1,355 – $2,111: 24 hospitals$1,355$2,111 – $3,287: 55 hospitals$3,287 – $5,120: 45 hospitals$3,287$5,120 – $7,973: 46 hospitals$5,120median $1,321price bands are equal on a log scale
Hospitals per price band (343 of 377 — the bands cover the 5th to 95th percentile)
FromToHospitals
$95$14823
$148$23035
$230$35941
$359$55943
$559$87019
$870$1,35512
$1,355$2,11124
$2,111$3,28755
$3,287$5,12045
$5,120$7,97346

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,321
Cash as a multiple of Medicare0.47×

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 $1,321.

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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 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: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $199 across 12 hospitalsIL$199Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $259 across 23 hospitalsMI$259New York: median $3,245 across 26 hospitalsNY$3,245Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $445 across 20 hospitalsIA$445Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,968 across 34 hospitalsOH$2,968Pennsylvania: median $1,066 across 20 hospitalsPA$1,066New Jersey: median $4,216 across 25 hospitalsNJ$4,216Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,836 across 38 hospitalsCA$4,836Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 1 hospital 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: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $139 across 12 hospitalsOK$139Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 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: median $1,671 across 20 hospitalsTX$1,671Florida: median $2,032 across 12 hospitalsFL$2,032
Cash price by state, most expensive first. National median $1,321. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA38$4,836+266%$4,836 – $5,130
New Jersey NJ25$4,216+219%$3,035 – $5,741
New York NY26$3,245+146%$401 – $3,245
Ohio OH34$2,968+125%$435 – $8,200
Florida FL12$2,032+54%$2,032 – $10,250
Texas TX20$1,671+26%$671 – $2,713
Pennsylvania PA20$1,066−19%$55 – $4,461
Iowa IA20$445−66%$356 – $787
Michigan MI23$259−80%$256 – $259
Illinois IL12$199−85%$158 – $414
Oklahoma OK12$139−90%$139 – $139
Wisconsin WI9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Colorado CO3not 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
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not 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 Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,321.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care301$2,125$259 – $4,836
Children’s10fewer than 20 hospitals
Critical access65$383$152 – $787
Ownership
For-profit28$1,166$199 – $4,599
Government56$787$256 – $3,245
Non-profit292$1,671$256 – $4,836
System affiliation
Part of a system305$1,967$256 – $5,110
Independent72$592$198 – $2,676

Cash price vs list price

Median list price (chargemaster)$960
Median cash price$1,321
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

232 hospitals filed a usable inpatient cash price for this code. The median is $1,671 and the average of the middle 60% is $2,263; most fall between $211 and $5,130.

Cash price percentiles, inpatient, across 232 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
$168$299$1,671$4,836$7,189

The most expensive tenth of hospitals charges at least 43× what the cheapest tenth charges ($168 vs $7,189).

Of the 267 hospitals that filed this code inpatient, 232 gave a usable cash price; 12 carried a plausibility flag, 8 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

377 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 411 hospitals that filed this code at all gave us
Usable cash price — counted377
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
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 — excluded14
Hospitals that filed this code411

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 Proctosgmdsc Rigid Rmvl 1 Lesion Cautery.

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 rectal scope with removal of one polyp by cautery (CPT 45308) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45308-rigid-rectal-scope-with-removal-of-one-polyp-by-cautery