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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Rigid rectal scope exam to stop bleeding

CPT 45317the billing code this page is about

A rigid scope is passed into the rectum and lower colon and a bleeding site is treated, for example with cautery, injection, or clips.

Hospitals typically charge $1,030 cash for this outpatient procedure — the median across 436 hospitals that filed a usable cash price; the average of the middle 60% is $1,097. Most fall between $320 and $2,982 (20th–80th percentile).

Hospitals
436
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 436 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
$208$396$1,030$2,060$4,296

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($208 vs $4,296).

How the prices are spread

$155 – $218: 27 hospitals$155$218 – $306: 34 hospitals$306 – $430: 39 hospitals$306$430 – $604: 46 hospitals$604 – $848: 40 hospitals$604$848 – $1,192: 41 hospitals$1,192 – $1,675: 51 hospitals$1,192$1,675 – $2,354: 32 hospitals$2,354 – $3,308: 39 hospitals$2,354$3,308 – $4,648: 46 hospitals$3,308median $1,030price bands are equal on a log scale
Hospitals per price band (395 of 436 — the bands cover the 5th to 95th percentile)
FromToHospitals
$155$21827
$218$30634
$306$43039
$430$60446
$604$84840
$848$1,19241
$1,192$1,67551
$1,675$2,35432
$2,354$3,30839
$3,308$4,64846

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,030
Cash as a multiple of Medicare0.84×

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 $1,030.

Alaska: 2 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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $396 across 11 hospitalsWA$396Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $262 across 17 hospitalsIL$262Wisconsin: median $1,037 across 18 hospitalsWI$1,037Michigan: median $446 across 25 hospitalsMI$446New York: median $1,395 across 24 hospitalsNY$1,395Massachusetts: median $3,537 across 13 hospitalsMA$3,537Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 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 $497 across 20 hospitalsIA$497Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,990 across 23 hospitalsOH$1,990Pennsylvania: median $1,177 across 28 hospitalsPA$1,177New Jersey: median $3,786 across 28 hospitalsNJ$3,786Connecticut: 1 hospital 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 39 hospitalsCA$3,016Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 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: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 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: 5 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 $183 across 14 hospitalsOK$183Louisiana: 9 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: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $749 across 30 hospitalsTX$749Florida: median $1,184 across 11 hospitalsFL$1,184
Cash price by state, most expensive first. National median $1,030. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$3,786+268%$1,306 – $5,339
Massachusetts MA13$3,537+243%$2,982 – $3,537
California CA39$3,016+193%$3,016 – $4,648
Ohio OH23$1,990+93%$494 – $1,990
New York NY24$1,395+35%$468 – $1,494
Florida FL11$1,184+15%$494 – $2,685
Pennsylvania PA28$1,177+14%$71 – $2,222
Wisconsin WI18$1,037+1%$1,037 – $1,037
Texas TX30$749−27%$749 – $764
Iowa IA20$497−52%$309 – $497
Michigan MI25$446−57%$373 – $1,037
Washington WA11$396−62%$255 – $2,400
Illinois IL17$262−75%$224 – $1,142
Oklahoma OK14$183−82%$183 – $2,210
Louisiana LA9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,030.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care349$1,196$373 – $3,016
Children’s8fewer than 20 hospitals
Critical access78$489$248 – $1,082
Ownership
For-profit39$1,068$241 – $1,990
Government66$819$277 – $1,711
Non-profit330$1,037$367 – $3,016
System affiliation
Part of a system353$1,037$367 – $3,016
Independent83$656$235 – $1,468

Cash price vs list price

Median list price (chargemaster)$1,370
Median cash price$1,030
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

289 hospitals filed a usable inpatient cash price for this code. The median is $839 and the average of the middle 60% is $1,207; most fall between $264 and $3,016.

Cash price percentiles, inpatient, across 289 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
$197$373$839$2,562$3,780

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($197 vs $3,780).

Of the 328 hospitals that filed this code inpatient, 289 gave a usable cash price; 13 carried a plausibility flag, 8 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

436 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 488 hospitals that filed this code at all gave us
Usable cash price — counted436
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 — excluded18
Hospitals that filed this code488

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 Control Bleeding.

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 exam to stop bleeding (CPT 45317) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45317-rigid-rectal-scope-exam-to-stop-bleeding