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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy, diagnostic

CPT 45330the billing code this page is about

A flexible lighted scope is passed into the rectum and lower colon to look at the lining, including any washing or brushing of the surface for samples.

Hospitals typically charge $965 cash for this outpatient procedure — the median across 1,889 hospitals that filed a usable cash price; the average of the middle 60% is $1,012. Most fall between $314 and $2,183 (20th–80th percentile).

Hospitals
1,889
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 1,889 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
$180$383$965$1,851$3,083

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($180 vs $3,083).

How the prices are spread

$124 – $176: 89 hospitals$124$176 – $248: 123 hospitals$248 – $352: 120 hospitals$248$352 – $498: 161 hospitals$498 – $705: 192 hospitals$498$705 – $997: 189 hospitals$997 – $1,412: 297 hospitals$997$1,412 – $1,999: 191 hospitals$1,999 – $2,829: 223 hospitals$1,999$2,829 – $4,004: 116 hospitals$2,829median $965price bands are equal on a log scale
Hospitals per price band (1,701 of 1,889 — the bands cover the 5th to 95th percentile)
FromToHospitals
$124$17689
$176$248123
$248$352120
$352$498161
$498$705192
$705$997189
$997$1,412297
$1,412$1,999191
$1,999$2,829223
$2,829$4,004116

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$965
Cash as a multiple of Medicare1.02×

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 $965.

Alaska: median $963 across 12 hospitalsAK$963Maine: median $356 across 12 hospitalsME$356Vermont: median $260 across 11 hospitalsVT$260New Hampshire: median $195 across 15 hospitalsNH$195Washington: median $532 across 51 hospitalsWA$532Idaho: median $974 across 18 hospitalsID$974Montana: median $435 across 22 hospitalsMT$435North Dakota: median $514 across 15 hospitalsND$514Minnesota: median $623 across 79 hospitalsMN$623Illinois: median $662 across 63 hospitalsIL$662Wisconsin: median $670 across 53 hospitalsWI$670Michigan: median $371 across 56 hospitalsMI$371New York: median $1,079 across 81 hospitalsNY$1,079Massachusetts: median $1,347 across 41 hospitalsMA$1,347Oregon: median $413 across 41 hospitalsOR$413Nevada: median $713 across 10 hospitalsNV$713Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $534 across 13 hospitalsSD$534Iowa: median $427 across 62 hospitalsIA$427Indiana: median $528 across 47 hospitalsIN$528Ohio: median $2,172 across 99 hospitalsOH$2,172Pennsylvania: median $1,057 across 79 hospitalsPA$1,057New Jersey: median $1,217 across 41 hospitalsNJ$1,217Connecticut: median $2,247 across 17 hospitalsCT$2,247Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,578 across 110 hospitalsCA$1,578Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $641 across 34 hospitalsCO$641Nebraska: median $509 across 37 hospitalsNE$509Missouri: median $1,046 across 57 hospitalsMO$1,046Kentucky: median $515 across 28 hospitalsKY$515West Virginia: median $510 across 30 hospitalsWV$510Virginia: median $1,010 across 49 hospitalsVA$1,010Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,618 across 24 hospitalsAZ$2,618New Mexico: median $1,488 across 24 hospitalsNM$1,488Kansas: median $474 across 57 hospitalsKS$474Arkansas: median $501 across 27 hospitalsAR$501Tennessee: median $673 across 39 hospitalsTN$673North Carolina: median $1,157 across 42 hospitalsNC$1,157South Carolina: median $2,183 across 30 hospitalsSC$2,183Oklahoma: median $692 across 32 hospitalsOK$692Louisiana: median $503 across 36 hospitalsLA$503Mississippi: median $717 across 33 hospitalsMS$717Alabama: median $987 across 23 hospitalsAL$987Georgia: median $1,204 across 48 hospitalsGA$1,204Hawaii: median $841 across 10 hospitalsHI$841Texas: median $963 across 101 hospitalsTX$963Florida: median $2,474 across 52 hospitalsFL$2,474
Cash price by state, most expensive first. National median $965. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ24$2,618+171%$944 – $3,654
Florida FL52$2,474+156%$1,130 – $3,408
Connecticut CT17$2,247+133%$884 – $3,225
South Carolina SC30$2,183+126%$1,247 – $2,183
Ohio OH99$2,172+125%$739 – $3,117
California CA110$1,578+64%$582 – $2,251
New Mexico NM24$1,488+54%$457 – $2,512
Massachusetts MA41$1,347+40%$609 – $2,190
New Jersey NJ41$1,217+26%$1,010 – $4,881
Georgia GA48$1,204+25%$928 – $1,765
North Carolina NC42$1,157+20%$839 – $1,284
New York NY81$1,079+12%$193 – $3,675
Pennsylvania PA79$1,057+10%$598 – $1,865
Missouri MO57$1,046+8%$266 – $1,547
Virginia VA49$1,010+5%$907 – $2,326
Alabama AL23$987+2%$475 – $3,228
Idaho ID18$974+1%$373 – $2,509
Texas TX101$9630%$536 – $1,748
Alaska AK12$9630%$696 – $2,113
Hawaii HI10$841−13%$251 – $2,172
Mississippi MS33$717−26%$161 – $2,079
Nevada NV10$713−26%$206 – $1,207
Oklahoma OK32$692−28%$218 – $1,766
Tennessee TN39$673−30%$274 – $1,763
Wisconsin WI53$670−31%$360 – $1,091
Illinois IL63$662−31%$304 – $2,217
Colorado CO34$641−34%$330 – $1,459
Minnesota MN79$623−35%$230 – $1,267
South Dakota SD13$534−45%$476 – $1,088
Washington WA51$532−45%$211 – $1,642
Indiana IN47$528−45%$268 – $2,389
Kentucky KY28$515−47%$159 – $3,524
North Dakota ND15$514−47%$101 – $1,754
West Virginia WV30$510−47%$163 – $1,047
Nebraska NE37$509−47%$306 – $1,709
Louisiana LA36$503−48%$192 – $896
Arkansas AR27$501−48%$293 – $750
Kansas KS57$474−51%$192 – $1,133
Montana MT22$435−55%$267 – $1,634
Iowa IA62$427−56%$239 – $1,176
Oregon OR41$413−57%$218 – $2,104
Michigan MI56$371−62%$199 – $2,399
Maine ME12$356−63%$226 – $584
Vermont VT11$260−73%$224 – $1,346
New Hampshire NH15$195−80%$58 – $936
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Maryland MD3not 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 $965.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,300$1,141$475 – $2,491
Children’s22$475$182 – $1,619
Critical access561$435$188 – $1,246
Ownership
For-profit198$1,342$609 – $3,150
Government391$715$248 – $1,565
Non-profit1,294$965$320 – $2,207
System affiliation
Part of a system1,480$1,046$370 – $2,278
Independent409$569$186 – $1,578

Cash price vs list price

Median list price (chargemaster)$1,715
Median cash price$965
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

1,141 hospitals filed a usable inpatient cash price for this code. The median is $956 and the average of the middle 60% is $971; most fall between $310 and $1,933.

Cash price percentiles, inpatient, across 1,141 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$394$956$1,740$2,564

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($155 vs $2,564).

Of the 1,264 hospitals that filed this code inpatient, 1,141 gave a usable cash price; 63 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 60 a list price only.

How complete is this

1,889 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,067 hospitals that filed this code at all gave us
Usable cash price — counted1,889
Cash price carrying a plausibility flag — shown on the compare tool, excluded here99
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded71
Hospitals that filed this code2,067

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 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd.

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, “Flexible sigmoidoscopy, diagnostic (CPT 45330) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45330-flexible-sigmoidoscopy-diagnostic