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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with polyp removal by heated forceps

CPT 45333the billing code this page is about

A flexible scope examines the rectum and lower colon and one or more polyps are removed using heated biopsy forceps or electric cautery.

Hospitals typically charge $1,009 cash for this outpatient procedure — the median across 1,000 hospitals that filed a usable cash price; the average of the middle 60% is $1,134. Most fall between $460 and $2,434 (20th–80th percentile).

Hospitals
1,000
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 1,000 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
$252$580$1,009$2,107$3,310

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($252 vs $3,310).

How the prices are spread

$163 – $223: 33 hospitals$163$223 – $305: 49 hospitals$305 – $416: 43 hospitals$305$416 – $569: 71 hospitals$569 – $778: 139 hospitals$569$778 – $1,063: 155 hospitals$1,063 – $1,452: 110 hospitals$1,063$1,452 – $1,984: 90 hospitals$1,984 – $2,712: 108 hospitals$1,984$2,712 – $3,705: 106 hospitals$2,712median $1,009price bands are equal on a log scale
Hospitals per price band (904 of 1,000 — the bands cover the 5th to 95th percentile)
FromToHospitals
$163$22333
$223$30549
$305$41643
$416$56971
$569$778139
$778$1,063155
$1,063$1,452110
$1,452$1,98490
$1,984$2,712108
$2,712$3,705106

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$1,009
Cash as a multiple of Medicare1.06×

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 $1,009.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $630 across 23 hospitalsWA$630Idaho: median $1,614 across 11 hospitalsID$1,614Montana: median $411 across 12 hospitalsMT$411North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,209 across 45 hospitalsMN$1,209Illinois: median $1,000 across 38 hospitalsIL$1,000Wisconsin: median $1,021 across 30 hospitalsWI$1,021Michigan: median $481 across 29 hospitalsMI$481New York: median $950 across 40 hospitalsNY$950Massachusetts: median $2,168 across 19 hospitalsMA$2,168Oregon: median $735 across 16 hospitalsOR$735Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $645 across 36 hospitalsIA$645Indiana: median $384 across 13 hospitalsIN$384Ohio: median $2,726 across 60 hospitalsOH$2,726Pennsylvania: median $1,099 across 50 hospitalsPA$1,099New Jersey: median $2,182 across 39 hospitalsNJ$2,182Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,184 across 77 hospitalsCA$2,184Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,052 across 21 hospitalsCO$1,052Nebraska: median $814 across 23 hospitalsNE$814Missouri: median $701 across 20 hospitalsMO$701Kentucky: median $401 across 18 hospitalsKY$401West Virginia: median $158 across 15 hospitalsWV$158Virginia: median $907 across 17 hospitalsVA$907Maryland: 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: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $768 across 25 hospitalsKS$768Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 22 hospitalsTN$1,093North Carolina: median $992 across 11 hospitalsNC$992South Carolina: median $2,527 across 18 hospitalsSC$2,527Oklahoma: median $155 across 19 hospitalsOK$155Louisiana: median $578 across 22 hospitalsLA$578Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $1,240 across 13 hospitalsAL$1,240Georgia: median $833 across 31 hospitalsGA$833Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $882 across 64 hospitalsTX$882Florida: median $2,996 across 29 hospitalsFL$2,996
Cash price by state, most expensive first. National median $1,009. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL29$2,996+197%$1,051 – $3,344
Ohio OH60$2,726+170%$2,001 – $3,130
South Carolina SC18$2,527+150%$2,207 – $2,527
California CA77$2,184+116%$937 – $3,310
New Jersey NJ39$2,182+116%$1,074 – $4,881
Massachusetts MA19$2,168+115%$990 – $2,831
Idaho ID11$1,614+60%$1,166 – $2,509
Alabama AL13$1,240+23%$830 – $4,255
Minnesota MN45$1,209+20%$530 – $1,501
Pennsylvania PA50$1,099+9%$454 – $3,160
Tennessee TN22$1,093+8%$277 – $1,205
Colorado CO21$1,052+4%$681 – $1,806
Wisconsin WI30$1,021+1%$595 – $1,021
Illinois IL38$1,000−1%$275 – $2,309
North Carolina NC11$992−2%$762 – $1,668
New York NY40$950−6%$469 – $1,104
Virginia VA17$907−10%$649 – $1,776
Texas TX64$882−13%$720 – $1,572
Georgia GA31$833−17%$683 – $1,033
Nebraska NE23$814−19%$493 – $1,850
Kansas KS25$768−24%$399 – $1,482
Oregon OR16$735−27%$584 – $935
Missouri MO20$701−31%$400 – $1,222
Iowa IA36$645−36%$357 – $764
Washington WA23$630−38%$261 – $1,777
Louisiana LA22$578−43%$318 – $1,210
Michigan MI29$481−52%$380 – $1,021
Montana MT12$411−59%$181 – $963
Kentucky KY18$401−60%$252 – $3,661
Indiana IN13$384−62%$252 – $2,110
West Virginia WV15$158−84%$99 – $1,101
Oklahoma OK19$155−85%$155 – $1,225
Mississippi MS9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Maryland MD1not 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 $1,009.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care731$1,078$584 – $2,535
Children’s14fewer than 20 hospitals
Critical access251$735$318 – $1,680
Ownership
For-profit92$1,166$568 – $2,509
Government206$850$428 – $1,841
Non-profit698$1,011$474 – $2,527
System affiliation
Part of a system804$1,034$530 – $2,535
Independent196$725$273 – $1,565

Cash price vs list price

Median list price (chargemaster)$1,777
Median cash price$1,009
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

679 hospitals filed a usable inpatient cash price for this code. The median is $1,021 and the average of the middle 60% is $1,236; most fall between $468 and $2,535.

Cash price percentiles, inpatient, across 679 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
$236$610$1,021$2,323$3,310

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($236 vs $3,310).

Of the 735 hospitals that filed this code inpatient, 679 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

1,000 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,082 hospitals that filed this code at all gave us
Usable cash price — counted1,000
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
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 — excluded31
Hospitals that filed this code1,082

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 W/Rmvl Tumor by Hot Bx Forceps.

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 with polyp removal by heated forceps (CPT 45333) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45333-flexible-sigmoidoscopy-with-polyp-removal-by-heated-forceps