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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy to stop bleeding

CPT 45334the billing code this page is about

A flexible scope examines the rectum and lower colon and a bleeding site is treated, for example with cautery, injection, clips, or a band.

Hospitals typically charge $1,355 cash for this outpatient procedure — the median across 1,137 hospitals that filed a usable cash price; the average of the middle 60% is $1,506. Most fall between $615 and $2,948 (20th–80th percentile).

Hospitals
1,137
States
50
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 1,137 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
$335$749$1,355$2,653$3,921

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($335 vs $3,921).

How the prices are spread

$204 – $281: 30 hospitals$204$281 – $389: 57 hospitals$389 – $537: 57 hospitals$389$537 – $743: 78 hospitals$743 – $1,026: 131 hospitals$743$1,026 – $1,418: 195 hospitals$1,418 – $1,959: 129 hospitals$1,418$1,959 – $2,707: 138 hospitals$2,707 – $3,740: 141 hospitals$2,707$3,740 – $5,167: 69 hospitals$3,740median $1,355price bands are equal on a log scale
Hospitals per price band (1,025 of 1,137 — the bands cover the 5th to 95th percentile)
FromToHospitals
$204$28130
$281$38957
$389$53757
$537$74378
$743$1,026131
$1,026$1,418195
$1,418$1,959129
$1,959$2,707138
$2,707$3,740141
$3,740$5,16769

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,355
Cash as a multiple of Medicare1.11×

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 $1,355.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $714 across 10 hospitalsNH$714Washington: median $1,895 across 35 hospitalsWA$1,895Idaho: median $3,234 across 13 hospitalsID$3,234Montana: median $907 across 17 hospitalsMT$907North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,175 across 46 hospitalsMN$1,175Illinois: median $1,014 across 36 hospitalsIL$1,014Wisconsin: median $1,330 across 38 hospitalsWI$1,330Michigan: median $367 across 34 hospitalsMI$367New York: median $1,395 across 55 hospitalsNY$1,395Massachusetts: median $2,075 across 33 hospitalsMA$2,075Oregon: median $1,366 across 22 hospitalsOR$1,366Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,289 across 25 hospitalsIA$1,289Indiana: median $541 across 12 hospitalsIN$541Ohio: median $2,891 across 66 hospitalsOH$2,891Pennsylvania: median $1,500 across 60 hospitalsPA$1,500New Jersey: median $1,616 across 39 hospitalsNJ$1,616Connecticut: median $1,674 across 12 hospitalsCT$1,674Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 97 hospitalsCA$2,288Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,307 across 22 hospitalsCO$1,307Nebraska: median $923 across 14 hospitalsNE$923Missouri: median $1,552 across 30 hospitalsMO$1,552Kentucky: median $574 across 11 hospitalsKY$574West Virginia: median $278 across 20 hospitalsWV$278Virginia: median $1,387 across 15 hospitalsVA$1,387Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,078 across 12 hospitalsNM$1,078Kansas: median $805 across 13 hospitalsKS$805Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 17 hospitalsTN$1,093North Carolina: median $1,429 across 18 hospitalsNC$1,429South Carolina: median $2,653 across 23 hospitalsSC$2,653Oklahoma: median $193 across 19 hospitalsOK$193Louisiana: median $610 across 25 hospitalsLA$610Mississippi: median $952 across 19 hospitalsMS$952Alabama: median $1,492 across 20 hospitalsAL$1,492Georgia: median $1,194 across 31 hospitalsGA$1,194Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $882 across 69 hospitalsTX$882Florida: median $3,342 across 35 hospitalsFL$3,342
Cash price by state, most expensive first. National median $1,355. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL35$3,342+147%$1,184 – $3,344
Idaho ID13$3,234+139%$1,030 – $3,234
Ohio OH66$2,891+113%$1,595 – $3,526
South Carolina SC23$2,653+96%$1,742 – $2,653
California CA97$2,288+69%$1,105 – $5,202
Massachusetts MA33$2,075+53%$1,098 – $3,310
Washington WA35$1,895+40%$444 – $2,526
Connecticut CT12$1,674+23%$660 – $2,973
New Jersey NJ39$1,616+19%$1,306 – $5,110
Missouri MO30$1,552+14%$667 – $2,135
Pennsylvania PA60$1,500+11%$685 – $3,253
Alabama AL20$1,492+10%$754 – $4,932
North Carolina NC18$1,429+5%$819 – $2,207
New York NY55$1,395+3%$497 – $2,948
Virginia VA15$1,387+2%$78 – $1,463
Oregon OR22$1,366+1%$865 – $2,741
Wisconsin WI38$1,330−2%$753 – $3,151
Colorado CO22$1,307−4%$657 – $2,073
Iowa IA25$1,289−5%$561 – $1,289
Georgia GA31$1,194−12%$881 – $1,204
Minnesota MN46$1,175−13%$465 – $2,046
Tennessee TN17$1,093−19%$185 – $1,093
New Mexico NM12$1,078−20%$1,056 – $1,970
Illinois IL36$1,014−25%$459 – $2,393
Mississippi MS19$952−30%$712 – $1,266
Nebraska NE14$923−32%$307 – $3,245
Montana MT17$907−33%$391 – $1,950
Texas TX69$882−35%$631 – $1,365
Kansas KS13$805−41%$390 – $1,127
New Hampshire NH10$714−47%$126 – $1,286
Louisiana LA25$610−55%$392 – $1,282
Kentucky KY11$574−58%$459 – $4,734
Indiana IN12$541−60%$459 – $1,246
Michigan MI34$367−73%$366 – $1,645
West Virginia WV20$278−79%$121 – $762
Oklahoma OK19$193−86%$193 – $2,140
Alaska AK8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Wyoming WY2not 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 $1,355.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care906$1,414$720 – $3,113
Children’s14fewer than 20 hospitals
Critical access212$981$367 – $2,056
Ownership
For-profit113$1,301$749 – $3,344
Government179$1,178$496 – $2,752
Non-profit840$1,389$617 – $2,907
System affiliation
Part of a system922$1,414$719 – $3,145
Independent215$981$335 – $2,205

Cash price vs list price

Median list price (chargemaster)$2,526
Median cash price$1,355
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

773 hospitals filed a usable inpatient cash price for this code. The median is $1,348 and the average of the middle 60% is $1,579; most fall between $636 and $3,014.

Cash price percentiles, inpatient, across 773 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
$347$749$1,348$2,688$3,743

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($347 vs $3,743).

Of the 825 hospitals that filed this code inpatient, 773 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

1,137 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,225 hospitals that filed this code at all gave us
Usable cash price — counted1,137
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded31
Hospitals that filed this code1,225

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 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, “Flexible sigmoidoscopy to stop bleeding (CPT 45334) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45334-flexible-sigmoidoscopy-to-stop-bleeding