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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy to decompress the bowel with a tube

CPT 45337the billing code this page is about

A flexible scope is used to relieve a twisted or over-stretched segment of the rectum or lower colon, including placing a tube to keep it decompressed.

Hospitals typically charge $955 cash for this outpatient procedure — the median across 908 hospitals that filed a usable cash price; the average of the middle 60% is $1,071. Most fall between $310 and $2,509 (20th–80th percentile).

Hospitals
908
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 908 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
$211$376$955$2,086$3,344

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($211 vs $3,344).

How the prices are spread

$161 – $225: 55 hospitals$161$225 – $314: 86 hospitals$314 – $438: 61 hospitals$314$438 – $612: 68 hospitals$612 – $854: 101 hospitals$612$854 – $1,192: 145 hospitals$1,192 – $1,663: 77 hospitals$1,192$1,663 – $2,322: 74 hospitals$2,322 – $3,242: 95 hospitals$2,322$3,242 – $4,525: 56 hospitals$3,242median $955price bands are equal on a log scale
Hospitals per price band (818 of 908 — the bands cover the 5th to 95th percentile)
FromToHospitals
$161$22555
$225$31486
$314$43861
$438$61268
$612$854101
$854$1,192145
$1,192$1,66377
$1,663$2,32274
$2,322$3,24295
$3,242$4,52556

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$955
Cash as a multiple of Medicare1.01×

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 $955.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 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 $752 across 19 hospitalsWA$752Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,233 across 39 hospitalsMN$1,233Illinois: median $560 across 29 hospitalsIL$560Wisconsin: median $729 across 36 hospitalsWI$729Michigan: median $318 across 32 hospitalsMI$318New York: median $580 across 42 hospitalsNY$580Massachusetts: median $2,184 across 21 hospitalsMA$2,184Oregon: median $314 across 20 hospitalsOR$314Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $291 across 23 hospitalsIA$291Indiana: median $272 across 13 hospitalsIN$272Ohio: median $1,744 across 50 hospitalsOH$1,744Pennsylvania: median $1,342 across 43 hospitalsPA$1,342New Jersey: median $3,501 across 30 hospitalsNJ$3,501Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 68 hospitalsCA$2,288Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,270 across 16 hospitalsCO$1,270Nebraska: median $271 across 12 hospitalsNE$271Missouri: median $1,222 across 17 hospitalsMO$1,222Kentucky: median $453 across 14 hospitalsKY$453West Virginia: median $120 across 14 hospitalsWV$120Virginia: median $1,199 across 15 hospitalsVA$1,199Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $231 across 13 hospitalsKS$231Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $673 across 15 hospitalsTN$673North Carolina: median $792 across 24 hospitalsNC$792South Carolina: median $2,925 across 21 hospitalsSC$2,925Oklahoma: median $239 across 15 hospitalsOK$239Louisiana: median $459 across 20 hospitalsLA$459Mississippi: median $744 across 14 hospitalsMS$744Alabama: median $1,062 across 12 hospitalsAL$1,062Georgia: median $833 across 32 hospitalsGA$833Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $781 across 53 hospitalsTX$781Florida: median $3,140 across 30 hospitalsFL$3,140
Cash price by state, most expensive first. National median $955. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ30$3,501+266%$1,010 – $5,339
Florida FL30$3,140+229%$1,468 – $3,344
South Carolina SC21$2,925+206%$1,661 – $2,925
California CA68$2,288+139%$1,190 – $5,202
Massachusetts MA21$2,184+129%$1,266 – $3,009
Ohio OH50$1,744+83%$601 – $2,909
Pennsylvania PA43$1,342+40%$70 – $3,226
Colorado CO16$1,270+33%$369 – $1,821
Minnesota MN39$1,233+29%$807 – $2,655
Missouri MO17$1,222+28%$243 – $2,261
Virginia VA15$1,199+26%$949 – $1,613
Alabama AL12$1,062+11%$512 – $4,525
Georgia GA32$833−13%$786 – $926
North Carolina NC24$792−17%$792 – $1,232
Texas TX53$781−18%$547 – $1,132
Washington WA19$752−21%$213 – $2,276
Mississippi MS14$744−22%$416 – $1,054
Wisconsin WI36$729−24%$662 – $1,585
Tennessee TN15$673−30%$138 – $744
New York NY42$580−39%$218 – $1,079
Illinois IL29$560−41%$272 – $2,400
Louisiana LA20$459−52%$270 – $945
Kentucky KY14$453−53%$189 – $3,661
Michigan MI32$318−67%$307 – $662
Oregon OR20$314−67%$206 – $1,124
Iowa IA23$291−70%$291 – $525
Indiana IN13$272−72%$237 – $840
Nebraska NE12$271−72%$262 – $917
Oklahoma OK15$239−75%$239 – $956
Kansas KS13$231−76%$175 – $347
West Virginia WV14$120−87%$115 – $328
Connecticut CT9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT1not 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 $955.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care722$1,058$372 – $2,603
Children’s12fewer than 20 hospitals
Critical access170$499$237 – $1,744
Ownership
For-profit82$882$393 – $1,342
Government163$840$277 – $1,744
Non-profit659$1,044$310 – $2,603
System affiliation
Part of a system737$1,056$328 – $2,603
Independent171$592$228 – $1,454

Cash price vs list price

Median list price (chargemaster)$1,994
Median cash price$955
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

645 hospitals filed a usable inpatient cash price for this code. The median is $1,009 and the average of the middle 60% is $1,190; most fall between $295 and $2,655.

Cash price percentiles, inpatient, across 645 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
$216$453$1,009$2,421$3,539

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($216 vs $3,539).

Of the 687 hospitals that filed this code inpatient, 645 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

908 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 976 hospitals that filed this code at all gave us
Usable cash price — counted908
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
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 — excluded21
Hospitals that filed this code976

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 Sgmdsc Flx W/Dcmprn W/Plmt Dcmprn Tube.

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 decompress the bowel with a tube (CPT 45337) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45337-flexible-sigmoidoscopy-to-decompress-the-bowel-with-a-tube