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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with snare removal of a polyp

CPT 45338the billing code this page is about

A flexible scope examines the rectum and lower colon and one or more polyps or growths are removed with a wire loop snare.

Hospitals typically charge $1,223 cash for this outpatient procedure — the median across 1,414 hospitals that filed a usable cash price; the average of the middle 60% is $1,388. Most fall between $523 and $2,897 (20th–80th percentile).

Hospitals
1,414
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 1,414 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
$324$619$1,223$2,432$4,188

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($324 vs $4,188).

How the prices are spread

$241 – $326: 75 hospitals$241$326 – $440: 89 hospitals$440 – $595: 105 hospitals$440$595 – $804: 156 hospitals$804 – $1,087: 117 hospitals$804$1,087 – $1,470: 217 hospitals$1,470 – $1,986: 123 hospitals$1,470$1,986 – $2,685: 156 hospitals$2,685 – $3,629: 130 hospitals$2,685$3,629 – $4,905: 107 hospitals$3,629median $1,223price bands are equal on a log scale
Hospitals per price band (1,275 of 1,414 — the bands cover the 5th to 95th percentile)
FromToHospitals
$241$32675
$326$44089
$440$595105
$595$804156
$804$1,087117
$1,087$1,470217
$1,470$1,986123
$1,986$2,685156
$2,685$3,629130
$3,629$4,905107

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,223
Cash as a multiple of Medicare1.00×

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 $1,223.

Alaska: median $991 across 10 hospitalsAK$991Maine: median $737 across 12 hospitalsME$737Vermont: median $693 across 10 hospitalsVT$693New Hampshire: median $714 across 15 hospitalsNH$714Washington: median $979 across 38 hospitalsWA$979Idaho: median $1,734 across 14 hospitalsID$1,734Montana: median $793 across 16 hospitalsMT$793North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,059 across 62 hospitalsMN$1,059Illinois: median $963 across 46 hospitalsIL$963Wisconsin: median $1,330 across 48 hospitalsWI$1,330Michigan: median $481 across 52 hospitalsMI$481New York: median $896 across 56 hospitalsNY$896Massachusetts: median $1,899 across 34 hospitalsMA$1,899Oregon: median $538 across 22 hospitalsOR$538Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $694 across 48 hospitalsIA$694Indiana: median $1,319 across 28 hospitalsIN$1,319Ohio: median $2,653 across 73 hospitalsOH$2,653Pennsylvania: median $1,507 across 69 hospitalsPA$1,507New Jersey: median $2,182 across 39 hospitalsNJ$2,182Connecticut: median $3,656 across 14 hospitalsCT$3,656Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 85 hospitalsCA$2,288Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,149 across 26 hospitalsCO$1,149Nebraska: median $800 across 31 hospitalsNE$800Missouri: median $1,237 across 46 hospitalsMO$1,237Kentucky: median $434 across 22 hospitalsKY$434West Virginia: median $580 across 22 hospitalsWV$580Virginia: median $1,463 across 24 hospitalsVA$1,463Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,468 across 10 hospitalsAZ$1,468New Mexico: median $1,845 across 19 hospitalsNM$1,845Kansas: median $625 across 32 hospitalsKS$625Arkansas: median $553 across 14 hospitalsAR$553Tennessee: median $1,093 across 23 hospitalsTN$1,093North Carolina: median $1,429 across 20 hospitalsNC$1,429South Carolina: median $2,897 across 27 hospitalsSC$2,897Oklahoma: median $684 across 22 hospitalsOK$684Louisiana: median $783 across 31 hospitalsLA$783Mississippi: median $744 across 22 hospitalsMS$744Alabama: median $1,309 across 20 hospitalsAL$1,309Georgia: median $1,204 across 35 hospitalsGA$1,204Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $960 across 82 hospitalsTX$960Florida: median $3,344 across 42 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,223. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT14$3,656+199%$1,674 – $4,214
Florida FL42$3,344+174%$1,743 – $4,325
South Carolina SC27$2,897+137%$2,101 – $4,046
Ohio OH73$2,653+117%$1,113 – $4,250
California CA85$2,288+87%$782 – $4,474
New Jersey NJ39$2,182+78%$1,387 – $4,881
Massachusetts MA34$1,899+55%$950 – $3,310
New Mexico NM19$1,845+51%$1,056 – $2,827
Idaho ID14$1,734+42%$798 – $3,234
Pennsylvania PA69$1,507+23%$804 – $3,253
Arizona AZ10$1,468+20%$290 – $4,905
Virginia VA24$1,463+20%$513 – $3,764
North Carolina NC20$1,429+17%$1,083 – $2,009
Wisconsin WI48$1,330+9%$767 – $2,171
Indiana IN28$1,319+8%$311 – $3,585
Alabama AL20$1,309+7%$772 – $4,223
Missouri MO46$1,237+1%$605 – $2,953
Georgia GA35$1,204−2%$903 – $1,348
Colorado CO26$1,149−6%$568 – $1,977
Tennessee TN23$1,093−11%$332 – $1,496
Minnesota MN62$1,059−13%$431 – $1,655
Alaska AK10$991−19%$295 – $2,745
Washington WA38$979−20%$430 – $2,939
Illinois IL46$963−21%$441 – $2,393
Texas TX82$960−21%$749 – $2,240
New York NY56$896−27%$352 – $1,606
Nebraska NE31$800−35%$570 – $1,320
Montana MT16$793−35%$246 – $2,311
Louisiana LA31$783−36%$392 – $1,534
Mississippi MS22$744−39%$495 – $1,668
Maine ME12$737−40%$315 – $1,449
New Hampshire NH15$714−42%$129 – $1,190
Iowa IA48$694−43%$380 – $784
Vermont VT10$693−43%$516 – $1,873
Oklahoma OK22$684−44%$332 – $1,982
Kansas KS32$625−49%$322 – $1,307
West Virginia WV22$580−53%$130 – $1,711
Arkansas AR14$553−55%$553 – $2,579
Oregon OR22$538−56%$526 – $1,136
Michigan MI52$481−61%$380 – $1,645
Kentucky KY22$434−64%$311 – $4,734
South Dakota SD9not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD2not 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 $1,223.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,014$1,389$646 – $3,236
Children’s17fewer than 20 hospitals
Critical access379$770$374 – $1,947
Ownership
For-profit148$1,531$749 – $3,735
Government283$972$430 – $2,150
Non-profit979$1,286$520 – $2,897
System affiliation
Part of a system1,116$1,330$567 – $3,067
Independent298$904$368 – $2,009

Cash price vs list price

Median list price (chargemaster)$2,280
Median cash price$1,223
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

831 hospitals filed a usable inpatient cash price for this code. The median is $1,140 and the average of the middle 60% is $1,306; most fall between $459 and $2,685.

Cash price percentiles, inpatient, across 831 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
$311$616$1,140$2,311$3,622

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($311 vs $3,622).

Of the 910 hospitals that filed this code inpatient, 831 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,414 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,529 hospitals that filed this code at all gave us
Usable cash price — counted1,414
Cash price carrying a plausibility flag — shown on the compare tool, excluded here61
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded48
Hospitals that filed this code1,529

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 Rmvl Tum Polyp/Oth Les Snare Tq.

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 snare removal of a polyp (CPT 45338) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45338-flexible-sigmoidoscopy-with-snare-removal-of-a-polyp