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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with balloon stretching of the bowel

CPT 45340the billing code this page is about

A flexible scope examines the rectum and lower colon and a balloon is inflated to widen a narrowed segment.

Hospitals typically charge $1,293 cash for this outpatient procedure — the median across 930 hospitals that filed a usable cash price; the average of the middle 60% is $1,491. Most fall between $625 and $3,042 (20th–80th percentile).

Hospitals
930
States
49
Filings dated
Mar 2023 – 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 930 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
$329$749$1,293$2,651$3,754

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($329 vs $3,754).

How the prices are spread

$148 – $209: 15 hospitals$148$209 – $295: 27 hospitals$295 – $418: 23 hospitals$295$418 – $591: 72 hospitals$591 – $836: 93 hospitals$591$836 – $1,182: 153 hospitals$1,182 – $1,673: 151 hospitals$1,182$1,673 – $2,366: 91 hospitals$2,366 – $3,347: 121 hospitals$2,366$3,347 – $4,734: 93 hospitals$3,347median $1,293price bands are equal on a log scale
Hospitals per price band (839 of 930 — the bands cover the 5th to 95th percentile)
FromToHospitals
$148$20915
$209$29527
$295$41823
$418$59172
$591$83693
$836$1,182153
$1,182$1,673151
$1,673$2,36691
$2,366$3,347121
$3,347$4,73493

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,293
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 $1,293.

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: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,777 across 20 hospitalsWA$1,777Idaho: median $3,234 across 13 hospitalsID$3,234Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,078 across 40 hospitalsMN$1,078Illinois: median $1,106 across 31 hospitalsIL$1,106Wisconsin: median $941 across 35 hospitalsWI$941Michigan: median $230 across 31 hospitalsMI$230New York: median $1,395 across 38 hospitalsNY$1,395Massachusetts: median $2,172 across 23 hospitalsMA$2,172Oregon: median $1,304 across 19 hospitalsOR$1,304Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,106 across 25 hospitalsIA$1,106Indiana: median $501 across 11 hospitalsIN$501Ohio: median $2,738 across 58 hospitalsOH$2,738Pennsylvania: median $2,221 across 44 hospitalsPA$2,221New Jersey: median $1,573 across 36 hospitalsNJ$1,573Connecticut: median $1,565 across 11 hospitalsCT$1,565Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 71 hospitalsCA$2,288Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,267 across 17 hospitalsCO$1,267Nebraska: median $923 across 11 hospitalsNE$923Missouri: median $1,420 across 22 hospitalsMO$1,420Kentucky: median $1,383 across 11 hospitalsKY$1,383West Virginia: median $308 across 17 hospitalsWV$308Virginia: median $1,387 across 12 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 $1,499 across 14 hospitalsNM$1,499Kansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 16 hospitalsTN$1,093North Carolina: median $1,433 across 15 hospitalsNC$1,433South Carolina: median $3,042 across 19 hospitalsSC$3,042Oklahoma: median $548 across 20 hospitalsOK$548Louisiana: median $628 across 22 hospitalsLA$628Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $1,437 across 18 hospitalsAL$1,437Georgia: median $709 across 30 hospitalsGA$709Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $749 across 56 hospitalsTX$749Florida: median $2,861 across 36 hospitalsFL$2,861
Cash price by state, most expensive first. National median $1,293. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID13$3,234+150%$1,050 – $3,234
South Carolina SC19$3,042+135%$1,742 – $3,324
Florida FL36$2,861+121%$2,064 – $3,798
Ohio OH58$2,738+112%$1,223 – $3,754
California CA71$2,288+77%$1,504 – $3,366
Pennsylvania PA44$2,221+72%$1,223 – $3,664
Massachusetts MA23$2,172+68%$1,643 – $3,661
Washington WA20$1,777+37%$870 – $2,816
New Jersey NJ36$1,573+22%$1,368 – $5,067
Connecticut CT11$1,565+21%$955 – $4,214
New Mexico NM14$1,499+16%$1,076 – $2,534
Alabama AL18$1,437+11%$1,113 – $4,208
North Carolina NC15$1,433+11%$1,083 – $1,548
Missouri MO22$1,420+10%$710 – $2,635
New York NY38$1,395+8%$635 – $1,695
Virginia VA12$1,387+7%$458 – $1,470
Kentucky KY11$1,383+7%$363 – $4,734
Oregon OR19$1,304+1%$141 – $1,456
Colorado CO17$1,267−2%$869 – $1,602
Iowa IA25$1,106−14%$638 – $1,106
Illinois IL31$1,106−14%$363 – $2,764
Tennessee TN16$1,093−15%$435 – $1,093
Minnesota MN40$1,078−17%$840 – $1,134
Wisconsin WI35$941−27%$500 – $2,159
Nebraska NE11$923−29%$759 – $1,146
Texas TX56$749−42%$552 – $1,931
Georgia GA30$709−45%$551 – $919
Louisiana LA22$628−51%$419 – $1,245
Oklahoma OK20$548−58%$548 – $2,007
Indiana IN11$501−61%$363 – $1,007
West Virginia WV17$308−76%$82 – $1,238
Michigan MI31$230−82%$139 – $1,267
Mississippi MS9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not 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 $1,293.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care750$1,395$707 – $3,085
Children’s16fewer than 20 hospitals
Critical access159$941$363 – $1,547
Ownership
For-profit97$1,220$707 – $2,738
Government145$1,222$552 – $2,816
Non-profit683$1,304$589 – $3,042
System affiliation
Part of a system764$1,305$664 – $3,108
Independent166$1,147$392 – $2,229

Cash price vs list price

Median list price (chargemaster)$2,399
Median cash price$1,293
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

619 hospitals filed a usable inpatient cash price for this code. The median is $1,220 and the average of the middle 60% is $1,473; most fall between $552 and $3,042.

Cash price percentiles, inpatient, across 619 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
$341$709$1,220$2,738$3,590

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($341 vs $3,590).

Of the 673 hospitals that filed this code inpatient, 619 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 27 a list price only.

How complete is this

930 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,014 hospitals that filed this code at all gave us
Usable cash price — counted930
Cash price carrying a plausibility flag — shown on the compare tool, excluded here57
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded26
Hospitals that filed this code1,014

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 23, 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 PR Sigmoidoscopy,Flex,W/Dilat,1/>Strictures.

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 balloon stretching of the bowel (CPT 45340) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45340-flexible-sigmoidoscopy-with-balloon-stretching-of-the-bowel