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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with ultrasound

CPT 45341the billing code this page is about

A flexible scope fitted with an ultrasound probe examines the rectum and lower colon and the surrounding tissue layers.

Hospitals typically charge $1,419 cash for this outpatient procedure — the median across 762 hospitals that filed a usable cash price; the average of the middle 60% is $1,569. Most fall between $485 and $2,916 (20th–80th percentile).

Hospitals
762
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 762 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
$262$691$1,419$2,582$3,701

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($262 vs $3,701).

How the prices are spread

$224 – $305: 60 hospitals$224$305 – $415: 50 hospitals$415 – $566: 29 hospitals$415$566 – $772: 50 hospitals$772 – $1,052: 53 hospitals$772$1,052 – $1,434: 110 hospitals$1,434 – $1,955: 69 hospitals$1,434$1,955 – $2,665: 126 hospitals$2,665 – $3,633: 94 hospitals$2,665$3,633 – $4,952: 48 hospitals$3,633median $1,419price bands are equal on a log scale
Hospitals per price band (689 of 762 — the bands cover the 5th to 95th percentile)
FromToHospitals
$224$30560
$305$41550
$415$56629
$566$77250
$772$1,05253
$1,052$1,434110
$1,434$1,95569
$1,955$2,665126
$2,665$3,63394
$3,633$4,95248

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$1,419
Cash as a multiple of Medicare1.49×

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 $1,419.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $1,901 across 11 hospitalsWA$1,901Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,046 across 28 hospitalsMN$2,046Illinois: median $662 across 24 hospitalsIL$662Wisconsin: median $1,392 across 28 hospitalsWI$1,392Michigan: median $408 across 31 hospitalsMI$408New York: median $1,079 across 33 hospitalsNY$1,079Massachusetts: median $2,076 across 20 hospitalsMA$2,076Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $312 across 17 hospitalsIA$312Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,027 across 57 hospitalsOH$3,027Pennsylvania: median $1,416 across 30 hospitalsPA$1,416New Jersey: median $1,217 across 36 hospitalsNJ$1,217Connecticut: median $2,281 across 10 hospitalsCT$2,281Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,582 across 66 hospitalsCA$2,582Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,378 across 17 hospitalsCO$1,378Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,792 across 15 hospitalsMO$1,792Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,289 across 15 hospitalsVA$1,289Maryland: 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: median $1,076 across 12 hospitalsNM$1,076Kansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,093 across 16 hospitalsTN$1,093North Carolina: median $1,429 across 11 hospitalsNC$1,429South Carolina: median $3,194 across 24 hospitalsSC$3,194Oklahoma: median $258 across 15 hospitalsOK$258Louisiana: median $518 across 17 hospitalsLA$518Mississippi: median $1,419 across 10 hospitalsMS$1,419Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,741 across 35 hospitalsGA$1,741Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $749 across 49 hospitalsTX$749Florida: median $2,916 across 32 hospitalsFL$2,916
Cash price by state, most expensive first. National median $1,419. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC24$3,194+125%$1,742 – $4,475
Ohio OH57$3,027+113%$2,237 – $4,410
Florida FL32$2,916+106%$1,998 – $3,344
California CA66$2,582+82%$1,749 – $3,166
Connecticut CT10$2,281+61%$1,674 – $3,225
Massachusetts MA20$2,076+46%$1,049 – $2,425
Minnesota MN28$2,046+44%$751 – $2,323
Washington WA11$1,901+34%$298 – $4,898
Missouri MO15$1,792+26%$858 – $2,252
Georgia GA35$1,741+23%$1,415 – $1,839
North Carolina NC11$1,429+1%$839 – $2,067
Mississippi MS10$1,4190%$744 – $1,419
Pennsylvania PA30$1,4160%$1,099 – $4,075
Wisconsin WI28$1,392−2%$691 – $2,159
Colorado CO17$1,378−3%$403 – $2,134
Virginia VA15$1,289−9%$82 – $1,387
New Jersey NJ36$1,217−14%$1,058 – $5,110
Tennessee TN16$1,093−23%$176 – $1,163
New York NY33$1,079−24%$315 – $1,338
New Mexico NM12$1,076−24%$881 – $2,214
Texas TX49$749−47%$537 – $929
Illinois IL24$662−53%$233 – $2,393
Louisiana LA17$518−63%$321 – $947
Michigan MI31$408−71%$245 – $1,279
Iowa IA17$312−78%$312 – $346
Oklahoma OK15$258−82%$258 – $1,504
Indiana IN9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,419.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care656$1,429$544 – $3,027
Children’s13fewer than 20 hospitals
Critical access89$1,392$275 – $2,509
Ownership
For-profit73$1,116$592 – $2,683
Government103$1,741$537 – $2,995
Non-profit582$1,419$430 – $2,923
System affiliation
Part of a system659$1,522$547 – $3,027
Independent103$1,008$258 – $2,683

Cash price vs list price

Median list price (chargemaster)$2,686
Median cash price$1,419
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

539 hospitals filed a usable inpatient cash price for this code. The median is $1,607 and the average of the middle 60% is $1,553; most fall between $365 and $2,855.

Cash price percentiles, inpatient, across 539 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
$235$537$1,607$2,582$3,411

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($235 vs $3,411).

Of the 594 hospitals that filed this code inpatient, 539 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 28 a list price only.

How complete is this

762 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 828 hospitals that filed this code at all gave us
Usable cash price — counted762
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 — excluded3
A list price only, no cash figure — excluded16
Hospitals that filed this code828

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 Sigmoidoscopy Flx Ndsc US Xm.

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 ultrasound (CPT 45341) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45341-flexible-sigmoidoscopy-with-ultrasound