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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with ultrasound-guided needle biopsy

CPT 45342the billing code this page is about

A flexible scope with an ultrasound probe examines the rectum and lower colon, and a needle is guided through or into the bowel wall to sample tissue.

Hospitals typically charge $1,779 cash for this outpatient procedure — the median across 683 hospitals that filed a usable cash price; the average of the middle 60% is $1,900. Most fall between $547 and $3,725 (20th–80th percentile).

Hospitals
683
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 683 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$749$1,779$3,344$4,710

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($341 vs $4,710).

How the prices are spread

$234 – $324: 32 hospitals$234$324 – $449: 52 hospitals$449 – $623: 28 hospitals$449$623 – $863: 50 hospitals$863 – $1,197: 48 hospitals$863$1,197 – $1,659: 85 hospitals$1,659 – $2,301: 90 hospitals$1,659$2,301 – $3,189: 65 hospitals$3,189 – $4,422: 106 hospitals$3,189$4,422 – $6,130: 59 hospitals$4,422median $1,779price bands are equal on a log scale
Hospitals per price band (615 of 683 — the bands cover the 5th to 95th percentile)
FromToHospitals
$234$32432
$324$44952
$449$62328
$623$86350
$863$1,19748
$1,197$1,65985
$1,659$2,30190
$2,301$3,18965
$3,189$4,422106
$4,422$6,13059

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,779
Cash as a multiple of Medicare1.46×

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 $1,779.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,099 across 12 hospitalsWA$2,099Idaho: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,393 across 28 hospitalsMN$1,393Illinois: median $833 across 20 hospitalsIL$833Wisconsin: median $1,831 across 29 hospitalsWI$1,831Michigan: median $469 across 28 hospitalsMI$469New York: median $1,395 across 26 hospitalsNY$1,395Massachusetts: median $2,076 across 18 hospitalsMA$2,076Oregon: 8 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 $429 across 17 hospitalsIA$429Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,526 across 53 hospitalsOH$3,526Pennsylvania: median $1,726 across 36 hospitalsPA$1,726New Jersey: median $1,573 across 36 hospitalsNJ$1,573Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,348 across 60 hospitalsCA$3,348Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,888 across 16 hospitalsCO$1,888Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,716 across 11 hospitalsVA$1,716Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,488 across 11 hospitalsNM$1,488Kansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $744 across 14 hospitalsTN$744North Carolina: median $1,974 across 11 hospitalsNC$1,974South Carolina: median $3,353 across 18 hospitalsSC$3,353Oklahoma: median $356 across 15 hospitalsOK$356Louisiana: median $561 across 16 hospitalsLA$561Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,069 across 23 hospitalsGA$2,069Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $837 across 46 hospitalsTX$837Florida: median $3,344 across 29 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,779. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH53$3,526+98%$3,314 – $4,015
South Carolina SC18$3,353+88%$1,742 – $3,353
California CA60$3,348+88%$1,211 – $4,480
Florida FL29$3,344+88%$1,911 – $3,936
Washington WA12$2,099+18%$451 – $4,660
Massachusetts MA18$2,076+17%$1,773 – $3,310
Georgia GA23$2,069+16%$1,592 – $3,011
North Carolina NC11$1,974+11%$1,083 – $2,347
Colorado CO16$1,888+6%$879 – $2,806
Wisconsin WI29$1,831+3%$1,819 – $2,603
Pennsylvania PA36$1,726−3%$122 – $5,539
Virginia VA11$1,716−4%$539 – $3,061
New Jersey NJ36$1,573−12%$1,368 – $5,110
New Mexico NM11$1,488−16%$1,162 – $2,214
New York NY26$1,395−22%$486 – $1,494
Minnesota MN28$1,393−22%$781 – $3,078
Texas TX46$837−53%$749 – $935
Illinois IL20$833−53%$275 – $2,829
Tennessee TN14$744−58%$234 – $1,093
Louisiana LA16$561−68%$419 – $868
Michigan MI28$469−74%$207 – $1,645
Iowa IA17$429−76%$429 – $530
Oklahoma OK15$356−80%$356 – $2,404
Missouri MO9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not 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 $1,779.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care592$1,742$650 – $3,795
Children’s9fewer than 20 hospitals
Critical access78$1,831$306 – $3,234
Ownership
For-profit61$1,211$639 – $3,011
Government90$1,599$618 – $3,795
Non-profit528$1,831$535 – $3,787
System affiliation
Part of a system602$1,831$665 – $3,880
Independent81$1,184$392 – $2,717

Cash price vs list price

Median list price (chargemaster)$3,247
Median cash price$1,779
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

497 hospitals filed a usable inpatient cash price for this code. The median is $1,888 and the average of the middle 60% is $1,988; most fall between $539 and $3,633.

Cash price percentiles, inpatient, across 497 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
$336$749$1,888$3,353$4,660

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($336 vs $4,660).

Of the 542 hospitals that filed this code inpatient, 497 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 31 a list price only.

How complete is this

683 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 741 hospitals that filed this code at all gave us
Usable cash price — counted683
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 — excluded20
Hospitals that filed this code741

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 Tndsc US Gid Ndl Aspir/Bx.

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-guided needle biopsy (CPT 45342) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45342-flexible-sigmoidoscopy-with-ultrasound-guided-needle-biopsy