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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with destruction of a growth

CPT 45346the billing code this page is about

A flexible scope examines the rectum and lower colon and a polyp or other growth is destroyed using heat, laser, or a similar technique rather than being cut out.

Hospitals typically charge $1,573 cash for this outpatient procedure — the median across 862 hospitals that filed a usable cash price; the average of the middle 60% is $1,906. Most fall between $781 and $3,605 (20th–80th percentile).

Hospitals
862
States
50
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 862 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
$422$943$1,573$3,344$5,179

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($422 vs $5,179).

How the prices are spread

$286 – $388: 37 hospitals$286$388 – $526: 25 hospitals$526 – $713: 37 hospitals$526$713 – $966: 77 hospitals$966 – $1,309: 105 hospitals$966$1,309 – $1,774: 137 hospitals$1,774 – $2,404: 87 hospitals$1,774$2,404 – $3,258: 76 hospitals$3,258 – $4,415: 120 hospitals$3,258$4,415 – $5,984: 75 hospitals$4,415median $1,573price bands are equal on a log scale
Hospitals per price band (776 of 862 — the bands cover the 5th to 95th percentile)
FromToHospitals
$286$38837
$388$52625
$526$71337
$713$96677
$966$1,309105
$1,309$1,774137
$1,774$2,40487
$2,404$3,25876
$3,258$4,415120
$4,415$5,98475

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,573
Cash as a multiple of Medicare1.29×

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 $1,573.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 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 $2,526 across 17 hospitalsWA$2,526Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,093 across 44 hospitalsMN$1,093Illinois: median $2,309 across 30 hospitalsIL$2,309Wisconsin: median $1,485 across 36 hospitalsWI$1,485Michigan: median $671 across 28 hospitalsMI$671New York: median $1,395 across 39 hospitalsNY$1,395Massachusetts: median $2,195 across 25 hospitalsMA$2,195Oregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 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 $3,621 across 24 hospitalsIA$3,621Indiana: median $508 across 22 hospitalsIN$508Ohio: median $3,314 across 62 hospitalsOH$3,314Pennsylvania: median $2,024 across 46 hospitalsPA$2,024New Jersey: median $1,573 across 38 hospitalsNJ$1,573Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,056 across 69 hospitalsCA$4,056Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,296 across 15 hospitalsCO$2,296Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,606 across 12 hospitalsMO$1,606Kentucky: median $1,986 across 10 hospitalsKY$1,986West Virginia: median $168 across 14 hospitalsWV$168Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $767 across 16 hospitalsTN$767North Carolina: median $1,429 across 13 hospitalsNC$1,429South Carolina: median $3,521 across 19 hospitalsSC$3,521Oklahoma: median $263 across 18 hospitalsOK$263Louisiana: median $1,204 across 18 hospitalsLA$1,204Mississippi: median $946 across 11 hospitalsMS$946Alabama: median $1,857 across 10 hospitalsAL$1,857Georgia: median $1,254 across 26 hospitalsGA$1,254Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $818 across 56 hospitalsTX$818Florida: median $2,470 across 33 hospitalsFL$2,470
Cash price by state, most expensive first. National median $1,573. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA69$4,056+158%$1,013 – $5,718
Iowa IA24$3,621+130%$887 – $6,682
South Carolina SC19$3,521+124%$2,772 – $3,521
Ohio OH62$3,314+111%$2,089 – $3,526
Washington WA17$2,526+61%$979 – $4,367
Florida FL33$2,470+57%$1,436 – $3,344
Illinois IL30$2,309+47%$1,158 – $2,587
Colorado CO15$2,296+46%$1,525 – $3,053
Massachusetts MA25$2,195+40%$1,151 – $3,661
Pennsylvania PA46$2,024+29%$1,297 – $4,596
Kentucky KY10$1,986+26%$1,265 – $4,734
Alabama AL10$1,857+18%$1,131 – $4,147
Missouri MO12$1,606+2%$1,453 – $2,805
New Jersey NJ38$1,5730%$1,368 – $5,110
Wisconsin WI36$1,485−6%$1,026 – $2,229
North Carolina NC13$1,429−9%$1,083 – $1,548
New York NY39$1,395−11%$526 – $3,508
Georgia GA26$1,254−20%$1,238 – $1,496
Louisiana LA18$1,204−23%$780 – $1,758
Minnesota MN44$1,093−31%$1,057 – $3,278
Mississippi MS11$946−40%$721 – $1,036
Texas TX56$818−48%$749 – $2,294
Tennessee TN16$767−51%$320 – $1,093
Michigan MI28$671−57%$671 – $1,645
Indiana IN22$508−68%$337 – $1,981
Oklahoma OK18$263−83%$263 – $2,038
West Virginia WV14$168−89%$164 – $1,957
Idaho ID9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maryland MD2not 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 $1,573.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care705$1,606$816 – $3,679
Children’s10fewer than 20 hospitals
Critical access143$1,485$545 – $3,234
Ownership
For-profit87$1,616$842 – $3,222
Government127$1,549$836 – $3,661
Non-profit644$1,599$756 – $3,661
System affiliation
Part of a system739$1,599$812 – $3,661
Independent123$1,560$489 – $3,104

Cash price vs list price

Median list price (chargemaster)$3,234
Median cash price$1,573
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

576 hospitals filed a usable inpatient cash price for this code. The median is $1,981 and the average of the middle 60% is $2,133; most fall between $818 and $3,796.

Cash price percentiles, inpatient, across 576 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
$465$1,057$1,981$3,521$5,657

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($465 vs $5,657).

Of the 631 hospitals that filed this code inpatient, 576 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

862 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 939 hospitals that filed this code at all gave us
Usable cash price — counted862
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded23
Hospitals that filed this code939

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 Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les.

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 destruction of a growth (CPT 45346) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45346-flexible-sigmoidoscopy-with-destruction-of-a-growth