HRHospitalRates.comCompare prices

Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with removal of a large flat lesion

CPT 45349the billing code this page is about

A flexible scope examines the rectum and lower colon and a lesion is lifted off the bowel lining and removed in a mucosal resection.

Hospitals typically charge $2,294 cash for this outpatient procedure — the median across 726 hospitals that filed a usable cash price; the average of the middle 60% is $2,352. Most fall between $725 and $3,970 (20th–80th percentile).

Hospitals
726
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 726 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
$414$898$2,294$3,817$6,124

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($414 vs $6,124).

How the prices are spread

$301 – $417: 44 hospitals$301$417 – $578: 35 hospitals$578 – $800: 46 hospitals$578$800 – $1,109: 57 hospitals$1,109 – $1,537: 45 hospitals$1,109$1,537 – $2,130: 76 hospitals$2,130 – $2,951: 77 hospitals$2,130$2,951 – $4,089: 176 hospitals$4,089 – $5,667: 52 hospitals$4,089$5,667 – $7,853: 47 hospitals$5,667median $2,294price bands are equal on a log scale
Hospitals per price band (655 of 726 — the bands cover the 5th to 95th percentile)
FromToHospitals
$301$41744
$417$57835
$578$80046
$800$1,10957
$1,109$1,53745
$1,537$2,13076
$2,130$2,95177
$2,951$4,089176
$4,089$5,66752
$5,667$7,85347

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,294
Cash as a multiple of Medicare0.81×

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 $2,294.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,459 across 11 hospitalsWA$2,459Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $1,587 across 24 hospitalsMN$1,587Illinois: median $2,144 across 24 hospitalsIL$2,144Wisconsin: median $1,909 across 32 hospitalsWI$1,909Michigan: median $671 across 27 hospitalsMI$671New York: median $3,245 across 31 hospitalsNY$3,245Massachusetts: median $2,897 across 20 hospitalsMA$2,897Oregon: median $356 across 10 hospitalsOR$356Nevada: 4 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 $502 across 17 hospitalsIA$502Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,254 across 42 hospitalsOH$3,254Pennsylvania: median $3,561 across 35 hospitalsPA$3,561New Jersey: median $3,597 across 37 hospitalsNJ$3,597Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,287 across 68 hospitalsCA$3,287Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,195 across 12 hospitalsCO$2,195Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,975 across 14 hospitalsMO$2,975Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,160 across 16 hospitalsVA$1,160Maryland: 1 hospital 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: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,160 across 22 hospitalsTN$1,160North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $3,882 across 23 hospitalsSC$3,882Oklahoma: median $414 across 17 hospitalsOK$414Louisiana: median $1,163 across 15 hospitalsLA$1,163Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $833 across 26 hospitalsGA$833Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,004 across 40 hospitalsTX$1,004Florida: median $3,936 across 31 hospitalsFL$3,936
Cash price by state, most expensive first. National median $2,294. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL31$3,936+72%$2,349 – $4,412
South Carolina SC23$3,882+69%$3,502 – $4,013
New Jersey NJ37$3,597+57%$3,038 – $5,339
Pennsylvania PA35$3,561+55%$2,730 – $5,610
California CA68$3,287+43%$2,288 – $4,964
Ohio OH42$3,254+42%$2,043 – $3,927
New York NY31$3,245+41%$559 – $3,465
Missouri MO14$2,975+30%$1,793 – $5,122
Massachusetts MA20$2,897+26%$1,926 – $5,203
Washington WA11$2,459+7%$454 – $6,801
Colorado CO12$2,195−4%$1,881 – $2,729
Illinois IL24$2,144−7%$339 – $3,966
Wisconsin WI32$1,909−17%$1,752 – $3,890
Minnesota MN24$1,587−31%$470 – $3,776
Louisiana LA15$1,163−49%$734 – $1,664
Tennessee TN22$1,160−49%$246 – $1,766
Virginia VA16$1,160−49%$1,024 – $3,402
Texas TX40$1,004−56%$770 – $1,671
Georgia GA26$833−64%$833 – $1,550
Michigan MI27$671−71%$671 – $3,817
Iowa IA17$502−78%$502 – $502
Oklahoma OK17$414−82%$414 – $3,067
Oregon OR10$356−84%$356 – $1,931
Idaho ID9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Maryland MD1not 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 $2,294.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care623$2,542$833 – $4,016
Children’s8fewer than 20 hospitals
Critical access91$1,733$336 – $3,776
Ownership
For-profit65$2,774$781 – $4,937
Government107$1,650$606 – $4,013
Non-profit550$2,355$770 – $3,936
System affiliation
Part of a system632$2,459$770 – $3,944
Independent94$1,586$395 – $4,082

Cash price vs list price

Median list price (chargemaster)$3,970
Median cash price$2,294
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

505 hospitals filed a usable inpatient cash price for this code. The median is $2,093 and the average of the middle 60% is $2,209; most fall between $770 and $3,895.

Cash price percentiles, inpatient, across 505 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
$356$880$2,093$3,697$6,180

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($356 vs $6,180).

Of the 558 hospitals that filed this code inpatient, 505 gave a usable cash price; 31 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

726 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 797 hospitals that filed this code at all gave us
Usable cash price — counted726
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded20
Hospitals that filed this code797

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 Sgmdsc Flx With Endoscopic Mucosal Resection.

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 removal of a large flat lesion (CPT 45349) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45349-flexible-sigmoidoscopy-with-removal-of-a-large-flat-lesion