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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Flexible sigmoidoscopy with hemorrhoid banding

CPT 45350the billing code this page is about

A flexible scope is passed into the rectum and lower colon and rubber bands are placed around internal hemorrhoids to cut off their blood supply.

Hospitals typically charge $1,463 cash for this outpatient procedure — the median across 787 hospitals that filed a usable cash price; the average of the middle 60% is $1,582. Most fall between $714 and $3,234 (20th–80th percentile).

Hospitals
787
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 787 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
$411$808$1,463$2,564$3,847

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($411 vs $3,847).

How the prices are spread

$207 – $284: 19 hospitals$207$284 – $390: 18 hospitals$390 – $535: 19 hospitals$390$535 – $733: 76 hospitals$733 – $1,006: 82 hospitals$733$1,006 – $1,379: 102 hospitals$1,379 – $1,892: 137 hospitals$1,379$1,892 – $2,595: 102 hospitals$2,595 – $3,559: 80 hospitals$2,595$3,559 – $4,881: 74 hospitals$3,559median $1,463price bands are equal on a log scale
Hospitals per price band (709 of 787 — the bands cover the 5th to 95th percentile)
FromToHospitals
$207$28419
$284$39018
$390$53519
$535$73376
$733$1,00682
$1,006$1,379102
$1,379$1,892137
$1,892$2,595102
$2,595$3,55980
$3,559$4,88174

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,463
Cash as a multiple of Medicare1.20×

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 $1,463.

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: 5 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 $979 across 11 hospitalsWA$979Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,117 across 20 hospitalsMN$1,117Illinois: median $1,082 across 33 hospitalsIL$1,082Wisconsin: median $1,160 across 27 hospitalsWI$1,160Michigan: median $629 across 28 hospitalsMI$629New York: median $1,395 across 31 hospitalsNY$1,395Massachusetts: median $2,152 across 15 hospitalsMA$2,152Oregon: median $1,056 across 15 hospitalsOR$1,056Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,523 across 23 hospitalsIA$1,523Indiana: median $563 across 10 hospitalsIN$563Ohio: median $2,704 across 55 hospitalsOH$2,704Pennsylvania: median $2,539 across 32 hospitalsPA$2,539New Jersey: median $3,986 across 36 hospitalsNJ$3,986Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 69 hospitalsCA$2,288Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,124 across 14 hospitalsCO$1,124Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,474 across 18 hospitalsMO$1,474Kentucky: median $1,080 across 11 hospitalsKY$1,080West Virginia: median $776 across 18 hospitalsWV$776Virginia: median $1,477 across 12 hospitalsVA$1,477Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $3,002 across 11 hospitalsNM$3,002Kansas: median $1,014 across 11 hospitalsKS$1,014Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $898 across 13 hospitalsTN$898North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $713 across 22 hospitalsSC$713Oklahoma: median $728 across 16 hospitalsOK$728Louisiana: median $1,111 across 17 hospitalsLA$1,111Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $1,036 across 11 hospitalsAL$1,036Georgia: median $1,496 across 31 hospitalsGA$1,496Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $954 across 46 hospitalsTX$954Florida: median $2,470 across 32 hospitalsFL$2,470
Cash price by state, most expensive first. National median $1,463. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ36$3,986+173%$1,387 – $6,311
New Mexico NM11$3,002+105%$1,076 – $3,385
Ohio OH55$2,704+85%$1,380 – $3,526
Pennsylvania PA32$2,539+74%$1,380 – $3,419
Florida FL32$2,470+69%$1,494 – $4,407
California CA69$2,288+56%$1,132 – $3,847
Massachusetts MA15$2,152+47%$1,498 – $3,310
Iowa IA23$1,523+4%$997 – $1,673
Georgia GA31$1,496+2%$1,194 – $1,592
Virginia VA12$1,477+1%$1,463 – $1,906
Missouri MO18$1,474+1%$918 – $3,145
New York NY31$1,395−5%$414 – $1,494
Wisconsin WI27$1,160−21%$643 – $1,160
Colorado CO14$1,124−23%$699 – $1,678
Minnesota MN20$1,117−24%$174 – $1,917
Louisiana LA17$1,111−24%$554 – $1,733
Illinois IL33$1,082−26%$533 – $2,493
Kentucky KY11$1,080−26%$563 – $4,734
Oregon OR15$1,056−28%$183 – $1,914
Alabama AL11$1,036−29%$774 – $4,082
Kansas KS11$1,014−31%$708 – $1,307
Washington WA11$979−33%$229 – $2,939
Texas TX46$954−35%$626 – $1,217
Tennessee TN13$898−39%$240 – $2,052
West Virginia WV18$776−47%$104 – $2,016
Oklahoma OK16$728−50%$728 – $1,849
South Carolina SC22$713−51%$713 – $2,217
Michigan MI28$629−57%$366 – $1,403
Indiana IN10$563−62%$563 – $3,901
North Carolina NC9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wyoming WY1not 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 $1,463.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care628$1,494$749 – $3,344
Children’s7fewer than 20 hospitals
Critical access148$1,160$366 – $2,044
Ownership
For-profit86$1,380$749 – $3,234
Government136$1,395$740 – $2,217
Non-profit561$1,496$713 – $3,341
System affiliation
Part of a system652$1,496$740 – $3,341
Independent135$1,091$327 – $2,099

Cash price vs list price

Median list price (chargemaster)$2,670
Median cash price$1,463
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

512 hospitals filed a usable inpatient cash price for this code. The median is $1,496 and the average of the middle 60% is $1,664; most fall between $728 and $3,310.

Cash price percentiles, inpatient, across 512 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
$390$808$1,496$2,925$3,847

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($390 vs $3,847).

Of the 567 hospitals that filed this code inpatient, 512 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

787 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 859 hospitals that filed this code at all gave us
Usable cash price — counted787
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded22
Hospitals that filed this code859

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 With With Band Ligation(S).

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 hemorrhoid banding (CPT 45350) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45350-flexible-sigmoidoscopy-with-hemorrhoid-banding