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Procedure price report · Colonoscopy and biopsy

Colonoscopy with biopsy

CPT 45380the billing code this page is about

A flexible scope is passed through the rectum to view the entire colon, and one or more tissue samples are taken for examination.

Hospitals typically charge $1,468 cash for this outpatient procedure — the median across 1,927 hospitals that filed a usable cash price; the average of the middle 60% is $1,656. Most fall between $739 and $3,337 (20th–80th percentile).

Hospitals
1,927
States
50
Filings dated
Aug 2022 – 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 1,927 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
$508$823$1,468$2,816$4,388

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($508 vs $4,388).

How the prices are spread

$392 – $512: 98 hospitals$392$512 – $669: 130 hospitals$669 – $874: 190 hospitals$669$874 – $1,142: 209 hospitals$1,142 – $1,492: 255 hospitals$1,142$1,492 – $1,950: 196 hospitals$1,950 – $2,549: 213 hospitals$1,950$2,549 – $3,331: 146 hospitals$3,331 – $4,353: 196 hospitals$3,331$4,353 – $5,689: 102 hospitals$4,353median $1,468price bands are equal on a log scale
Hospitals per price band (1,735 of 1,927 — the bands cover the 5th to 95th percentile)
FromToHospitals
$392$51298
$512$669130
$669$874190
$874$1,142209
$1,142$1,492255
$1,492$1,950196
$1,950$2,549213
$2,549$3,331146
$3,331$4,353196
$4,353$5,689102

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,468
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 $1,468.

Alaska: median $2,191 across 13 hospitalsAK$2,191Maine: median $1,109 across 12 hospitalsME$1,109Vermont: median $1,177 across 12 hospitalsVT$1,177New Hampshire: median $1,189 across 19 hospitalsNH$1,189Washington: median $953 across 46 hospitalsWA$953Idaho: median $2,150 across 20 hospitalsID$2,150Montana: median $1,018 across 21 hospitalsMT$1,018North Dakota: median $1,036 across 24 hospitalsND$1,036Minnesota: median $1,183 across 79 hospitalsMN$1,183Illinois: median $1,641 across 67 hospitalsIL$1,641Wisconsin: median $1,929 across 68 hospitalsWI$1,929Michigan: median $927 across 60 hospitalsMI$927New York: median $1,392 across 79 hospitalsNY$1,392Massachusetts: median $1,852 across 39 hospitalsMA$1,852Oregon: median $954 across 36 hospitalsOR$954Nevada: median $1,301 across 11 hospitalsNV$1,301Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,266 across 16 hospitalsSD$1,266Iowa: median $1,082 across 77 hospitalsIA$1,082Indiana: median $1,576 across 39 hospitalsIN$1,576Ohio: median $3,199 across 101 hospitalsOH$3,199Pennsylvania: median $1,765 across 69 hospitalsPA$1,765New Jersey: median $1,616 across 42 hospitalsNJ$1,616Connecticut: median $4,214 across 17 hospitalsCT$4,214Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,083 across 100 hospitalsCA$2,083Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,601 across 39 hospitalsCO$1,601Nebraska: median $1,160 across 62 hospitalsNE$1,160Missouri: median $1,380 across 61 hospitalsMO$1,380Kentucky: median $1,315 across 33 hospitalsKY$1,315West Virginia: median $580 across 29 hospitalsWV$580Virginia: median $1,463 across 38 hospitalsVA$1,463Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,060 across 17 hospitalsAZ$3,060New Mexico: median $1,711 across 26 hospitalsNM$1,711Kansas: median $905 across 64 hospitalsKS$905Arkansas: median $766 across 27 hospitalsAR$766Tennessee: median $948 across 40 hospitalsTN$948North Carolina: median $1,600 across 27 hospitalsNC$1,600South Carolina: median $2,439 across 29 hospitalsSC$2,439Oklahoma: median $1,106 across 34 hospitalsOK$1,106Louisiana: median $804 across 38 hospitalsLA$804Mississippi: median $1,292 across 35 hospitalsMS$1,292Alabama: median $1,473 across 26 hospitalsAL$1,473Georgia: median $1,392 across 47 hospitalsGA$1,392Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,196 across 96 hospitalsTX$1,196Florida: median $3,344 across 52 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,468. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT17$4,214+187%$1,899 – $4,792
Florida FL52$3,344+128%$2,110 – $4,407
Ohio OH101$3,199+118%$1,801 – $4,535
Arizona AZ17$3,060+108%$652 – $4,682
South Carolina SC29$2,439+66%$2,101 – $4,174
Alaska AK13$2,191+49%$539 – $3,926
Idaho ID20$2,150+46%$897 – $3,234
California CA100$2,083+42%$1,393 – $3,550
Wisconsin WI68$1,929+31%$1,248 – $2,398
Massachusetts MA39$1,852+26%$1,309 – $3,310
Pennsylvania PA69$1,765+20%$1,083 – $3,253
New Mexico NM26$1,711+17%$879 – $3,564
Illinois IL67$1,641+12%$907 – $3,172
New Jersey NJ42$1,616+10%$1,387 – $5,110
Colorado CO39$1,601+9%$702 – $2,503
North Carolina NC27$1,600+9%$1,083 – $2,955
Indiana IN39$1,576+7%$582 – $3,888
Alabama AL26$1,4730%$1,068 – $5,574
Virginia VA38$1,4630%$804 – $3,941
New York NY79$1,392−5%$656 – $3,675
Georgia GA47$1,392−5%$1,073 – $3,472
Missouri MO61$1,380−6%$707 – $4,269
Kentucky KY33$1,315−10%$555 – $4,453
Nevada NV11$1,301−11%$1,031 – $2,096
Mississippi MS35$1,292−12%$671 – $2,099
South Dakota SD16$1,266−14%$650 – $1,472
Texas TX96$1,196−19%$761 – $3,104
New Hampshire NH19$1,189−19%$489 – $1,965
Minnesota MN79$1,183−19%$715 – $2,062
Vermont VT12$1,177−20%$774 – $3,678
Nebraska NE62$1,160−21%$792 – $2,902
Maine ME12$1,109−24%$413 – $1,526
Oklahoma OK34$1,106−25%$520 – $3,332
Iowa IA77$1,082−26%$842 – $1,898
North Dakota ND24$1,036−29%$542 – $2,298
Montana MT21$1,018−31%$649 – $2,275
Oregon OR36$954−35%$642 – $1,456
Washington WA46$953−35%$727 – $2,219
Tennessee TN40$948−35%$483 – $2,032
Michigan MI60$927−37%$680 – $2,092
Kansas KS64$905−38%$553 – $1,721
Louisiana LA38$804−45%$500 – $1,758
Arkansas AR27$766−48%$569 – $1,053
West Virginia WV29$580−60%$225 – $1,801
Hawaii HI9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maryland MD3not 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 $1,468.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,233$1,674$813 – $3,675
Children’s25$1,245$499 – $4,329
Critical access663$1,138$598 – $2,233
Ownership
For-profit207$2,032$847 – $4,222
Government421$1,243$664 – $2,484
Non-profit1,293$1,473$743 – $3,438
System affiliation
Part of a system1,483$1,541$779 – $3,526
Independent444$1,187$589 – $2,448

Cash price vs list price

Median list price (chargemaster)$2,588
Median cash price$1,468
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

1,068 hospitals filed a usable inpatient cash price for this code. The median is $1,423 and the average of the middle 60% is $1,562; most fall between $683 and $2,984.

Cash price percentiles, inpatient, across 1,068 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
$484$761$1,423$2,542$3,550

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($484 vs $3,550).

Of the 1,182 hospitals that filed this code inpatient, 1,068 gave a usable cash price; 44 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 70 a list price only.

How complete is this

1,927 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,085 hospitals that filed this code at all gave us
Usable cash price — counted1,927
Cash price carrying a plausibility flag — shown on the compare tool, excluded here85
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded63
Hospitals that filed this code2,085

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 Colonoscopy and biopsy family.

Hospitals file this code under descriptions such as Colonoscopy W/Biopsy Single/Multiple.

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, “Colonoscopy with biopsy (CPT 45380) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45380-colonoscopy-with-biopsy