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Procedure price report · Colonoscopy and biopsy

Colonoscopy with injection into the bowel wall

CPT 45381the billing code this page is about

Examination of the colon with a flexible scope during which medication or another substance is injected into the lining of the bowel.

Hospitals typically charge $1,463 cash for this outpatient procedure — the median across 1,628 hospitals that filed a usable cash price; the average of the middle 60% is $1,621. Most fall between $719 and $3,253 (20th–80th percentile).

Hospitals
1,628
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 1,628 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
$489$792$1,463$2,841$4,659

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($489 vs $4,659).

How the prices are spread

$374 – $496: 85 hospitals$374$496 – $658: 117 hospitals$658 – $874: 171 hospitals$658$874 – $1,160: 185 hospitals$1,160 – $1,540: 214 hospitals$1,160$1,540 – $2,044: 179 hospitals$2,044 – $2,713: 170 hospitals$2,044$2,713 – $3,601: 148 hospitals$3,601 – $4,780: 124 hospitals$3,601$4,780 – $6,344: 73 hospitals$4,780median $1,463price bands are equal on a log scale
Hospitals per price band (1,466 of 1,628 — the bands cover the 5th to 95th percentile)
FromToHospitals
$374$49685
$496$658117
$658$874171
$874$1,160185
$1,160$1,540214
$1,540$2,044179
$2,044$2,713170
$2,713$3,601148
$3,601$4,780124
$4,780$6,34473

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: median $2,291 across 11 hospitalsAK$2,291Maine: median $790 across 11 hospitalsME$790Vermont: median $1,130 across 10 hospitalsVT$1,130New Hampshire: median $1,093 across 16 hospitalsNH$1,093Washington: median $939 across 41 hospitalsWA$939Idaho: median $1,185 across 18 hospitalsID$1,185Montana: median $1,144 across 20 hospitalsMT$1,144North Dakota: median $1,776 across 13 hospitalsND$1,776Minnesota: median $1,121 across 77 hospitalsMN$1,121Illinois: median $1,316 across 56 hospitalsIL$1,316Wisconsin: median $1,960 across 55 hospitalsWI$1,960Michigan: median $716 across 48 hospitalsMI$716New York: median $1,395 across 77 hospitalsNY$1,395Massachusetts: median $1,932 across 36 hospitalsMA$1,932Oregon: median $849 across 29 hospitalsOR$849Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,268 across 11 hospitalsSD$1,268Iowa: median $1,039 across 65 hospitalsIA$1,039Indiana: median $2,136 across 34 hospitalsIN$2,136Ohio: median $2,963 across 93 hospitalsOH$2,963Pennsylvania: median $2,233 across 63 hospitalsPA$2,233New Jersey: median $2,577 across 40 hospitalsNJ$2,577Connecticut: median $4,214 across 14 hospitalsCT$4,214Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,080 across 93 hospitalsCA$2,080Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,601 across 29 hospitalsCO$1,601Nebraska: median $1,067 across 36 hospitalsNE$1,067Missouri: median $1,360 across 56 hospitalsMO$1,360Kentucky: median $665 across 21 hospitalsKY$665West Virginia: median $515 across 26 hospitalsWV$515Virginia: median $1,463 across 29 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 $3,358 across 15 hospitalsAZ$3,358New Mexico: median $3,016 across 21 hospitalsNM$3,016Kansas: median $838 across 44 hospitalsKS$838Arkansas: median $766 across 19 hospitalsAR$766Tennessee: median $1,261 across 26 hospitalsTN$1,261North Carolina: median $1,566 across 24 hospitalsNC$1,566South Carolina: median $2,482 across 29 hospitalsSC$2,482Oklahoma: median $1,604 across 30 hospitalsOK$1,604Louisiana: median $796 across 31 hospitalsLA$796Mississippi: median $1,351 across 30 hospitalsMS$1,351Alabama: median $1,250 across 24 hospitalsAL$1,250Georgia: median $996 across 38 hospitalsGA$996Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $920 across 82 hospitalsTX$920Florida: median $3,344 across 40 hospitalsFL$3,344
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
Connecticut CT14$4,214+188%$1,674 – $4,815
Arizona AZ15$3,358+130%$1,219 – $5,101
Florida FL40$3,344+129%$2,159 – $4,407
New Mexico NM21$3,016+106%$1,214 – $5,265
Ohio OH93$2,963+103%$1,724 – $5,192
New Jersey NJ40$2,577+76%$1,387 – $5,110
South Carolina SC29$2,482+70%$2,032 – $4,174
Alaska AK11$2,291+57%$1,290 – $2,527
Pennsylvania PA63$2,233+53%$1,360 – $4,272
Indiana IN34$2,136+46%$532 – $4,734
California CA93$2,080+42%$1,238 – $2,918
Wisconsin WI55$1,960+34%$1,054 – $2,395
Massachusetts MA36$1,932+32%$1,307 – $3,249
North Dakota ND13$1,776+21%$459 – $2,546
Oklahoma OK30$1,604+10%$530 – $3,047
Colorado CO29$1,601+9%$691 – $2,016
North Carolina NC24$1,566+7%$1,083 – $2,261
Virginia VA29$1,4630%$1,291 – $5,191
New York NY77$1,395−5%$567 – $3,675
Missouri MO56$1,360−7%$707 – $5,850
Mississippi MS30$1,351−8%$712 – $2,297
Illinois IL56$1,316−10%$745 – $2,529
South Dakota SD11$1,268−13%$1,268 – $1,490
Tennessee TN26$1,261−14%$493 – $2,025
Alabama AL24$1,250−15%$987 – $7,056
Idaho ID18$1,185−19%$743 – $3,234
Montana MT20$1,144−22%$601 – $1,431
Vermont VT10$1,130−23%$755 – $3,692
Minnesota MN77$1,121−23%$743 – $2,114
New Hampshire NH16$1,093−25%$232 – $1,634
Nebraska NE36$1,067−27%$690 – $1,890
Iowa IA65$1,039−29%$749 – $1,863
Georgia GA38$996−32%$923 – $3,472
Washington WA41$939−36%$596 – $2,238
Texas TX82$920−37%$761 – $2,969
Oregon OR29$849−42%$586 – $1,845
Kansas KS44$838−43%$540 – $1,621
Louisiana LA31$796−46%$500 – $1,153
Maine ME11$790−46%$546 – $1,145
Arkansas AR19$766−48%$645 – $1,634
Michigan MI48$716−51%$422 – $2,019
Kentucky KY21$665−55%$458 – $4,734
West Virginia WV26$515−65%$217 – $1,250
Nevada NV9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Utah UT6not 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 $1,463.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,114$1,645$767 – $3,786
Children’s12fewer than 20 hospitals
Critical access497$1,125$544 – $2,078
Ownership
For-profit186$1,677$788 – $4,611
Government332$1,250$643 – $2,297
Non-profit1,105$1,498$713 – $3,344
System affiliation
Part of a system1,272$1,600$763 – $3,528
Independent356$1,087$567 – $2,100

Cash price vs list price

Median list price (chargemaster)$2,511
Median cash price$1,463
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

913 hospitals filed a usable inpatient cash price for this code. The median is $1,387 and the average of the middle 60% is $1,558; most fall between $690 and $2,918.

Cash price percentiles, inpatient, across 913 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
$467$761$1,387$2,512$3,526

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($467 vs $3,526).

Of the 1,008 hospitals that filed this code inpatient, 913 gave a usable cash price; 40 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 55 a list price only.

How complete is this

1,628 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,768 hospitals that filed this code at all gave us
Usable cash price — counted1,628
Cash price carrying a plausibility flag — shown on the compare tool, excluded here75
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded54
Hospitals that filed this code1,768

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 Colsc Flx With Directed Submucosal Njx Any Sbst.

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 injection into the bowel wall (CPT 45381) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45381-colonoscopy-with-injection-into-the-bowel-wall