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Procedure price report · Colonoscopy and biopsy

Colonoscopy with polyp removal by heat or forceps

CPT 45384the billing code this page is about

Examination of the colon with a flexible scope during which polyps or other growths are removed using hot biopsy forceps or cautery.

Hospitals typically charge $1,531 cash for this outpatient procedure — the median across 1,550 hospitals that filed a usable cash price; the average of the middle 60% is $1,685. Most fall between $761 and $3,114 (20th–80th percentile).

Hospitals
1,550
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 1,550 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
$543$859$1,531$2,883$4,311

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($543 vs $4,311).

How the prices are spread

$420 – $543: 78 hospitals$420$543 – $703: 111 hospitals$703 – $909: 149 hospitals$703$909 – $1,175: 155 hospitals$1,175 – $1,520: 199 hospitals$1,175$1,520 – $1,966: 165 hospitals$1,966 – $2,543: 171 hospitals$1,966$2,543 – $3,288: 164 hospitals$3,288 – $4,253: 121 hospitals$3,288$4,253 – $5,501: 83 hospitals$4,253median $1,531price bands are equal on a log scale
Hospitals per price band (1,396 of 1,550 — the bands cover the 5th to 95th percentile)
FromToHospitals
$420$54378
$543$703111
$703$909149
$909$1,175155
$1,175$1,520199
$1,520$1,966165
$1,966$2,543171
$2,543$3,288164
$3,288$4,253121
$4,253$5,50183

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,531
Cash as a multiple of Medicare1.25×

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 $1,531.

Alaska: median $2,111 across 11 hospitalsAK$2,111Maine: median $1,235 across 13 hospitalsME$1,235Vermont: median $1,023 across 10 hospitalsVT$1,023New Hampshire: median $1,019 across 13 hospitalsNH$1,019Washington: median $1,021 across 38 hospitalsWA$1,021Idaho: median $1,949 across 17 hospitalsID$1,949Montana: median $816 across 17 hospitalsMT$816North Dakota: median $1,846 across 18 hospitalsND$1,846Minnesota: median $1,452 across 60 hospitalsMN$1,452Illinois: median $1,772 across 53 hospitalsIL$1,772Wisconsin: median $2,015 across 49 hospitalsWI$2,015Michigan: median $788 across 46 hospitalsMI$788New York: median $1,395 across 70 hospitalsNY$1,395Massachusetts: median $3,248 across 23 hospitalsMA$3,248Oregon: median $1,381 across 33 hospitalsOR$1,381Nevada: median $1,301 across 10 hospitalsNV$1,301Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,389 across 13 hospitalsSD$1,389Iowa: median $1,164 across 63 hospitalsIA$1,164Indiana: median $959 across 42 hospitalsIN$959Ohio: median $3,050 across 76 hospitalsOH$3,050Pennsylvania: median $2,222 across 58 hospitalsPA$2,222New Jersey: median $3,786 across 39 hospitalsNJ$3,786Connecticut: median $4,058 across 11 hospitalsCT$4,058Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,764 across 90 hospitalsCA$2,764Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,818 across 31 hospitalsCO$1,818Nebraska: median $1,197 across 40 hospitalsNE$1,197Missouri: median $1,435 across 48 hospitalsMO$1,435Kentucky: median $1,315 across 30 hospitalsKY$1,315West Virginia: median $718 across 23 hospitalsWV$718Virginia: median $1,463 across 24 hospitalsVA$1,463Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,280 across 12 hospitalsAZ$2,280New Mexico: median $2,306 across 22 hospitalsNM$2,306Kansas: median $923 across 53 hospitalsKS$923Arkansas: median $653 across 18 hospitalsAR$653Tennessee: median $1,261 across 29 hospitalsTN$1,261North Carolina: median $1,450 across 23 hospitalsNC$1,450South Carolina: median $2,554 across 21 hospitalsSC$2,554Oklahoma: median $1,146 across 28 hospitalsOK$1,146Louisiana: median $932 across 35 hospitalsLA$932Mississippi: median $1,329 across 24 hospitalsMS$1,329Alabama: median $1,522 across 24 hospitalsAL$1,522Georgia: median $1,834 across 35 hospitalsGA$1,834Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,196 across 85 hospitalsTX$1,196Florida: median $3,344 across 41 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,531. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT11$4,058+165%$1,674 – $4,815
New Jersey NJ39$3,786+147%$1,387 – $5,110
Florida FL41$3,344+118%$1,948 – $4,261
Massachusetts MA23$3,248+112%$1,814 – $3,491
Ohio OH76$3,050+99%$1,457 – $3,778
California CA90$2,764+81%$1,161 – $3,138
South Carolina SC21$2,554+67%$1,456 – $4,174
New Mexico NM22$2,306+51%$1,191 – $3,672
Arizona AZ12$2,280+49%$1,289 – $10,182
Pennsylvania PA58$2,222+45%$1,380 – $3,381
Alaska AK11$2,111+38%$728 – $4,182
Wisconsin WI49$2,015+32%$1,090 – $2,311
Idaho ID17$1,949+27%$984 – $3,234
North Dakota ND18$1,846+21%$505 – $2,546
Georgia GA35$1,834+20%$1,414 – $3,599
Colorado CO31$1,818+19%$785 – $2,288
Illinois IL53$1,772+16%$803 – $2,610
Alabama AL24$1,522−1%$987 – $6,831
Virginia VA24$1,463−4%$1,380 – $4,418
Minnesota MN60$1,452−5%$1,044 – $2,150
North Carolina NC23$1,450−5%$1,083 – $2,344
Missouri MO48$1,435−6%$803 – $3,880
New York NY70$1,395−9%$585 – $4,595
South Dakota SD13$1,389−9%$1,389 – $2,309
Oregon OR33$1,381−10%$845 – $2,189
Mississippi MS24$1,329−13%$891 – $3,000
Kentucky KY30$1,315−14%$537 – $4,715
Nevada NV10$1,301−15%$1,052 – $2,162
Tennessee TN29$1,261−18%$476 – $2,261
Maine ME13$1,235−19%$457 – $2,016
Nebraska NE40$1,197−22%$819 – $2,679
Texas TX85$1,196−22%$682 – $2,625
Iowa IA63$1,164−24%$773 – $2,001
Oklahoma OK28$1,146−25%$662 – $2,404
Vermont VT10$1,023−33%$607 – $4,324
Washington WA38$1,021−33%$619 – $2,758
New Hampshire NH13$1,019−33%$264 – $2,256
Indiana IN42$959−37%$497 – $2,879
Louisiana LA35$932−39%$544 – $1,572
Kansas KS53$923−40%$581 – $1,750
Montana MT17$816−47%$439 – $1,988
Michigan MI46$788−49%$716 – $1,836
West Virginia WV23$718−53%$241 – $1,187
Arkansas AR18$653−57%$645 – $1,350
Hawaii HI8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD2not 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 $1,531.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,004$1,730$819 – $3,526
Children’s18fewer than 20 hospitals
Critical access523$1,265$656 – $2,251
Ownership
For-profit165$1,834$833 – $4,239
Government342$1,395$727 – $2,598
Non-profit1,038$1,541$761 – $3,170
System affiliation
Part of a system1,197$1,688$803 – $3,344
Independent353$1,132$647 – $2,324

Cash price vs list price

Median list price (chargemaster)$2,581
Median cash price$1,531
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

867 hospitals filed a usable inpatient cash price for this code. The median is $1,542 and the average of the middle 60% is $1,682; most fall between $696 and $3,055.

Cash price percentiles, inpatient, across 867 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
$532$796$1,542$2,886$3,599

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($532 vs $3,599).

Of the 960 hospitals that filed this code inpatient, 867 gave a usable cash price; 38 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

1,550 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,681 hospitals that filed this code at all gave us
Usable cash price — counted1,550
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded52
Hospitals that filed this code1,681

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 July 20, 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 W/Removal Lesion by Hot Bx Forceps.

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 polyp removal by heat or forceps (CPT 45384) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45384-colonoscopy-with-polyp-removal-by-heat-or-forceps