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Procedure price report · Colonoscopy and biopsy

Colonoscopy with stretching of a narrowed area

CPT 45386the billing code this page is about

Examination of the colon with a flexible scope during which a narrowed segment of bowel is widened using a balloon or dilator.

Hospitals typically charge $1,498 cash for this outpatient procedure — the median across 1,129 hospitals that filed a usable cash price; the average of the middle 60% is $1,739. Most fall between $750 and $3,333 (20th–80th percentile).

Hospitals
1,129
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 1,129 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
$499$854$1,498$3,010$4,488

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($499 vs $4,488).

How the prices are spread

$382 – $496: 55 hospitals$382$496 – $644: 75 hospitals$644 – $837: 88 hospitals$644$837 – $1,086: 80 hospitals$1,086 – $1,410: 163 hospitals$1,086$1,410 – $1,831: 139 hospitals$1,831 – $2,377: 104 hospitals$1,831$2,377 – $3,086: 93 hospitals$3,086 – $4,007: 133 hospitals$3,086$4,007 – $5,202: 94 hospitals$4,007median $1,498price bands are equal on a log scale
Hospitals per price band (1,024 of 1,129 — the bands cover the 5th to 95th percentile)
FromToHospitals
$382$49655
$496$64475
$644$83788
$837$1,08680
$1,086$1,410163
$1,410$1,831139
$1,831$2,377104
$2,377$3,08693
$3,086$4,007133
$4,007$5,20294

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,498
Cash as a multiple of Medicare1.23×

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 $1,498.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $849 across 10 hospitalsNH$849Washington: median $1,425 across 27 hospitalsWA$1,425Idaho: median $3,234 across 10 hospitalsID$3,234Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,333 across 47 hospitalsMN$1,333Illinois: median $1,504 across 33 hospitalsIL$1,504Wisconsin: median $2,085 across 38 hospitalsWI$2,085Michigan: median $523 across 37 hospitalsMI$523New York: median $1,395 across 62 hospitalsNY$1,395Massachusetts: median $3,055 across 29 hospitalsMA$3,055Oregon: median $926 across 14 hospitalsOR$926Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,498 across 30 hospitalsIA$1,498Indiana: median $538 across 29 hospitalsIN$538Ohio: median $2,880 across 70 hospitalsOH$2,880Pennsylvania: median $2,222 across 54 hospitalsPA$2,222New Jersey: median $2,361 across 38 hospitalsNJ$2,361Connecticut: median $3,106 across 10 hospitalsCT$3,106Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 76 hospitalsCA$2,288Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,750 across 19 hospitalsCO$1,750Nebraska: median $1,140 across 17 hospitalsNE$1,140Missouri: median $1,333 across 29 hospitalsMO$1,333Kentucky: median $1,334 across 21 hospitalsKY$1,334West Virginia: median $710 across 19 hospitalsWV$710Virginia: median $1,463 across 18 hospitalsVA$1,463Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,306 across 16 hospitalsNM$2,306Kansas: median $872 across 22 hospitalsKS$872Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,261 across 20 hospitalsTN$1,261North Carolina: median $1,433 across 18 hospitalsNC$1,433South Carolina: median $2,629 across 20 hospitalsSC$2,629Oklahoma: median $938 across 23 hospitalsOK$938Louisiana: median $804 across 26 hospitalsLA$804Mississippi: median $1,051 across 17 hospitalsMS$1,051Alabama: median $3,353 across 17 hospitalsAL$3,353Georgia: median $1,103 across 32 hospitalsGA$1,103Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $761 across 64 hospitalsTX$761Florida: median $3,344 across 37 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,498. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alabama AL17$3,353+124%$1,187 – $8,809
Florida FL37$3,344+123%$2,470 – $4,388
Idaho ID10$3,234+116%$1,050 – $3,234
Connecticut CT10$3,106+107%$1,674 – $4,214
Massachusetts MA29$3,055+104%$1,498 – $3,491
Ohio OH70$2,880+92%$1,126 – $3,526
South Carolina SC20$2,629+76%$841 – $2,629
New Jersey NJ38$2,361+58%$1,387 – $5,110
New Mexico NM16$2,306+54%$1,153 – $3,721
California CA76$2,288+53%$1,531 – $5,202
Pennsylvania PA54$2,222+48%$1,380 – $3,911
Wisconsin WI38$2,085+39%$1,350 – $2,634
Colorado CO19$1,750+17%$1,139 – $2,128
Illinois IL33$1,5040%$583 – $3,094
Iowa IA30$1,4980%$632 – $1,594
Virginia VA18$1,463−2%$327 – $3,338
North Carolina NC18$1,433−4%$1,083 – $2,232
Washington WA27$1,425−5%$590 – $3,234
New York NY62$1,395−7%$640 – $4,595
Kentucky KY21$1,334−11%$619 – $4,734
Missouri MO29$1,333−11%$746 – $3,534
Minnesota MN47$1,333−11%$1,012 – $2,513
Tennessee TN20$1,261−16%$326 – $1,496
Nebraska NE17$1,140−24%$758 – $1,890
Georgia GA32$1,103−26%$877 – $3,391
Mississippi MS17$1,051−30%$739 – $1,410
Oklahoma OK23$938−37%$734 – $2,355
Oregon OR14$926−38%$382 – $1,704
Kansas KS22$872−42%$683 – $1,248
New Hampshire NH10$849−43%$245 – $1,512
Louisiana LA26$804−46%$566 – $1,372
Texas TX64$761−49%$499 – $2,557
West Virginia WV19$710−53%$220 – $1,667
Indiana IN29$538−64%$437 – $2,042
Michigan MI37$523−65%$456 – $1,645
Arkansas AR9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,498.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care890$1,609$796 – $3,491
Children’s17fewer than 20 hospitals
Critical access217$1,301$517 – $2,160
Ownership
For-profit120$1,497$841 – $3,599
Government189$1,455$683 – $2,910
Non-profit815$1,498$746 – $3,344
System affiliation
Part of a system915$1,531$761 – $3,439
Independent214$1,178$601 – $2,483

Cash price vs list price

Median list price (chargemaster)$2,905
Median cash price$1,498
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

720 hospitals filed a usable inpatient cash price for this code. The median is $1,507 and the average of the middle 60% is $1,753; most fall between $746 and $3,284.

Cash price percentiles, inpatient, across 720 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
$503$803$1,507$2,910$4,044

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($503 vs $4,044).

Of the 783 hospitals that filed this code inpatient, 720 gave a usable cash price; 30 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

1,129 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,220 hospitals that filed this code at all gave us
Usable cash price — counted1,129
Cash price carrying a plausibility flag — shown on the compare tool, excluded here56
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded30
Hospitals that filed this code1,220

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 Flexible W/Transendoscopic Balloon Dilat.

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 stretching of a narrowed area (CPT 45386) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45386-colonoscopy-with-stretching-of-a-narrowed-area