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Procedure price report · Colonoscopy and biopsy

Colonoscopy with destruction of a growth

CPT 45388the billing code this page is about

Examination of the colon with a flexible scope during which abnormal tissue is destroyed, for example by laser or other ablation methods, rather than cut out.

Hospitals typically charge $1,924 cash for this outpatient procedure — the median across 1,352 hospitals that filed a usable cash price; the average of the middle 60% is $2,057. Most fall between $863 and $3,599 (20th–80th percentile).

Hospitals
1,352
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 1,352 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
$635$1,024$1,924$3,350$4,969

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($635 vs $4,969).

How the prices are spread

$454 – $595: 53 hospitals$454$595 – $778: 121 hospitals$778 – $1,018: 96 hospitals$778$1,018 – $1,333: 117 hospitals$1,333 – $1,744: 170 hospitals$1,333$1,744 – $2,282: 163 hospitals$2,282 – $2,987: 142 hospitals$2,282$2,987 – $3,909: 188 hospitals$3,909 – $5,115: 103 hospitals$3,909$5,115 – $6,694: 67 hospitals$5,115median $1,924price bands are equal on a log scale
Hospitals per price band (1,220 of 1,352 — the bands cover the 5th to 95th percentile)
FromToHospitals
$454$59553
$595$778121
$778$1,01896
$1,018$1,333117
$1,333$1,744170
$1,744$2,282163
$2,282$2,987142
$2,987$3,909188
$3,909$5,115103
$5,115$6,69467

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,924
Cash as a multiple of Medicare1.57×

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 $1,924.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,034 across 15 hospitalsNH$1,034Washington: median $1,353 across 32 hospitalsWA$1,353Idaho: median $3,234 across 12 hospitalsID$3,234Montana: median $1,002 across 14 hospitalsMT$1,002North Dakota: median $1,817 across 10 hospitalsND$1,817Minnesota: median $1,598 across 63 hospitalsMN$1,598Illinois: median $2,738 across 47 hospitalsIL$2,738Wisconsin: median $2,263 across 43 hospitalsWI$2,263Michigan: median $1,186 across 42 hospitalsMI$1,186New York: median $1,395 across 54 hospitalsNY$1,395Massachusetts: median $2,915 across 33 hospitalsMA$2,915Oregon: median $1,026 across 26 hospitalsOR$1,026Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,513 across 47 hospitalsIA$2,513Indiana: median $2,042 across 38 hospitalsIN$2,042Ohio: median $3,029 across 71 hospitalsOH$3,029Pennsylvania: median $2,311 across 60 hospitalsPA$2,311New Jersey: median $2,199 across 40 hospitalsNJ$2,199Connecticut: median $3,871 across 11 hospitalsCT$3,871Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,122 across 85 hospitalsCA$3,122Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,314 across 24 hospitalsCO$2,314Nebraska: median $2,817 across 22 hospitalsNE$2,817Missouri: median $1,488 across 40 hospitalsMO$1,488Kentucky: median $2,083 across 21 hospitalsKY$2,083West Virginia: median $438 across 17 hospitalsWV$438Virginia: median $1,463 across 23 hospitalsVA$1,463Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,469 across 11 hospitalsAZ$3,469New Mexico: median $2,547 across 21 hospitalsNM$2,547Kansas: median $963 across 28 hospitalsKS$963Arkansas: median $1,206 across 20 hospitalsAR$1,206Tennessee: median $1,261 across 24 hospitalsTN$1,261North Carolina: median $1,439 across 20 hospitalsNC$1,439South Carolina: median $2,665 across 24 hospitalsSC$2,665Oklahoma: median $2,963 across 23 hospitalsOK$2,963Louisiana: median $695 across 29 hospitalsLA$695Mississippi: median $1,396 across 26 hospitalsMS$1,396Alabama: median $4,365 across 21 hospitalsAL$4,365Georgia: median $1,924 across 35 hospitalsGA$1,924Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $761 across 79 hospitalsTX$761Florida: median $3,194 across 40 hospitalsFL$3,194
Cash price by state, most expensive first. National median $1,924. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alabama AL21$4,365+127%$1,187 – $7,690
Connecticut CT11$3,871+101%$1,674 – $4,214
Arizona AZ11$3,469+80%$1,468 – $6,522
Idaho ID12$3,234+68%$2,080 – $3,860
Florida FL40$3,194+66%$2,110 – $4,407
California CA85$3,122+62%$1,470 – $3,710
Ohio OH71$3,029+57%$2,167 – $3,938
Oklahoma OK23$2,963+54%$2,033 – $2,963
Massachusetts MA33$2,915+52%$1,664 – $3,492
Nebraska NE22$2,817+46%$1,920 – $5,623
Illinois IL47$2,738+42%$1,467 – $4,692
South Carolina SC24$2,665+39%$1,926 – $4,174
New Mexico NM21$2,547+32%$1,214 – $3,310
Iowa IA47$2,513+31%$1,218 – $7,082
Colorado CO24$2,314+20%$1,244 – $2,700
Pennsylvania PA60$2,311+20%$1,380 – $3,383
Wisconsin WI43$2,263+18%$1,603 – $2,608
New Jersey NJ40$2,199+14%$1,387 – $4,881
Kentucky KY21$2,083+8%$678 – $4,734
Indiana IN38$2,042+6%$878 – $4,634
Georgia GA35$1,9240%$1,483 – $3,599
North Dakota ND10$1,817−6%$475 – $2,709
Minnesota MN63$1,598−17%$996 – $2,324
Missouri MO40$1,488−23%$949 – $4,259
Virginia VA23$1,463−24%$712 – $4,504
North Carolina NC20$1,439−25%$1,083 – $2,273
Mississippi MS26$1,396−27%$903 – $2,818
New York NY54$1,395−27%$683 – $5,460
Washington WA32$1,353−30%$545 – $4,273
Tennessee TN24$1,261−34%$467 – $1,869
Arkansas AR20$1,206−37%$473 – $1,766
Michigan MI42$1,186−38%$640 – $2,263
New Hampshire NH15$1,034−46%$313 – $1,793
Oregon OR26$1,026−47%$486 – $2,156
Montana MT14$1,002−48%$755 – $2,358
Kansas KS28$963−50%$508 – $1,419
Texas TX79$761−60%$638 – $2,881
Louisiana LA29$695−64%$461 – $1,090
West Virginia WV17$438−77%$283 – $875
Nevada NV9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Utah UT2not 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 $1,924.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care974$2,083$936 – $3,923
Children’s13fewer than 20 hospitals
Critical access360$1,567$715 – $2,764
Ownership
For-profit151$2,083$1,125 – $4,448
Government265$1,647$764 – $3,202
Non-profit931$1,924$878 – $3,593
System affiliation
Part of a system1,083$2,082$990 – $3,686
Independent269$1,405$650 – $3,104

Cash price vs list price

Median list price (chargemaster)$3,470
Median cash price$1,924
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

782 hospitals filed a usable inpatient cash price for this code. The median is $2,209 and the average of the middle 60% is $2,155; most fall between $766 and $3,383.

Cash price percentiles, inpatient, across 782 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
$586$990$2,209$3,310$4,517

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($586 vs $4,517).

Of the 864 hospitals that filed this code inpatient, 782 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 49 a list price only.

How complete is this

1,352 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,471 hospitals that filed this code at all gave us
Usable cash price — counted1,352
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded50
Hospitals that filed this code1,471

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 Flx Ablation Tumor Polyp/Other Les.

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 destruction of a growth (CPT 45388) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45388-colonoscopy-with-destruction-of-a-growth