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Procedure price report · Colonoscopy and biopsy

Colonoscopy with removal of a growth from the bowel lining

CPT 45390the billing code this page is about

Examination of the colon with a flexible scope during which a flat or large lesion is lifted and removed from the inner lining in pieces or as a whole.

Hospitals typically charge $2,213 cash for this outpatient procedure — the median across 1,150 hospitals that filed a usable cash price; the average of the middle 60% is $2,330. Most fall between $842 and $4,558 (20th–80th percentile).

Hospitals
1,150
States
50
Filings dated
Jun 2024 – 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 1,150 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
$607$974$2,213$3,872$6,479

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($607 vs $6,479).

How the prices are spread

$496 – $657: 91 hospitals$496$657 – $872: 115 hospitals$872 – $1,155: 73 hospitals$872$1,155 – $1,531: 65 hospitals$1,531 – $2,030: 142 hospitals$1,531$2,030 – $2,691: 114 hospitals$2,691 – $3,567: 165 hospitals$2,691$3,567 – $4,728: 115 hospitals$4,728 – $6,267: 85 hospitals$4,728$6,267 – $8,307: 73 hospitals$6,267median $2,213price bands are equal on a log scale
Hospitals per price band (1,038 of 1,150 — the bands cover the 5th to 95th percentile)
FromToHospitals
$496$65791
$657$872115
$872$1,15573
$1,155$1,53165
$1,531$2,030142
$2,030$2,691114
$2,691$3,567165
$3,567$4,728115
$4,728$6,26785
$6,267$8,30773

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,213
Cash as a multiple of Medicare0.78×

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 $2,213.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 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 $1,322 across 10 hospitalsNH$1,322Washington: median $1,271 across 28 hospitalsWA$1,271Idaho: median $2,541 across 14 hospitalsID$2,541Montana: median $729 across 10 hospitalsMT$729North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,999 across 53 hospitalsMN$1,999Illinois: median $1,718 across 40 hospitalsIL$1,718Wisconsin: median $2,123 across 45 hospitalsWI$2,123Michigan: median $842 across 41 hospitalsMI$842New York: median $3,245 across 63 hospitalsNY$3,245Massachusetts: median $2,897 across 29 hospitalsMA$2,897Oregon: median $941 across 17 hospitalsOR$941Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $842 across 28 hospitalsIA$842Indiana: median $668 across 34 hospitalsIN$668Ohio: median $3,998 across 73 hospitalsOH$3,998Pennsylvania: median $3,279 across 49 hospitalsPA$3,279New Jersey: median $3,659 across 44 hospitalsNJ$3,659Connecticut: median $9,185 across 13 hospitalsCT$9,185Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,030 across 85 hospitalsCA$3,030Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,721 across 22 hospitalsCO$1,721Nebraska: median $749 across 12 hospitalsNE$749Missouri: median $2,554 across 31 hospitalsMO$2,554Kentucky: median $1,727 across 14 hospitalsKY$1,727West Virginia: median $532 across 15 hospitalsWV$532Virginia: median $1,687 across 24 hospitalsVA$1,687Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,988 across 17 hospitalsNM$2,988Kansas: median $786 across 14 hospitalsKS$786Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,523 across 19 hospitalsTN$2,523North Carolina: median $1,600 across 16 hospitalsNC$1,600South Carolina: median $3,541 across 29 hospitalsSC$3,541Oklahoma: median $865 across 25 hospitalsOK$865Louisiana: median $1,125 across 25 hospitalsLA$1,125Mississippi: median $1,600 across 12 hospitalsMS$1,600Alabama: median $1,994 across 16 hospitalsAL$1,994Georgia: median $1,670 across 29 hospitalsGA$1,670Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,175 across 49 hospitalsTX$1,175Florida: median $3,344 across 36 hospitalsFL$3,344
Cash price by state, most expensive first. National median $2,213. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT13$9,185+315%$1,674 – $9,926
Ohio OH73$3,998+81%$2,419 – $8,200
New Jersey NJ44$3,659+65%$3,035 – $5,419
South Carolina SC29$3,541+60%$3,541 – $5,674
Florida FL36$3,344+51%$2,213 – $4,686
Pennsylvania PA49$3,279+48%$2,086 – $5,493
New York NY63$3,245+47%$809 – $4,595
California CA85$3,030+37%$1,664 – $4,558
New Mexico NM17$2,988+35%$2,444 – $3,672
Massachusetts MA29$2,897+31%$1,786 – $7,853
Missouri MO31$2,554+15%$1,163 – $6,462
Idaho ID14$2,541+15%$847 – $7,189
Tennessee TN19$2,523+14%$380 – $3,470
Wisconsin WI45$2,123−4%$1,762 – $3,670
Minnesota MN53$1,999−10%$788 – $2,497
Alabama AL16$1,994−10%$976 – $8,340
Kentucky KY14$1,727−22%$519 – $11,012
Colorado CO22$1,721−22%$909 – $2,983
Illinois IL40$1,718−22%$622 – $3,562
Virginia VA24$1,687−24%$854 – $5,338
Georgia GA29$1,670−25%$1,288 – $5,104
Mississippi MS12$1,600−28%$813 – $2,079
North Carolina NC16$1,600−28%$1,209 – $4,124
New Hampshire NH10$1,322−40%$384 – $2,982
Washington WA28$1,271−43%$653 – $4,616
Texas TX49$1,175−47%$860 – $2,713
Louisiana LA25$1,125−49%$790 – $1,589
Oregon OR17$941−58%$595 – $2,429
Oklahoma OK25$865−61%$694 – $2,775
Iowa IA28$842−62%$837 – $2,603
Michigan MI41$842−62%$640 – $3,817
Kansas KS14$786−64%$574 – $1,783
Nebraska NE12$749−66%$713 – $2,206
Montana MT10$729−67%$366 – $1,988
Indiana IN34$668−70%$494 – $4,729
West Virginia WV15$532−76%$343 – $1,340
Arkansas AR8not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wyoming WY3not 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 $2,213.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care907$2,523$902 – $4,919
Children’s6fewer than 20 hospitals
Critical access233$1,412$634 – $2,748
Ownership
For-profit124$2,669$1,136 – $5,512
Government187$1,766$837 – $3,896
Non-profit835$2,213$842 – $4,595
System affiliation
Part of a system949$2,449$860 – $4,627
Independent201$1,440$653 – $3,672

Cash price vs list price

Median list price (chargemaster)$3,594
Median cash price$2,213
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

700 hospitals filed a usable inpatient cash price for this code. The median is $1,894 and the average of the middle 60% is $2,099; most fall between $842 and $3,998.

Cash price percentiles, inpatient, across 700 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
$595$868$1,894$3,541$5,768

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($595 vs $5,768).

Of the 759 hospitals that filed this code inpatient, 700 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

1,150 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 1,239 hospitals that filed this code at all gave us
Usable cash price — counted1,150
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded31
Hospitals that filed this code1,239

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 W/Endoscopic Mucosal Resection.

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 removal of a growth from the bowel lining (CPT 45390) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45390-colonoscopy-with-removal-of-a-growth-from-the-bowel-lining