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Procedure price report · Colonoscopy and biopsy

Colonoscopy with ultrasound scan from inside the bowel

CPT 45391the billing code this page is about

Examination of the colon with a flexible scope that carries an ultrasound probe to image the bowel wall and nearby structures, without tissue sampling.

Hospitals typically charge $1,590 cash for this outpatient procedure — the median across 714 hospitals that filed a usable cash price; the average of the middle 60% is $1,826. Most fall between $715 and $3,234 (20th–80th percentile).

Hospitals
714
States
49
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 714 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
$421$808$1,590$2,963$4,174

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($421 vs $4,174).

How the prices are spread

$342 – $446: 40 hospitals$342$446 – $582: 30 hospitals$582 – $759: 44 hospitals$582$759 – $989: 51 hospitals$989 – $1,290: 80 hospitals$989$1,290 – $1,682: 90 hospitals$1,682 – $2,193: 37 hospitals$1,682$2,193 – $2,859: 99 hospitals$2,859 – $3,728: 107 hospitals$2,859$3,728 – $4,861: 66 hospitals$3,728median $1,590price bands are equal on a log scale
Hospitals per price band (644 of 714 — the bands cover the 5th to 95th percentile)
FromToHospitals
$342$44640
$446$58230
$582$75944
$759$98951
$989$1,29080
$1,290$1,68290
$1,682$2,19337
$2,193$2,85999
$2,859$3,728107
$3,728$4,86166

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,590
Cash as a multiple of Medicare1.30×

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 $1,590.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,210 across 10 hospitalsWA$2,210Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,316 across 24 hospitalsMN$1,316Illinois: median $1,404 across 23 hospitalsIL$1,404Wisconsin: median $2,369 across 27 hospitalsWI$2,369Michigan: median $448 across 32 hospitalsMI$448New York: median $1,494 across 41 hospitalsNY$1,494Massachusetts: median $2,101 across 18 hospitalsMA$2,101Oregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $652 across 16 hospitalsIA$652Indiana: median $421 across 11 hospitalsIN$421Ohio: median $2,963 across 45 hospitalsOH$2,963Pennsylvania: median $1,831 across 34 hospitalsPA$1,831New Jersey: median $2,987 across 37 hospitalsNJ$2,987Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,906 across 66 hospitalsCA$2,906Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,286 across 14 hospitalsCO$2,286Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,807 across 12 hospitalsMO$1,807Kentucky: median $1,420 across 10 hospitalsKY$1,420West Virginia: median $303 across 11 hospitalsWV$303Virginia: median $1,390 across 11 hospitalsVA$1,390Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,547 across 11 hospitalsNM$2,547Kansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $679 across 10 hospitalsTN$679North Carolina: median $1,591 across 12 hospitalsNC$1,591South Carolina: median $2,503 across 21 hospitalsSC$2,503Oklahoma: median $421 across 15 hospitalsOK$421Louisiana: median $610 across 18 hospitalsLA$610Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,412 across 24 hospitalsGA$1,412Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $808 across 46 hospitalsTX$808Florida: median $3,344 across 32 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,590. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL32$3,344+110%$2,101 – $4,019
New Jersey NJ37$2,987+88%$1,387 – $5,334
Ohio OH45$2,963+86%$1,301 – $3,201
California CA66$2,906+83%$1,590 – $3,188
New Mexico NM11$2,547+60%$1,214 – $3,381
South Carolina SC21$2,503+57%$2,148 – $2,503
Wisconsin WI27$2,369+49%$2,369 – $2,502
Colorado CO14$2,286+44%$683 – $2,449
Washington WA10$2,210+39%$463 – $2,939
Massachusetts MA18$2,101+32%$1,775 – $3,491
Pennsylvania PA34$1,831+15%$1,223 – $3,253
Missouri MO12$1,807+14%$966 – $2,830
North Carolina NC12$1,5910%$995 – $1,750
New York NY41$1,494−6%$1,395 – $4,595
Kentucky KY10$1,420−11%$421 – $4,734
Georgia GA24$1,412−11%$1,270 – $3,599
Illinois IL23$1,404−12%$421 – $4,094
Virginia VA11$1,390−13%$1,158 – $1,463
Minnesota MN24$1,316−17%$1,183 – $1,721
Texas TX46$808−49%$761 – $1,196
Tennessee TN10$679−57%$365 – $1,261
Iowa IA16$652−59%$652 – $652
Louisiana LA18$610−62%$392 – $1,035
Michigan MI32$448−72%$314 – $1,645
Oklahoma OK15$421−73%$421 – $1,450
Indiana IN11$421−74%$421 – $4,734
West Virginia WV11$303−81%$258 – $788
Idaho ID7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Utah UT1not 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 $1,590.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care610$1,590$761 – $3,344
Children’s11fewer than 20 hospitals
Critical access89$1,544$421 – $3,017
Ownership
For-profit68$1,214$656 – $3,201
Government99$1,731$771 – $3,599
Non-profit543$1,645$715 – $3,220
System affiliation
Part of a system617$1,721$761 – $3,310
Independent97$1,185$531 – $2,648

Cash price vs list price

Median list price (chargemaster)$3,407
Median cash price$1,590
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

497 hospitals filed a usable inpatient cash price for this code. The median is $1,973 and the average of the middle 60% is $1,823; most fall between $652 and $3,208.

Cash price percentiles, inpatient, across 497 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
$421$762$1,973$2,963$4,040

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($421 vs $4,040).

Of the 550 hospitals that filed this code inpatient, 497 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 26 a list price only.

How complete is this

714 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 776 hospitals that filed this code at all gave us
Usable cash price — counted714
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded15
Hospitals that filed this code776

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 23, 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/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux.

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 ultrasound scan from inside the bowel (CPT 45391) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45391-colonoscopy-with-ultrasound-scan-from-inside-the-bowel