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Procedure price report · Colonoscopy and biopsy

Colonoscopy with ultrasound-guided needle biopsy

CPT 45392the billing code this page is about

Examination of the colon with a scope carrying an ultrasound probe, used to guide a needle that samples tissue from the bowel wall or nearby structures.

Hospitals typically charge $1,674 cash for this outpatient procedure — the median across 599 hospitals that filed a usable cash price; the average of the middle 60% is $1,946. Most fall between $770 and $3,704 (20th–80th percentile).

Hospitals
599
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 599 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
$534$903$1,674$3,310$5,000

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($534 vs $5,000).

How the prices are spread

$467 – $600: 44 hospitals$467$600 – $772: 52 hospitals$772 – $992: 46 hospitals$772$992 – $1,274: 41 hospitals$1,274 – $1,638: 84 hospitals$1,274$1,638 – $2,105: 39 hospitals$2,105 – $2,705: 52 hospitals$2,105$2,705 – $3,476: 77 hospitals$3,476 – $4,467: 50 hospitals$3,476$4,467 – $5,741: 57 hospitals$4,467median $1,674price bands are equal on a log scale
Hospitals per price band (542 of 599 — the bands cover the 5th to 95th percentile)
FromToHospitals
$467$60044
$600$77252
$772$99246
$992$1,27441
$1,274$1,63884
$1,638$2,10539
$2,105$2,70552
$2,705$3,47677
$3,476$4,46750
$4,467$5,74157

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,674
Cash as a multiple of Medicare1.37×

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 $1,674.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,033 across 22 hospitalsIL$1,033Wisconsin: median $2,749 across 21 hospitalsWI$2,749Michigan: median $716 across 32 hospitalsMI$716New York: median $1,494 across 39 hospitalsNY$1,494Massachusetts: median $2,206 across 14 hospitalsMA$2,206Oregon: 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 $770 across 16 hospitalsIA$770Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,201 across 28 hospitalsOH$3,201Pennsylvania: median $2,222 across 31 hospitalsPA$2,222New Jersey: median $1,573 across 36 hospitalsNJ$1,573Connecticut: 4 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 $3,505 across 62 hospitalsCA$3,505Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,651 across 14 hospitalsCO$2,651Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,457 across 11 hospitalsVA$1,457Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,547 across 11 hospitalsNM$2,547Kansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $3,578 across 14 hospitalsSC$3,578Oklahoma: median $497 across 15 hospitalsOK$497Louisiana: median $714 across 13 hospitalsLA$714Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,461 across 23 hospitalsGA$1,461Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,133 across 45 hospitalsTX$1,133Florida: median $3,344 across 24 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,674. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC14$3,578+114%$841 – $3,578
California CA62$3,505+109%$1,585 – $5,202
Florida FL24$3,344+100%$2,060 – $3,704
Ohio OH28$3,201+91%$1,430 – $3,201
Wisconsin WI21$2,749+64%$1,819 – $2,749
Colorado CO14$2,651+58%$908 – $3,031
New Mexico NM11$2,547+52%$1,759 – $4,040
Pennsylvania PA31$2,222+33%$1,382 – $3,772
Massachusetts MA14$2,206+32%$1,713 – $3,310
New Jersey NJ36$1,573−6%$1,368 – $5,339
New York NY39$1,494−11%$1,338 – $4,595
Georgia GA23$1,461−13%$1,461 – $5,939
Virginia VA11$1,457−13%$947 – $1,463
Texas TX45$1,133−32%$761 – $1,535
Illinois IL22$1,033−38%$515 – $4,372
Iowa IA16$770−54%$770 – $770
Michigan MI32$716−57%$450 – $1,645
Louisiana LA13$714−57%$513 – $1,119
Oklahoma OK15$497−70%$497 – $1,504
Tennessee TN9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not 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 $1,674.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care523$1,645$800 – $3,986
Children’s12fewer than 20 hospitals
Critical access62$1,819$538 – $3,220
Ownership
For-profit63$1,461$762 – $3,344
Government81$1,504$908 – $3,310
Non-profit453$1,761$770 – $3,986
System affiliation
Part of a system516$1,819$810 – $3,986
Independent83$1,192$677 – $2,810

Cash price vs list price

Median list price (chargemaster)$3,541
Median cash price$1,674
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

410 hospitals filed a usable inpatient cash price for this code. The median is $2,060 and the average of the middle 60% is $2,016; most fall between $761 and $3,578.

Cash price percentiles, inpatient, across 410 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
$497$815$2,060$3,258$4,792

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($497 vs $4,792).

Of the 447 hospitals that filed this code inpatient, 410 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

599 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 655 hospitals that filed this code at all gave us
Usable cash price — counted599
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded15
Hospitals that filed this code655

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/US Guid Ndl Aspir/Bx W/US Rctm Et Al.

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-guided needle biopsy (CPT 45392) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45392-colonoscopy-with-ultrasound-guided-needle-biopsy