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Procedure price report · Colonoscopy and biopsy

Colonoscopy to relieve a swollen, distended colon

CPT 45393the billing code this page is about

Examination of the colon with a flexible scope used to release trapped gas and fluid from a dilated bowel, which may include leaving a drainage tube in place.

Hospitals typically charge $1,395 cash for this outpatient procedure — the median across 878 hospitals that filed a usable cash price; the average of the middle 60% is $1,529. Most fall between $597 and $3,204 (20th–80th percentile).

Hospitals
878
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 878 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
$427$690$1,395$2,738$4,407

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($427 vs $4,407).

How the prices are spread

$299 – $398: 25 hospitals$299$398 – $530: 74 hospitals$530 – $705: 97 hospitals$530$705 – $937: 73 hospitals$937 – $1,247: 84 hospitals$937$1,247 – $1,660: 143 hospitals$1,660 – $2,208: 41 hospitals$1,660$2,208 – $2,938: 100 hospitals$2,938 – $3,910: 92 hospitals$2,938$3,910 – $5,202: 77 hospitals$3,910median $1,395price bands are equal on a log scale
Hospitals per price band (806 of 878 — the bands cover the 5th to 95th percentile)
FromToHospitals
$299$39825
$398$53074
$530$70597
$705$93773
$937$1,24784
$1,247$1,660143
$1,660$2,20841
$2,208$2,938100
$2,938$3,91092
$3,910$5,20277

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,395
Cash as a multiple of Medicare1.14×

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 $1,395.

Alaska: 2 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 $702 across 11 hospitalsNH$702Washington: median $979 across 17 hospitalsWA$979Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,127 across 43 hospitalsMN$1,127Illinois: median $881 across 36 hospitalsIL$881Wisconsin: median $1,515 across 35 hospitalsWI$1,515Michigan: median $640 across 30 hospitalsMI$640New York: median $1,395 across 49 hospitalsNY$1,395Massachusetts: median $3,310 across 18 hospitalsMA$3,310Oregon: median $691 across 21 hospitalsOR$691Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $690 across 26 hospitalsIA$690Indiana: median $451 across 13 hospitalsIN$451Ohio: median $2,636 across 58 hospitalsOH$2,636Pennsylvania: median $1,726 across 30 hospitalsPA$1,726New Jersey: median $3,222 across 29 hospitalsNJ$3,222Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,694 across 69 hospitalsCA$2,694Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,149 across 20 hospitalsCO$2,149Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,192 across 19 hospitalsMO$1,192Kentucky: median $1,033 across 17 hospitalsKY$1,033West Virginia: median $264 across 13 hospitalsWV$264Virginia: median $712 across 12 hospitalsVA$712Maryland: 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 13 hospitalsNM$2,547Kansas: median $595 across 16 hospitalsKS$595Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,261 across 16 hospitalsTN$1,261North Carolina: median $1,083 across 14 hospitalsNC$1,083South Carolina: median $2,738 across 17 hospitalsSC$2,738Oklahoma: median $412 across 18 hospitalsOK$412Louisiana: median $1,111 across 19 hospitalsLA$1,111Mississippi: median $960 across 13 hospitalsMS$960Alabama: median $1,187 across 11 hospitalsAL$1,187Georgia: median $1,587 across 29 hospitalsGA$1,587Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $779 across 40 hospitalsTX$779Florida: median $3,344 across 26 hospitalsFL$3,344
Cash price by state, most expensive first. National median $1,395. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL26$3,344+140%$2,110 – $4,407
Massachusetts MA18$3,310+137%$1,786 – $4,107
New Jersey NJ29$3,222+131%$1,306 – $5,339
South Carolina SC17$2,738+96%$2,738 – $2,738
California CA69$2,694+93%$762 – $5,202
Ohio OH58$2,636+89%$1,946 – $3,526
New Mexico NM13$2,547+83%$1,100 – $3,346
Colorado CO20$2,149+54%$543 – $2,507
Pennsylvania PA30$1,726+24%$1,223 – $2,449
Georgia GA29$1,587+14%$1,256 – $5,130
Wisconsin WI35$1,515+9%$1,515 – $2,853
New York NY49$1,3950%$521 – $4,595
Tennessee TN16$1,261−10%$317 – $1,261
Missouri MO19$1,192−15%$625 – $2,295
Alabama AL11$1,187−15%$556 – $6,960
Minnesota MN43$1,127−19%$723 – $2,720
Louisiana LA19$1,111−20%$617 – $1,589
North Carolina NC14$1,083−22%$766 – $1,591
Kentucky KY17$1,033−26%$417 – $4,734
Washington WA17$979−30%$498 – $2,939
Mississippi MS13$960−31%$712 – $1,227
Illinois IL36$881−37%$451 – $2,962
Texas TX40$779−44%$761 – $1,162
Virginia VA12$712−49%$165 – $1,463
New Hampshire NH11$702−50%$295 – $1,491
Oregon OR21$691−50%$451 – $1,032
Iowa IA26$690−51%$489 – $808
Michigan MI30$640−54%$640 – $1,515
Kansas KS16$595−57%$435 – $1,041
Indiana IN13$451−68%$285 – $902
Oklahoma OK18$412−71%$412 – $2,370
West Virginia WV13$264−81%$252 – $1,086
Idaho ID9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not 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 $1,395.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care688$1,481$656 – $3,344
Children’s10fewer than 20 hospitals
Critical access175$779$451 – $2,463
Ownership
For-profit79$1,301$682 – $2,507
Government162$1,082$502 – $2,405
Non-profit632$1,494$635 – $3,234
System affiliation
Part of a system717$1,515$683 – $3,321
Independent161$762$435 – $1,818

Cash price vs list price

Median list price (chargemaster)$2,652
Median cash price$1,395
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

593 hospitals filed a usable inpatient cash price for this code. The median is $1,518 and the average of the middle 60% is $1,713; most fall between $598 and $3,310.

Cash price percentiles, inpatient, across 593 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
$427$710$1,518$3,020$4,174

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($427 vs $4,174).

Of the 652 hospitals that filed this code inpatient, 593 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

878 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 961 hospitals that filed this code at all gave us
Usable cash price — counted878
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
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 — excluded29
Hospitals that filed this code961

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 Flexible With Decompression.

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 to relieve a swollen, distended colon (CPT 45393) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45393-colonoscopy-to-relieve-a-swollen-distended-colon