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Procedure price report · Colonoscopy and biopsy

Colonoscopy with rubber band treatment of hemorrhoids

CPT 45398the billing code this page is about

Examination of the colon with a flexible scope during which rubber bands are placed around internal hemorrhoids.

Hospitals typically charge $1,654 cash for this outpatient procedure — the median across 1,088 hospitals that filed a usable cash price; the average of the middle 60% is $1,834. Most fall between $810 and $3,306 (20th–80th percentile).

Hospitals
1,088
States
50
Filings dated
Feb 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 1,088 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
$582$948$1,654$2,971$4,350

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($582 vs $4,350).

How the prices are spread

$414 – $535: 36 hospitals$414$535 – $691: 76 hospitals$691 – $892: 87 hospitals$691$892 – $1,152: 80 hospitals$1,152 – $1,487: 146 hospitals$1,152$1,487 – $1,920: 122 hospitals$1,920 – $2,480: 134 hospitals$1,920$2,480 – $3,202: 104 hospitals$3,202 – $4,135: 132 hospitals$3,202$4,135 – $5,339: 63 hospitals$4,135median $1,654price bands are equal on a log scale
Hospitals per price band (980 of 1,088 — the bands cover the 5th to 95th percentile)
FromToHospitals
$414$53536
$535$69176
$691$89287
$892$1,15280
$1,152$1,487146
$1,487$1,920122
$1,920$2,480134
$2,480$3,202104
$3,202$4,135132
$4,135$5,33963

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,654
Cash as a multiple of Medicare1.35×

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 $1,654.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $952 across 10 hospitalsNH$952Washington: median $1,605 across 23 hospitalsWA$1,605Idaho: median $1,950 across 14 hospitalsID$1,950Montana: median $1,197 across 13 hospitalsMT$1,197North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,803 across 41 hospitalsMN$1,803Illinois: median $1,335 across 45 hospitalsIL$1,335Wisconsin: median $2,211 across 37 hospitalsWI$2,211Michigan: median $1,082 across 34 hospitalsMI$1,082New York: median $1,395 across 57 hospitalsNY$1,395Massachusetts: median $3,310 across 21 hospitalsMA$3,310Oregon: median $988 across 17 hospitalsOR$988Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,885 across 39 hospitalsIA$1,885Indiana: median $1,259 across 18 hospitalsIN$1,259Ohio: median $3,028 across 58 hospitalsOH$3,028Pennsylvania: median $2,412 across 44 hospitalsPA$2,412New Jersey: median $2,812 across 34 hospitalsNJ$2,812Connecticut: 4 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 $2,723 across 78 hospitalsCA$2,723Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,019 across 28 hospitalsCO$2,019Nebraska: median $1,684 across 20 hospitalsNE$1,684Missouri: median $1,477 across 29 hospitalsMO$1,477Kentucky: median $867 across 15 hospitalsKY$867West Virginia: median $803 across 24 hospitalsWV$803Virginia: median $1,463 across 20 hospitalsVA$1,463Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $2,854 across 15 hospitalsNM$2,854Kansas: median $806 across 25 hospitalsKS$806Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,139 across 20 hospitalsTN$1,139North Carolina: median $1,429 across 17 hospitalsNC$1,429South Carolina: median $2,774 across 23 hospitalsSC$2,774Oklahoma: median $1,297 across 19 hospitalsOK$1,297Louisiana: median $958 across 19 hospitalsLA$958Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $987 across 10 hospitalsAL$987Georgia: median $1,560 across 33 hospitalsGA$1,560Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $860 across 62 hospitalsTX$860Florida: median $2,470 across 34 hospitalsFL$2,470
Cash price by state, most expensive first. National median $1,654. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA21$3,310+100%$2,058 – $3,661
Ohio OH58$3,028+83%$1,126 – $3,718
New Mexico NM15$2,854+73%$1,214 – $4,866
New Jersey NJ34$2,812+70%$1,306 – $5,339
South Carolina SC23$2,774+68%$2,148 – $3,162
California CA78$2,723+65%$1,531 – $3,366
Florida FL34$2,470+49%$1,805 – $4,883
Pennsylvania PA44$2,412+46%$1,367 – $3,253
Wisconsin WI37$2,211+34%$1,367 – $2,243
Colorado CO28$2,019+22%$1,179 – $2,507
Idaho ID14$1,950+18%$1,474 – $3,234
Iowa IA39$1,885+14%$1,027 – $1,961
Minnesota MN41$1,803+9%$758 – $3,274
Nebraska NE20$1,684+2%$934 – $2,180
Washington WA23$1,605−3%$541 – $3,488
Georgia GA33$1,560−6%$1,202 – $4,020
Missouri MO29$1,477−11%$862 – $3,321
Virginia VA20$1,463−12%$327 – $4,070
North Carolina NC17$1,429−14%$957 – $2,526
New York NY57$1,395−16%$670 – $4,595
Illinois IL45$1,335−19%$616 – $3,228
Oklahoma OK19$1,297−22%$1,297 – $2,404
Indiana IN18$1,259−24%$616 – $4,734
Montana MT13$1,197−28%$451 – $1,557
Tennessee TN20$1,139−31%$268 – $1,693
Michigan MI34$1,082−35%$640 – $2,243
Oregon OR17$988−40%$424 – $1,772
Alabama AL10$987−40%$924 – $3,896
Louisiana LA19$958−42%$608 – $1,409
New Hampshire NH10$952−42%$272 – $2,074
Kentucky KY15$867−48%$590 – $4,734
Texas TX62$860−48%$761 – $2,190
Kansas KS25$806−51%$413 – $1,950
West Virginia WV24$803−51%$248 – $2,572
Alaska AK9not enough hospitals filed a usable price
Arizona AZ9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maryland MD2not 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 $1,654.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care787$1,766$860 – $3,526
Children’s8fewer than 20 hospitals
Critical access288$1,489$644 – $2,683
Ownership
For-profit115$1,726$833 – $4,070
Government222$1,536$804 – $2,926
Non-profit746$1,769$827 – $3,303
System affiliation
Part of a system855$1,831$860 – $3,366
Independent233$1,354$605 – $2,683

Cash price vs list price

Median list price (chargemaster)$2,945
Median cash price$1,654
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

657 hospitals filed a usable inpatient cash price for this code. The median is $1,769 and the average of the middle 60% is $1,839; most fall between $779 and $3,236.

Cash price percentiles, inpatient, across 657 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
$570$883$1,769$2,867$3,814

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($570 vs $3,814).

Of the 724 hospitals that filed this code inpatient, 657 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 35 a list price only.

How complete is this

1,088 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,179 hospitals that filed this code at all gave us
Usable cash price — counted1,088
Cash price carrying a plausibility flag — shown on the compare tool, excluded here58
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded32
Hospitals that filed this code1,179

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 Band Ligation(S).

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 rubber band treatment of hemorrhoids (CPT 45398) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45398-colonoscopy-with-rubber-band-treatment-of-hemorrhoids