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Procedure price report · Other OR lower GI therapeutic procedures

Keyhole surgery to secure a prolapsed rectum

CPT 45400the billing code this page is about

Laparoscopic operation through small abdominal incisions in which the rectum is lifted and fixed in place to correct prolapse.

Hospitals typically charge $2,827 cash for this outpatient procedure — the median across 289 hospitals that filed a usable cash price; the average of the middle 60% is $3,227. Most fall between $1,715 and $5,975 (20th–80th percentile).

Hospitals
289
States
43
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 289 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
$1,189$1,817$2,827$5,419$16,356

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,189 vs $16,356).

How the prices are spread

$642 – $953: 6 hospitals$642$953 – $1,414: 21 hospitals$1,414 – $2,100: 54 hospitals$1,414$2,100 – $3,117: 64 hospitals$3,117 – $4,626: 41 hospitals$3,117$4,626 – $6,868: 38 hospitals$6,868 – $10,195: 12 hospitals$6,868$10,195 – $15,134: 9 hospitals$15,134 – $22,465: 8 hospitals$15,134$22,465 – $33,348: 8 hospitals$22,465median $2,827price bands are equal on a log scale
Hospitals per price band (261 of 289 — the bands cover the 5th to 95th percentile)
FromToHospitals
$642$9536
$953$1,41421
$1,414$2,10054
$2,100$3,11764
$3,117$4,62641
$4,626$6,86838
$6,868$10,19512
$10,195$15,1349
$15,134$22,4658
$22,465$33,3488

By state

The median cash price in each state, against the national median of $2,827.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $5,704 across 13 hospitalsMN$5,704Illinois: median $2,597 across 16 hospitalsIL$2,597Wisconsin: median $5,318 across 17 hospitalsWI$5,318Michigan: median $1,673 across 15 hospitalsMI$1,673New York: median $2,360 across 19 hospitalsNY$2,360Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $3,122 across 13 hospitalsOR$3,122Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,827 across 18 hospitalsIA$2,827Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,861 across 13 hospitalsOH$2,861Pennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,741 across 19 hospitalsNJ$5,741Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,525 across 11 hospitalsCA$2,525Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,376 across 10 hospitalsOK$2,376Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,827. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ19$5,741+103%$4,350 – $13,893
Minnesota MN13$5,704+102%$1,661 – $5,704
Wisconsin WI17$5,318+88%$4,571 – $9,582
Oregon OR13$3,122+10%$2,060 – $3,122
Ohio OH13$2,861+1%$1,138 – $5,054
Iowa IA18$2,8270%$2,350 – $2,827
Illinois IL16$2,597−8%$1,817 – $5,965
California CA11$2,525−11%$2,121 – $3,965
Oklahoma OK10$2,376−16%$2,376 – $2,376
New York NY19$2,360−17%$1,124 – $3,512
Michigan MI15$1,673−41%$1,425 – $2,756
West Virginia WV9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not 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 $2,827.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care218$2,827$1,731 – $7,043
Children’s7fewer than 20 hospitals
Critical access62$2,303$1,619 – $5,027
Ownership
For-profit26$3,943$1,817 – $19,374
Government39$2,756$1,661 – $21,711
Non-profit222$2,827$1,673 – $5,704
System affiliation
Part of a system223$2,827$1,661 – $6,311
Independent66$2,578$1,930 – $5,305

Cash price vs list price

Median list price (chargemaster)$3,534
Median cash price$2,827
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

153 hospitals filed a usable inpatient cash price for this code. The median is $2,215 and the average of the middle 60% is $2,224; most fall between $1,412 and $2,844.

Cash price percentiles, inpatient, across 153 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
$770$1,715$2,215$2,827$3,871

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($770 vs $3,871).

Of the 187 hospitals that filed this code inpatient, 153 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 7 a list price only.

How complete is this

289 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 351 hospitals that filed this code at all gave us
Usable cash price — counted289
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded15
Hospitals that filed this code351

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 23, 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 Other OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Laparoscopy Proctopexy Prolapse.

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, “Keyhole surgery to secure a prolapsed rectum (CPT 45400) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45400-keyhole-surgery-to-secure-a-prolapsed-rectum