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Procedure price report · Colonoscopy and biopsy

Surgical repair of a narrowed rectum

CPT 45500the billing code this page is about

Open surgery to widen and rebuild the rectum when scarring or narrowing has made the passage too tight.

Hospitals typically charge $2,575 cash for this outpatient procedure — the median across 204 hospitals that filed a usable cash price; the average of the middle 60% is $2,409. Most fall between $937 and $4,554 (20th–80th percentile).

Hospitals
204
States
35
Filings dated
Mar 2023 – 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 204 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
$731$1,034$2,575$3,786$7,426

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($731 vs $7,426).

How the prices are spread

$487 – $640: 7 hospitals$487$640 – $840: 11 hospitals$840 – $1,103: 27 hospitals$840$1,103 – $1,448: 26 hospitals$1,448 – $1,902: 9 hospitals$1,448$1,902 – $2,498: 9 hospitals$2,498 – $3,280: 42 hospitals$2,498$3,280 – $4,307: 21 hospitals$4,307 – $5,655: 14 hospitals$4,307$5,655 – $7,426: 28 hospitals$5,655median $2,575price bands are equal on a log scale
Hospitals per price band (194 of 204 — the bands cover the 5th to 95th percentile)
FromToHospitals
$487$6407
$640$84011
$840$1,10327
$1,103$1,44826
$1,448$1,9029
$1,902$2,4989
$2,498$3,28042
$3,280$4,30721
$4,307$5,65514
$5,655$7,42628

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,575
Cash as a multiple of Medicare0.91×

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 $2,575.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $731 across 10 hospitalsIL$731Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $939 across 11 hospitalsMI$939New York: median $3,245 across 25 hospitalsNY$3,245Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,378 across 16 hospitalsIA$1,378Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $3,659 across 29 hospitalsNJ$3,659Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,426 across 21 hospitalsCA$7,426Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $934 across 12 hospitalsOK$934Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 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: median $2,575 across 18 hospitalsTX$2,575Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,575. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA21$7,426+188%$7,426 – $7,426
New Jersey NJ29$3,659+42%$3,038 – $5,419
New York NY25$3,245+26%$1,366 – $3,245
Texas TX18$2,5750%$2,575 – $2,575
Iowa IA16$1,378−46%$1,378 – $1,378
Michigan MI11$939−64%$939 – $3,817
Oklahoma OK12$934−64%$934 – $934
Illinois IL10$731−72%$439 – $1,156
Idaho ID6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
Wyoming WY1not 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 $2,575.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care183$2,575$937 – $4,554
Children’s4fewer than 20 hospitals
Critical access17fewer than 20 hospitals
Ownership
For-profit23$2,575$483 – $4,563
Government26$1,567$1,026 – $3,245
Non-profit155$2,575$939 – $4,881
System affiliation
Part of a system168$2,575$939 – $4,881
Independent36$1,228$893 – $3,047

Cash price vs list price

Median list price (chargemaster)$1,723
Median cash price$2,575
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

121 hospitals filed a usable inpatient cash price for this code. The median is $1,378 and the average of the middle 60% is $1,741; most fall between $934 and $4,554.

Cash price percentiles, inpatient, across 121 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
$579$934$1,378$2,575$7,426

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($579 vs $7,426).

Of the 138 hospitals that filed this code inpatient, 121 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

204 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 229 hospitals that filed this code at all gave us
Usable cash price — counted204
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded2
Hospitals that filed this code229

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 5, 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 Colonoscopy and biopsy family.

Hospitals file this code under descriptions such as PR Repair of Rectum,Stenosis.

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, “Surgical repair of a narrowed rectum (CPT 45500) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45500-surgical-repair-of-a-narrowed-rectum