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Procedure price report · Other non-OR lower GI therapeutic procedures

Unlisted procedure on the rectum

CPT 45999the billing code this page is about

Used for a rectal procedure that has no specific billing code; the surgeon's report describes what was actually done.

Hospitals typically charge $1,141 cash for this outpatient procedure — the median across 984 hospitals that filed a usable cash price; the average of the middle 60% is $1,281. Most fall between $536 and $2,729 (20th–80th percentile).

Hospitals
984
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 984 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
$350$627$1,141$2,179$4,413

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($350 vs $4,413).

How the prices are spread

$239 – $343: 40 hospitals$239$343 – $494: 99 hospitals$494 – $711: 92 hospitals$494$711 – $1,022: 136 hospitals$1,022 – $1,471: 208 hospitals$1,022$1,471 – $2,116: 105 hospitals$2,116 – $3,045: 96 hospitals$2,116$3,045 – $4,381: 60 hospitals$4,381 – $6,303: 33 hospitals$4,381$6,303 – $9,069: 18 hospitals$6,303median $1,141price bands are equal on a log scale
Hospitals per price band (887 of 984 — the bands cover the 5th to 95th percentile)
FromToHospitals
$239$34340
$343$49499
$494$71192
$711$1,022136
$1,022$1,471208
$1,471$2,116105
$2,116$3,04596
$3,045$4,38160
$4,381$6,30333
$6,303$9,06918

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$1,141
Cash as a multiple of Medicare1.20×

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 $1,141.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,178 across 39 hospitalsWA$1,178Idaho: median $584 across 12 hospitalsID$584Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,149 across 18 hospitalsMN$1,149Illinois: median $1,464 across 38 hospitalsIL$1,464Wisconsin: median $1,427 across 25 hospitalsWI$1,427Michigan: median $1,922 across 25 hospitalsMI$1,922New York: median $1,079 across 53 hospitalsNY$1,079Massachusetts: median $978 across 16 hospitalsMA$978Oregon: median $1,877 across 25 hospitalsOR$1,877Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $1,003 across 24 hospitalsIA$1,003Indiana: median $1,816 across 12 hospitalsIN$1,816Ohio: median $1,058 across 29 hospitalsOH$1,058Pennsylvania: median $902 across 51 hospitalsPA$902New Jersey: median $1,825 across 37 hospitalsNJ$1,825Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,078 across 96 hospitalsCA$3,078Utah: median $423 across 23 hospitalsUT$423Colorado: median $1,094 across 17 hospitalsCO$1,094Nebraska: median $572 across 10 hospitalsNE$572Missouri: median $1,173 across 34 hospitalsMO$1,173Kentucky: median $1,394 across 10 hospitalsKY$1,394West Virginia: median $488 across 19 hospitalsWV$488Virginia: median $1,307 across 28 hospitalsVA$1,307Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $832 across 11 hospitalsNM$832Kansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $756 across 24 hospitalsTN$756North Carolina: median $1,164 across 16 hospitalsNC$1,164South Carolina: median $1,561 across 23 hospitalsSC$1,561Oklahoma: 8 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $645 across 16 hospitalsLA$645Mississippi: median $449 across 21 hospitalsMS$449Alabama: median $1,185 across 10 hospitalsAL$1,185Georgia: median $1,397 across 14 hospitalsGA$1,397Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $731 across 93 hospitalsTX$731Florida: median $1,798 across 28 hospitalsFL$1,798
Cash price by state, most expensive first. National median $1,141. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA96$3,078+170%$1,170 – $9,979
Michigan MI25$1,922+68%$1,108 – $2,729
Oregon OR25$1,877+64%$848 – $2,061
New Jersey NJ37$1,825+60%$1,010 – $5,110
Indiana IN12$1,816+59%$1,144 – $8,619
Florida FL28$1,798+58%$915 – $2,179
South Carolina SC23$1,561+37%$1,117 – $5,990
Illinois IL38$1,464+28%$536 – $3,136
Wisconsin WI25$1,427+25%$611 – $2,466
Georgia GA14$1,397+22%$1,366 – $1,397
Kentucky KY10$1,394+22%$293 – $3,661
Virginia VA28$1,307+14%$979 – $1,383
Alabama AL10$1,185+4%$542 – $1,457
Washington WA39$1,178+3%$433 – $2,620
Missouri MO34$1,173+3%$623 – $4,397
North Carolina NC16$1,164+2%$839 – $2,455
Minnesota MN18$1,149+1%$954 – $1,417
Colorado CO17$1,094−4%$812 – $1,566
New York NY53$1,079−5%$406 – $3,367
Ohio OH29$1,058−7%$796 – $1,306
Iowa IA24$1,003−12%$627 – $2,859
Massachusetts MA16$978−14%$544 – $1,315
Pennsylvania PA51$902−21%$157 – $1,773
New Mexico NM11$832−27%$479 – $1,712
Tennessee TN24$756−34%$379 – $1,399
Texas TX93$731−36%$544 – $1,073
Louisiana LA16$645−43%$437 – $1,027
Idaho ID12$584−49%$360 – $1,000
Nebraska NE10$572−50%$438 – $1,020
West Virginia WV19$488−57%$349 – $1,452
Mississippi MS21$449−61%$289 – $800
Utah UT23$423−63%$329 – $491
Arkansas AR8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Oklahoma OK8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Vermont VT1not 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 $1,141.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care833$1,160$544 – $2,833
Children’s18fewer than 20 hospitals
Critical access131$849$434 – $2,199
Ownership
For-profit89$1,073$756 – $2,846
Government143$1,079$643 – $2,177
Non-profit750$1,161$478 – $2,833
System affiliation
Part of a system834$1,149$544 – $2,729
Independent150$1,078$500 – $2,722

Cash price vs list price

Median list price (chargemaster)$2,131
Median cash price$1,141
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

707 hospitals filed a usable inpatient cash price for this code. The median is $1,099 and the average of the middle 60% is $1,198; most fall between $478 and $2,466.

Cash price percentiles, inpatient, across 707 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
$326$558$1,099$1,969$3,865

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($326 vs $3,865).

Of the 769 hospitals that filed this code inpatient, 707 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 49 a list price only.

How complete is this

984 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,068 hospitals that filed this code at all gave us
Usable cash price — counted984
Cash price carrying a plausibility flag — shown on the compare tool, excluded here29
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded53
Hospitals that filed this code1,068

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 Other non-OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as PR Endo Transanal Rectal Tumor Partial Thick Excision C/T 45171.

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, “Unlisted procedure on the rectum (CPT 45999) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45999-unlisted-procedure-on-the-rectum