A colonoscopy where polyps are removed with a snare (45385) or hot biopsy forceps (45384). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
1508 hospitals in 82 markets. National Medicare rate $1,223, surgery center $657.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $1,286 | $1,882 | $2,207 | $675–$6,532 |
| Alaska (statewide) | 6 | $1,134 | $2,034 | $5,193 | $919–$7,564 |
| Arizona (statewide) | 12 | $1,983 | $2,537 | $3,080 | $772–$5,282 |
| Arkansas (statewide) | 16 | $1,110 | $1,296 | $1,592 | $568–$1,730 |
| Atlanta GA | 10 | $3,812 | $3,870 | $4,140 | $3,601–$4,140 |
| Austin TX | 13 | $966 | $2,376 | $3,385 | $966–$3,385 |
| Boston MA | 16 | $1,522 | $1,766 | $1,958 | $980–$2,490 |
| California (statewide) | 70 | $1,762 | $3,479 | $4,462 | $804–$8,005 |
| Charlotte NC | 6 | $1,402 | $1,402 | $1,402 | $1,383–$5,050 |
| Chicago IL | 11 | $2,558 | $2,860 | $3,434 | $1,520–$4,566 |
| Cleveland OH | 11 | $2,432 | $2,932 | $3,152 | $2,068–$3,528 |
| Colorado (statewide) | 19 | $2,259 | $2,862 | $4,262 | $1,033–$6,520 |
| Columbus OH | 1 | — | — | — | $4,304–$4,304 |
| Connecticut (statewide) | 4 | — | — | — | $951–$4,986 |
| Dallas-Fort Worth TX | 12 | $2,789 | $2,877 | $3,016 | $2,462–$4,598 |
| Delaware (statewide) | 1 | — | — | — | $3,252–$3,252 |
| Denver CO | 15 | $1,922 | $4,098 | $4,312 | $1,336–$5,026 |
| Detroit MI | 17 | $1,056 | $1,200 | $1,411 | $662–$5,085 |
| Florida (statewide) | 70 | $2,512 | $2,984 | $3,442 | $673–$9,199 |
| Georgia (statewide) | 45 | $2,500 | $3,437 | $3,792 | $1,094–$4,797 |
| Hawaii (statewide) | 7 | $3,488 | $3,534 | $4,598 | $1,898–$5,672 |
| Houston TX | 19 | $2,284 | $2,613 | $2,810 | $1,734–$3,695 |
| Idaho (statewide) | 19 | $1,206 | $1,402 | $2,150 | $801–$3,575 |
| Illinois (statewide) | 36 | $1,694 | $2,246 | $3,081 | $665–$4,898 |
| Indiana (statewide) | 46 | $1,780 | $2,798 | $4,470 | $704–$8,220 |
| Indianapolis IN | 3 | — | — | — | $726–$4,978 |
| Iowa (statewide) | 37 | $1,134 | $1,414 | $2,173 | $579–$3,631 |
| Kansas (statewide) | 49 | $1,350 | $1,621 | $2,274 | $585–$7,564 |
| Kentucky (statewide) | 22 | $1,421 | $1,892 | $2,436 | $1,011–$5,965 |
| Las Vegas NV | 2 | — | — | — | $2,017–$2,590 |
| Los Angeles CA | 14 | $3,455 | $3,497 | $3,993 | $2,832–$5,842 |
| Louisiana (statewide) | 24 | $1,197 | $1,434 | $1,866 | $1,004–$3,728 |
| Maine (statewide) | 17 | $4,652 | $4,831 | $5,425 | $1,183–$7,052 |
| Maryland (statewide) | 1 | — | — | — | $3,063–$3,063 |
| Massachusetts (statewide) | 10 | $1,221 | $1,766 | $2,269 | $1,120–$2,553 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,899–$2,744 |
| Michigan (statewide) | 36 | $990 | $1,136 | $1,192 | $657–$1,820 |
| Minneapolis-St. Paul MN | 10 | $2,155 | $2,352 | $2,549 | $1,712–$2,697 |
| Minnesota (statewide) | 29 | $2,037 | $2,383 | $3,574 | $1,092–$4,858 |
| Mississippi (statewide) | 25 | $1,350 | $1,848 | $2,044 | $804–$3,982 |
| Missouri (statewide) | 36 | $1,526 | $2,300 | $2,987 | $601–$6,278 |
| Montana (statewide) | 8 | $2,164 | $2,591 | $3,451 | $708–$4,764 |
| Nashville TN | 8 | $1,970 | $2,404 | $2,426 | $1,492–$2,474 |
| Nebraska (statewide) | 27 | $1,236 | $2,550 | $3,262 | $663–$6,799 |
| Nevada (statewide) | 7 | $2,017 | $2,017 | $2,392 | $1,014–$3,118 |
| New Hampshire (statewide) | 7 | $2,440 | $3,548 | $4,426 | $733–$5,359 |
| New Jersey (statewide) | 24 | $2,039 | $3,586 | $6,204 | $1,288–$8,615 |
| New Mexico (statewide) | 10 | $2,011 | $2,222 | $3,440 | $1,020–$4,947 |
| New York (statewide) | 40 | $1,674 | $2,604 | $3,348 | $842–$6,759 |
| New York City | 8 | $1,766 | $1,778 | $3,689 | $1,766–$7,034 |
| North Carolina (statewide) | 11 | $1,814 | $2,601 | $2,964 | $1,190–$4,154 |
| North Dakota (statewide) | 9 | $2,040 | $2,382 | $2,383 | $1,055–$5,550 |
| Ohio (statewide) | 47 | $2,312 | $2,851 | $4,046 | $608–$4,671 |
| Oklahoma (statewide) | 22 | $864 | $1,906 | $2,596 | $580–$6,536 |
| Oregon (statewide) | 16 | $2,639 | $3,096 | $3,981 | $1,344–$5,460 |
| Pennsylvania (statewide) | 50 | $1,950 | $2,672 | $3,477 | $1,071–$5,881 |
| Philadelphia PA | 11 | $3,039 | $3,598 | $3,660 | $2,605–$8,155 |
| Phoenix AZ | 8 | $2,658 | $2,678 | $2,706 | $2,600–$2,788 |
| Pittsburgh PA | 12 | $1,750 | $2,049 | $2,594 | $1,512–$2,968 |
| Portland OR | 9 | $4,922 | $5,144 | $5,144 | $4,922–$5,158 |
| Rhode Island (statewide) | 6 | $1,615 | $2,052 | $3,103 | $1,159–$4,052 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 6 | $1,570 | $1,971 | $2,826 | $1,555–$3,154 |
| Salt Lake City UT | 9 | $1,453 | $1,453 | $1,453 | $1,453–$1,453 |
| San Antonio TX | 3 | — | — | — | $1,882–$2,800 |
| San Diego CA | 7 | $2,616 | $2,616 | $2,633 | $2,201–$2,838 |
| San Francisco Bay Area CA | 6 | $3,635 | $4,682 | $5,570 | $3,546–$9,589 |
| Seattle-Tacoma WA | 16 | $3,432 | $3,558 | $4,128 | $2,873–$4,870 |
| South Carolina (statewide) | 28 | $2,048 | $3,076 | $4,935 | $749–$8,667 |
| South Dakota (statewide) | 7 | $1,924 | $2,383 | $3,446 | $905–$6,074 |
| St. Louis MO | 10 | $1,711 | $1,920 | $1,920 | $1,576–$2,740 |
| Tampa FL | 6 | $1,300 | $1,300 | $1,989 | $1,300–$6,648 |
| Tennessee (statewide) | 28 | $1,446 | $1,821 | $2,002 | $1,144–$2,500 |
| Texas (statewide) | 87 | $1,704 | $2,613 | $2,923 | $672–$8,220 |
| Utah (statewide) | 16 | $1,453 | $1,453 | $1,453 | $652–$4,126 |
| Vermont (statewide) | 5 | $721 | $3,044 | $3,666 | $666–$4,260 |
| Virginia (statewide) | 24 | $3,971 | $4,564 | $5,051 | $2,116–$6,169 |
| Washington (statewide) | 16 | $2,267 | $3,035 | $3,520 | $1,013–$6,476 |
| Washington DC | 9 | $2,857 | $2,857 | $3,273 | $2,857–$3,488 |
| West Virginia (statewide) | 12 | $1,938 | $2,087 | $3,894 | $1,309–$7,967 |
| Wisconsin (statewide) | 48 | $2,503 | $3,077 | $4,013 | $632–$6,834 |
| Wyoming (statewide) | 2 | — | — | — | $688–$688 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital Ozark | Arkansas (statewide) | $568 | 0.5× | 1 | 2026-06-08 |
| Guthrie County Hospital | Iowa (statewide) | $579 | 0.5× | 1 | 2026-09-26 |
| Ascension St John Medical Center | Oklahoma (statewide) | $580 | 0.5× | 1 | 2026-01-01 |
| Amberwell Hiawatha | Kansas (statewide) | $585 | 0.5× | 6 | 2026-08-18 |
| Okeene Municipal Hospital | Oklahoma (statewide) | $585 | 0.5× | 3 | 2026-08-12 |
| Nemaha Valley Community Hospital | Kansas (statewide) | $586 | 0.5× | 3 | 2026-09-16 |
| Amberwell Atchison Association | Kansas (statewide) | $590 | 0.5× | 2 | 2026-08-18 |
| Cass County Memorial Hospital | Iowa (statewide) | $598 | 0.5× | 3 | 2026-06-01 |
| Pemiscot County Memorial Hospital | Missouri (statewide) | $601 | 0.5× | 1 | 2026-07-01 |
| Iowa Specialty Hospital - Belmond | Iowa (statewide) | $607 | 0.5× | 2 | 2026-04-22 |
| Iowa Specialty Hospital - Clarion | Iowa (statewide) | $607 | 0.5× | 2 | 2026-06-11 |
| Selby General Hospital | Ohio (statewide) | $608 | 0.5× | 1 | 2026-10-01 |
| Providence St Joseph Hospital | California (statewide) | $7,568 | 4.9× | 4 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $7,967 | 6.9× | 1 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $8,005 | 5.2× | 3 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 6.1× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 6.1× | 1 | 2026-03-24 |
| Parkview Regional Medical Center | Indiana (statewide) | $8,220 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $8,220 | 6.8× | 1 | 2026-09-01 |
| Jfk University Medical Center | New Jersey (statewide) | $8,615 | 6.4× | 5 | 2025-12-31 |
| Mcleod Loris Hospital | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Mcleod Health Clarendon | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Holy Cross Hospital | Florida (statewide) | $9,199 | 7.4× | 24 | 2026-03-31 |
| Stanford Health Care | San Francisco Bay Area CA | $9,589 | 5.5× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
1331 hospitals in 80 markets. National Medicare rate $1,223, surgery center $657.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $1,308 | $1,882 | $2,276 | $728–$6,532 |
| Alaska (statewide) | 6 | $1,063 | $2,082 | $5,216 | $825–$7,337 |
| Arizona (statewide) | 10 | $1,404 | $2,316 | $2,741 | $772–$5,282 |
| Arkansas (statewide) | 10 | $1,076 | $1,124 | $1,577 | $568–$1,730 |
| Atlanta GA | 10 | $3,812 | $3,870 | $4,140 | $3,601–$4,140 |
| Austin TX | 12 | $966 | $1,671 | $3,385 | $966–$3,385 |
| Boston MA | 12 | $1,696 | $1,846 | $2,031 | $1,120–$2,348 |
| California (statewide) | 67 | $2,130 | $3,479 | $4,462 | $980–$8,005 |
| Charlotte NC | 6 | $1,402 | $1,402 | $1,402 | $1,383–$5,050 |
| Chicago IL | 11 | $2,300 | $2,819 | $3,434 | $1,284–$4,142 |
| Cleveland OH | 11 | $2,432 | $2,932 | $3,152 | $1,857–$3,528 |
| Colorado (statewide) | 19 | $1,695 | $2,792 | $4,206 | $1,012–$6,520 |
| Columbus OH | 1 | — | — | — | $4,304–$4,304 |
| Connecticut (statewide) | 3 | — | — | — | $1,566–$11,565 |
| Dallas-Fort Worth TX | 12 | $2,789 | $2,877 | $3,016 | $2,462–$4,598 |
| Denver CO | 15 | $1,556 | $4,001 | $4,312 | $1,336–$5,026 |
| Detroit MI | 14 | $1,200 | $1,200 | $1,573 | $666–$2,417 |
| Florida (statewide) | 71 | $2,396 | $2,970 | $3,442 | $649–$9,199 |
| Georgia (statewide) | 40 | $2,678 | $3,514 | $3,792 | $1,094–$4,797 |
| Hawaii (statewide) | 5 | $1,537 | $1,898 | $3,493 | $1,468–$5,672 |
| Houston TX | 19 | $2,284 | $2,613 | $2,810 | $1,734–$3,695 |
| Idaho (statewide) | 16 | $1,279 | $2,036 | $2,995 | $798–$3,575 |
| Illinois (statewide) | 34 | $1,661 | $2,200 | $2,973 | $905–$4,898 |
| Indiana (statewide) | 42 | $1,662 | $2,698 | $4,445 | $649–$8,220 |
| Indianapolis IN | 3 | — | — | — | $649–$4,978 |
| Iowa (statewide) | 30 | $1,258 | $1,884 | $2,416 | $615–$3,631 |
| Kansas (statewide) | 37 | $1,242 | $1,729 | $2,077 | $602–$7,337 |
| Kentucky (statewide) | 20 | $1,522 | $1,892 | $2,386 | $1,056–$4,082 |
| Las Vegas NV | 2 | — | — | — | $2,017–$2,590 |
| Los Angeles CA | 16 | $3,438 | $3,497 | $3,906 | $2,795–$5,842 |
| Louisiana (statewide) | 20 | $1,219 | $1,347 | $1,866 | $1,004–$3,728 |
| Maine (statewide) | 16 | $4,831 | $5,483 | $5,609 | $1,183–$7,052 |
| Maryland (statewide) | 1 | — | — | — | $2,572–$2,572 |
| Massachusetts (statewide) | 6 | $1,741 | $1,878 | $2,400 | $1,523–$2,553 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,899–$2,744 |
| Michigan (statewide) | 29 | $1,016 | $1,140 | $1,192 | $657–$1,820 |
| Minneapolis-St. Paul MN | 9 | $2,138 | $2,515 | $2,560 | $1,260–$2,697 |
| Minnesota (statewide) | 26 | $2,357 | $2,383 | $3,192 | $961–$4,697 |
| Mississippi (statewide) | 23 | $1,306 | $1,644 | $2,029 | $804–$3,264 |
| Missouri (statewide) | 25 | $1,628 | $2,385 | $3,081 | $909–$4,587 |
| Montana (statewide) | 7 | $1,934 | $2,476 | $3,478 | $754–$4,764 |
| Nashville TN | 8 | $2,033 | $2,404 | $2,426 | $1,637–$2,474 |
| Nebraska (statewide) | 21 | $1,714 | $2,431 | $3,262 | $693–$6,799 |
| Nevada (statewide) | 6 | $2,017 | $2,017 | $2,286 | $1,014–$2,408 |
| New Hampshire (statewide) | 7 | $2,440 | $3,548 | $4,426 | $650–$5,359 |
| New Jersey (statewide) | 23 | $1,816 | $3,390 | $6,211 | $1,368–$8,615 |
| New Mexico (statewide) | 9 | $1,979 | $2,358 | $3,552 | $1,020–$4,947 |
| New York (statewide) | 37 | $1,874 | $2,538 | $3,171 | $842–$6,083 |
| New York City | 8 | $2,538 | $2,538 | $3,480 | $2,232–$7,034 |
| North Carolina (statewide) | 8 | $2,036 | $2,856 | $3,240 | $1,404–$4,154 |
| North Dakota (statewide) | 8 | $2,073 | $2,382 | $2,461 | $1,132–$5,550 |
| Ohio (statewide) | 43 | $2,410 | $2,830 | $4,046 | $1,008–$4,600 |
| Oklahoma (statewide) | 15 | $1,223 | $1,664 | $2,546 | $584–$6,536 |
| Oregon (statewide) | 13 | $2,494 | $3,020 | $3,877 | $1,115–$5,460 |
| Pennsylvania (statewide) | 38 | $1,951 | $2,546 | $3,406 | $1,158–$5,538 |
| Philadelphia PA | 11 | $3,039 | $3,598 | $3,660 | $2,605–$8,155 |
| Phoenix AZ | 8 | $2,658 | $2,678 | $2,706 | $2,600–$2,788 |
| Pittsburgh PA | 11 | $1,744 | $2,092 | $2,597 | $1,512–$2,968 |
| Portland OR | 9 | $5,144 | $5,158 | $5,762 | $5,144–$5,762 |
| Rhode Island (statewide) | 5 | $1,606 | $2,462 | $3,317 | $1,159–$4,052 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 5 | $1,615 | $2,158 | $2,993 | $1,555–$3,154 |
| Salt Lake City UT | 9 | $1,453 | $1,453 | $1,453 | $1,453–$1,453 |
| San Antonio TX | 3 | — | — | — | $1,882–$2,800 |
| San Diego CA | 7 | $2,616 | $2,616 | $2,633 | $2,201–$2,838 |
| San Francisco Bay Area CA | 5 | $4,899 | $5,460 | $5,606 | $3,903–$9,589 |
| Seattle-Tacoma WA | 16 | $3,432 | $3,558 | $4,128 | $2,873–$4,870 |
| South Carolina (statewide) | 28 | $2,394 | $3,150 | $4,935 | $749–$8,667 |
| South Dakota (statewide) | 5 | $1,467 | $2,383 | $2,831 | $1,274–$6,074 |
| St. Louis MO | 7 | $1,920 | $1,920 | $1,922 | $1,711–$2,740 |
| Tampa FL | 6 | $1,300 | $1,300 | $1,989 | $1,300–$6,648 |
| Tennessee (statewide) | 26 | $1,426 | $1,659 | $2,026 | $1,084–$2,500 |
| Texas (statewide) | 77 | $1,503 | $2,613 | $2,923 | $724–$8,220 |
| Utah (statewide) | 16 | $1,453 | $1,453 | $1,453 | $635–$4,126 |
| Vermont (statewide) | 4 | — | — | — | $650–$4,165 |
| Virginia (statewide) | 24 | $3,971 | $4,564 | $5,051 | $2,116–$6,169 |
| Washington (statewide) | 13 | $2,916 | $3,122 | $3,580 | $678–$6,476 |
| Washington DC | 4 | — | — | — | $2,978–$3,488 |
| West Virginia (statewide) | 6 | $2,003 | $2,952 | $4,553 | $1,309–$7,967 |
| Wisconsin (statewide) | 42 | $2,855 | $3,077 | $4,626 | $802–$6,834 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital Ozark | Arkansas (statewide) | $568 | 0.5× | 1 | 2026-06-08 |
| Ascension St John Jane Phillips | Oklahoma (statewide) | $584 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Nowata | Oklahoma (statewide) | $584 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Owasso | Oklahoma (statewide) | $591 | 0.5× | 1 | 2026-01-01 |
| Amberwell Hiawatha | Kansas (statewide) | $602 | 0.6× | 4 | 2026-08-18 |
| Amberwell Atchison Association | Kansas (statewide) | $612 | 0.6× | 2 | 2026-08-18 |
| Boone County Hospital | Iowa (statewide) | $615 | 0.5× | 1 | 2026-07-27 |
| San Juan Hospital | Utah (statewide) | $635 | 0.5× | 2 | 2026-04-13 |
| Ascension St Vincent'S Clay County | Florida (statewide) | $649 | 0.5× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $649 | 0.5× | 1 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $649 | 0.5× | 1 | 2026-01-01 |
| Ascension St Vincent Randolph | Indiana (statewide) | $649 | 0.5× | 1 | 2026-01-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $7,967 | 6.9× | 1 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $8,005 | 5.2× | 3 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 6.1× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 6.1× | 1 | 2026-03-24 |
| Parkview Regional Medical Center | Indiana (statewide) | $8,220 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $8,220 | 6.8× | 1 | 2026-09-01 |
| Jfk University Medical Center | New Jersey (statewide) | $8,615 | 6.4× | 5 | 2025-12-31 |
| Mcleod Loris Hospital | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Mcleod Health Clarendon | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Holy Cross Hospital | Florida (statewide) | $9,199 | 7.4× | 24 | 2026-03-31 |
| Stanford Health Care | San Francisco Bay Area CA | $9,589 | 5.5× | 1 | 2026-04-01 |
| Saint Francis Hospital & Medical Center | Connecticut (statewide) | $11,565 | 8.0× | 19 | 2026-03-31 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Across 1508 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 45385, hospital outpatient is $2,503, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,531 to $3,479. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 45385 is $1,223 and its surgery-center rate is $657, before local wage adjustment.
Lowest medians: Mercy Hospital Ozark ($568), Guthrie County Hospital ($579), Ascension St John Medical Center ($580). Highest: Stanford Health Care ($9,589), Holy Cross Hospital ($9,199), Mcleod Health Clarendon ($8,667). Coverage: every hospital whose price file we could read.