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Flexible sigmoidoscopy: what insurers pay

Scope of the lower colon only, diagnostic (45330) or with biopsy (45331). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorer All operations

CPT 45330: Flexible Sigmoidoscopy

1365 hospitals in 81 markets. National Medicare rate $950, surgery center $185.

Market	Hospitals	25th pct	Median	75th pct	Low–high
Alabama (statewide)	17	$1,030	$1,421	$1,725	$477–$2,574
Alaska (statewide)	4	—	—	—	$1,150–$4,590
Arizona (statewide)	13	$1,838	$2,280	$2,735	$591–$3,945
Arkansas (statewide)	13	$874	$1,260	$1,324	$752–$1,591
Atlanta GA	10	$2,360	$3,106	$3,320	$2,360–$3,320
Austin TX	13	$906	$1,397	$2,441	$884–$2,441
Boston MA	15	$1,056	$1,645	$1,714	$745–$2,123
California (statewide)	71	$1,626	$2,690	$3,450	$1,014–$7,068
Charlotte NC	7	$1,084	$1,084	$1,170	$1,069–$2,492
Chicago IL	10	$2,250	$3,075	$3,558	$1,017–$4,016
Cleveland OH	11	$1,895	$2,054	$2,545	$1,640–$2,693
Colorado (statewide)	17	$1,221	$2,169	$2,797	$916–$4,002
Columbus OH	1	—	—	—	$3,345–$3,345
Connecticut (statewide)	3	—	—	—	$1,194–$3,875
Dallas-Fort Worth TX	12	$1,884	$2,012	$2,122	$1,830–$2,433
Delaware (statewide)	1	—	—	—	$2,527–$2,527
Denver CO	15	$1,660	$2,368	$2,806	$1,083–$3,702
Detroit MI	16	$660	$858	$1,068	$660–$3,791
Florida (statewide)	70	$1,843	$2,248	$2,535	$673–$7,541
Georgia (statewide)	46	$1,918	$2,432	$3,097	$450–$3,959
Hawaii (statewide)	5	$1,330	$1,909	$2,387	$1,135–$2,833
Houston TX	19	$1,775	$2,128	$2,589	$1,370–$3,737
Idaho (statewide)	15	$916	$1,353	$2,769	$481–$3,432
Illinois (statewide)	33	$1,334	$1,618	$2,301	$905–$3,811
Indiana (statewide)	36	$1,560	$2,064	$3,258	$556–$5,496
Indianapolis IN	1	—	—	—	$3,868–$3,868
Iowa (statewide)	26	$972	$1,698	$2,282	$514–$3,047
Kansas (statewide)	35	$966	$1,110	$1,386	$607–$3,186
Kentucky (statewide)	17	$1,182	$1,530	$1,791	$785–$2,436
Las Vegas NV	2	—	—	—	$1,181–$1,688
Los Angeles CA	18	$2,439	$2,638	$3,021	$1,498–$6,417
Louisiana (statewide)	21	$822	$1,011	$1,300	$499–$3,139
Maine (statewide)	17	$3,736	$4,194	$4,337	$920–$5,453
Maryland (statewide)	1	—	—	—	$2,785–$2,785
Massachusetts (statewide)	11	$1,296	$1,391	$1,746	$852–$2,252
Miami-Fort Lauderdale FL	2	—	—	—	$1,090–$1,907
Michigan (statewide)	29	$699	$998	$1,083	$471–$1,940
Minneapolis-St. Paul MN	10	$1,717	$1,910	$1,984	$1,389–$2,085
Minnesota (statewide)	17	$1,388	$2,108	$2,818	$531–$3,379
Mississippi (statewide)	22	$804	$1,240	$1,491	$430–$2,650
Missouri (statewide)	32	$1,254	$1,850	$2,686	$601–$6,278
Montana (statewide)	7	$1,878	$2,104	$2,686	$1,140–$3,109
Nashville TN	8	$1,608	$1,736	$1,772	$1,222–$1,900
Nebraska (statewide)	15	$1,460	$2,236	$3,047	$514–$6,353
Nevada (statewide)	6	$1,656	$1,732	$1,831	$1,645–$2,424
New Hampshire (statewide)	6	$2,151	$2,651	$3,256	$1,053–$4,164
New Jersey (statewide)	24	$1,584	$2,644	$3,153	$1,009–$6,872
New Mexico (statewide)	10	$1,596	$2,160	$3,024	$519–$3,841
New York (statewide)	37	$1,564	$2,074	$2,496	$842–$5,171
New York City	8	$2,069	$2,075	$3,456	$1,200–$4,790
North Carolina (statewide)	10	$1,040	$2,303	$2,367	$532–$2,754
North Dakota (statewide)	7	$1,346	$1,614	$1,962	$501–$5,002
Ohio (statewide)	41	$1,900	$2,422	$3,176	$538–$4,642
Oklahoma (statewide)	18	$1,242	$1,850	$2,041	$837–$3,256
Oregon (statewide)	14	$2,150	$2,752	$3,133	$764–$4,218
Pennsylvania (statewide)	50	$1,246	$2,192	$3,032	$568–$6,436
Philadelphia PA	11	$2,288	$2,355	$3,140	$1,978–$6,872
Phoenix AZ	8	$2,056	$2,064	$2,080	$2,032–$2,130
Pittsburgh PA	12	$964	$1,242	$1,888	$770–$2,294
Portland OR	9	$3,517	$3,998	$3,998	$3,517–$4,114
Rhode Island (statewide)	6	$1,172	$1,511	$1,839	$884–$2,630
Richmond VA	3	—	—	—	$2,772–$3,138
Rio Grande Valley TX	6	$1,249	$1,322	$2,214	$1,208–$2,650
Salt Lake City UT	9	$565	$565	$572	$558–$1,227
San Antonio TX	3	—	—	—	$1,498–$2,016
San Diego CA	7	$2,033	$2,033	$2,046	$1,710–$2,206
San Francisco Bay Area CA	6	$3,202	$3,530	$4,452	$3,115–$8,967
Seattle-Tacoma WA	16	$2,590	$2,750	$3,075	$2,457–$3,415
South Carolina (statewide)	26	$1,628	$2,222	$3,250	$948–$4,604
South Dakota (statewide)	4	—	—	—	$1,136–$4,649
St. Louis MO	10	$1,576	$1,920	$1,920	$1,241–$2,740
Tampa FL	6	$2,248	$2,248	$2,248	$1,457–$4,633
Tennessee (statewide)	38	$1,230	$1,266	$1,570	$844–$2,171
Texas (statewide)	76	$1,376	$1,901	$2,016	$742–$5,496
Utah (statewide)	7	$832	$2,019	$3,074	$565–$3,206
Vermont (statewide)	2	—	—	—	$970–$1,987
Virginia (statewide)	27	$2,698	$3,385	$3,558	$1,129–$4,794
Washington (statewide)	15	$1,452	$2,418	$2,796	$520–$4,976
Washington DC	10	$2,220	$2,252	$2,252	$2,032–$2,644
West Virginia (statewide)	10	$1,352	$1,560	$3,033	$790–$6,191
Wisconsin (statewide)	43	$2,052	$2,182	$3,526	$636–$5,220

Lowest and highest 12 hospital medians

Hospital	Market	Median across insurers	× Medicare	Insurers	File date
Greene County Hospital	Mississippi (statewide)	$430	0.5×	1	2026-06-05
Memorial Hospital And Manor	Georgia (statewide)	$450	0.6×	1	2026-05-01
Munson Healthcare Otsego Memorial Hospital	Michigan (statewide)	$471	0.5×	2	2026-04-17
Usa Health University Hospital	Alabama (statewide)	$477	0.6×	1	2026-04-30
Syringa General Hospital	Idaho (statewide)	$481	0.5×	1	2026-08-21
Ochsner St Martin Hospital	Louisiana (statewide)	$499	0.6×	2	2026-04-01
Chi St Alexius Health Williston	North Dakota (statewide)	$501	0.5×	3	2026-02-28
Chi Health - Mercy Corning	Iowa (statewide)	$514	0.6×	10	2026-02-28
Chi Health Missouri Valley	Iowa (statewide)	$514	0.5×	10	2026-02-28
Chi Health Schuyler	Nebraska (statewide)	$514	0.5×	11	2026-02-28
Chi Health Plainview	Nebraska (statewide)	$514	0.5×	11	2026-02-28
Chi Health St Mary'S	Nebraska (statewide)	$514	0.5×	9	2026-02-28
Logan Regional Medical Center	West Virginia (statewide)	$6,191	6.9×	1	2026-04-01
Hackensack University Medical Center	New Jersey (statewide)	$6,247	5.7×	4	2025-12-31
St Louis Childrens Hospital	Missouri (statewide)	$6,278	6.7×	1	2025-12-15
Chi Health St Francis	Nebraska (statewide)	$6,353	6.6×	6	2026-02-28
Cedars-Sinai Medical Center	Los Angeles CA	$6,417	5.4×	1	2025-11-26
Wellspan Ephrata Community Hospital	Pennsylvania (statewide)	$6,436	7.1×	2	2026-01-01
Providence Queen Of The Valley Medical Center	California (statewide)	$6,812	5.7×	5	2026-04-01
Inspira Medical Center Vineland	New Jersey (statewide)	$6,872	6.6×	1	2026-03-24
Inspira Medical Center Mullica Hill	Philadelphia PA	$6,872	6.6×	1	2026-03-24
Los Robles Hospital & Medical Center	California (statewide)	$7,068	5.9×	4	2026-09-01
Holy Cross Hospital	Florida (statewide)	$7,541	7.8×	22	2026-03-31
Stanford Health Care	San Francisco Bay Area CA	$8,967	6.5×	2	2026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 45331: Flexible Sigmoidoscopy

1342 hospitals in 80 markets. National Medicare rate $950, surgery center $510.

Market	Hospitals	25th pct	Median	75th pct	Low–high
Alabama (statewide)	17	$1,004	$1,421	$1,725	$436–$2,574
Alaska (statewide)	4	—	—	—	$1,382–$4,590
Arizona (statewide)	12	$1,748	$2,156	$2,780	$591–$3,945
Arkansas (statewide)	14	$835	$985	$1,240	$752–$1,344
Atlanta GA	10	$2,360	$2,820	$3,320	$2,360–$3,320
Austin TX	13	$884	$1,830	$2,192	$851–$2,620
Boston MA	16	$1,157	$1,492	$1,657	$745–$1,980
California (statewide)	68	$1,667	$2,690	$3,450	$1,014–$7,068
Charlotte NC	7	$1,084	$1,084	$1,170	$1,069–$2,492
Chicago IL	11	$2,258	$3,074	$3,558	$1,017–$4,016
Cleveland OH	11	$1,370	$1,583	$1,954	$968–$2,897
Colorado (statewide)	16	$1,188	$2,070	$2,802	$646–$3,702
Columbus OH	1	—	—	—	$3,345–$3,345
Connecticut (statewide)	3	—	—	—	$1,194–$3,875
Dallas-Fort Worth TX	12	$2,150	$2,202	$2,325	$1,920–$3,650
Denver CO	15	$1,660	$2,368	$2,806	$1,083–$3,702
Detroit MI	16	$660	$890	$1,255	$660–$3,791
Florida (statewide)	69	$1,915	$2,248	$2,556	$673–$7,541
Georgia (statewide)	44	$1,970	$2,461	$2,806	$450–$3,959
Hawaii (statewide)	5	$1,988	$2,590	$2,824	$1,909–$2,833
Houston TX	19	$1,775	$2,128	$2,136	$1,358–$2,673
Idaho (statewide)	15	$927	$986	$1,657	$810–$2,769
Illinois (statewide)	33	$1,334	$1,702	$2,167	$905–$3,811
Indiana (statewide)	35	$1,448	$2,097	$3,282	$912–$6,867
Indianapolis IN	1	—	—	—	$3,868–$3,868
Iowa (statewide)	30	$950	$1,471	$2,011	$470–$3,047
Kansas (statewide)	31	$912	$1,100	$1,710	$434–$3,464
Kentucky (statewide)	18	$1,217	$1,578	$1,778	$785–$2,436
Las Vegas NV	2	—	—	—	$1,817–$2,003
Los Angeles CA	18	$2,451	$2,660	$3,021	$1,498–$6,417
Louisiana (statewide)	20	$834	$1,007	$1,214	$764–$3,139
Maine (statewide)	17	$3,736	$4,194	$4,337	$920–$5,453
Maryland (statewide)	1	—	—	—	$2,157–$2,157
Massachusetts (statewide)	11	$1,333	$1,391	$1,680	$852–$1,959
Miami-Fort Lauderdale FL	2	—	—	—	$1,090–$2,185
Michigan (statewide)	31	$954	$1,162	$1,362	$510–$1,579
Minneapolis-St. Paul MN	10	$1,717	$2,082	$2,291	$1,442–$2,291
Minnesota (statewide)	17	$1,866	$2,422	$2,940	$828–$7,205
Mississippi (statewide)	19	$951	$1,341	$1,602	$795–$2,650
Missouri (statewide)	27	$1,398	$1,850	$2,802	$591–$6,278
Montana (statewide)	7	$1,878	$2,104	$2,686	$1,140–$3,607
Nashville TN	8	$1,387	$1,886	$2,172	$1,222–$2,212
Nebraska (statewide)	19	$1,137	$1,844	$3,047	$529–$6,353
Nevada (statewide)	6	$1,847	$1,976	$2,102	$1,817–$2,424
New Hampshire (statewide)	7	$1,592	$2,214	$3,200	$557–$4,164
New Jersey (statewide)	24	$1,584	$2,644	$3,153	$1,009–$6,872
New Mexico (statewide)	10	$1,330	$2,135	$3,024	$647–$3,762
New York (statewide)	35	$1,874	$2,076	$2,740	$822–$5,264
New York City	8	$2,069	$2,075	$3,456	$1,313–$4,790
North Carolina (statewide)	10	$1,375	$1,966	$2,334	$950–$2,754
North Dakota (statewide)	7	$1,134	$1,614	$1,962	$669–$5,002
Ohio (statewide)	42	$1,702	$2,311	$3,224	$825–$4,300
Oklahoma (statewide)	18	$1,242	$1,788	$2,016	$655–$3,256
Oregon (statewide)	11	$2,212	$2,812	$3,246	$1,044–$4,218
Pennsylvania (statewide)	48	$1,368	$2,192	$2,898	$895–$5,224
Philadelphia PA	11	$2,288	$2,355	$3,140	$2,120–$6,872
Phoenix AZ	8	$2,056	$2,064	$2,080	$2,032–$2,130
Pittsburgh PA	12	$1,306	$1,465	$1,880	$1,164–$2,294
Portland OR	9	$3,688	$3,998	$3,998	$3,688–$4,114
Rhode Island (statewide)	6	$1,172	$1,511	$2,277	$884–$2,630
Richmond VA	3	—	—	—	$3,138–$3,505
Rio Grande Valley TX	6	$1,220	$1,454	$2,292	$1,208–$2,650
Salt Lake City UT	9	$760	$760	$760	$743–$778
San Antonio TX	3	—	—	—	$1,456–$2,012
San Diego CA	7	$2,033	$2,033	$2,046	$1,710–$2,206
San Francisco Bay Area CA	6	$3,202	$3,530	$4,452	$3,115–$8,967
Seattle-Tacoma WA	16	$2,590	$2,750	$3,075	$2,457–$3,415
South Carolina (statewide)	26	$1,826	$2,270	$3,235	$683–$4,604
South Dakota (statewide)	3	—	—	—	$1,136–$4,649
St. Louis MO	10	$1,241	$1,920	$1,924	$1,140–$2,740
Tampa FL	6	$2,248	$2,248	$2,248	$1,377–$4,633
Tennessee (statewide)	29	$1,230	$1,266	$1,562	$875–$2,272
Texas (statewide)	79	$1,348	$2,012	$2,380	$568–$5,496
Utah (statewide)	8	$652	$751	$832	$491–$2,014
Vermont (statewide)	2	—	—	—	$1,037–$2,348
Virginia (statewide)	23	$3,203	$3,408	$3,678	$1,776–$4,794
Washington (statewide)	16	$1,728	$2,400	$2,758	$738–$4,976
Washington DC	10	$2,262	$2,446	$2,480	$1,920–$2,664
West Virginia (statewide)	9	$1,285	$1,553	$3,023	$790–$6,191
Wisconsin (statewide)	44	$2,052	$2,225	$3,414	$1,002–$5,220

Lowest and highest 12 hospital medians

Hospital	Market	Median across insurers	× Medicare	Insurers	File date
Mcpherson Hospital Inc	Kansas (statewide)	$434	0.5×	1	2026-06-08
Usa Health Children'S & Women'S Hospital	Alabama (statewide)	$436	0.5×	1	2026-04-30
Memorial Hospital And Manor	Georgia (statewide)	$450	0.6×	1	2026-05-01
Usa Health University Hospital	Alabama (statewide)	$456	0.5×	2	2026-04-30
Cass County Memorial Hospital	Iowa (statewide)	$470	0.5×	1	2026-06-01
Hancock County Health System	Iowa (statewide)	$483	0.5×	1	2026-06-30
Orange City Area Health System	Iowa (statewide)	$484	0.5×	1	2026-09-23
San Juan Hospital	Utah (statewide)	$491	0.5×	14	2026-04-13
Holland Hospital	Michigan (statewide)	$510	0.6×	4	2026-09-21
Helen Newberry Joy Hospital	Michigan (statewide)	$510	0.6×	1	2026-09-02
Oaklawn Hospital	Michigan (statewide)	$520	0.6×	2	2026-03-27
Tri Valley Health System	Nebraska (statewide)	$529	0.6×	3	2026-07-15
St Louis Childrens Hospital	Missouri (statewide)	$6,278	6.7×	1	2025-12-15
Valley Children'S Hospital	California (statewide)	$6,308	5.3×	1	2026-04-01
Chi Health St Francis	Nebraska (statewide)	$6,353	6.6×	6	2026-02-28
Cedars-Sinai Medical Center	Los Angeles CA	$6,417	5.4×	1	2025-11-26
Providence Queen Of The Valley Medical Center	California (statewide)	$6,812	5.7×	5	2026-04-01
Franciscan Health Munster	Indiana (statewide)	$6,867	7.0×	3	2026-01-01
Inspira Medical Center Vineland	New Jersey (statewide)	$6,872	6.6×	1	2026-03-24
Inspira Medical Center Mullica Hill	Philadelphia PA	$6,872	6.6×	1	2026-03-24
Los Robles Hospital & Medical Center	California (statewide)	$7,068	5.9×	4	2026-09-01
Grand Itasca Clinic And Hospital	Minnesota (statewide)	$7,205	7.5×	1	2026-01-28
Holy Cross Hospital	Florida (statewide)	$7,541	7.8×	24	2026-03-31
Stanford Health Care	San Francisco Bay Area CA	$8,967	6.5×	2	2026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for flexible sigmoidoscopy?

Across 1365 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 45330, hospital outpatient is $1,992, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,264 to $2,730. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for flexible sigmoidoscopy?

Medicare's national hospital outpatient rate for CPT 45330 is $950 and its surgery-center rate is $185, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for flexible sigmoidoscopy?

Lowest medians: Greene County Hospital ($430), Memorial Hospital And Manor ($450), Munson Healthcare Otsego Memorial Hospital ($471). Highest: Stanford Health Care ($8,967), Holy Cross Hospital ($7,541), Los Robles Hospital & Medical Center ($7,068). Coverage: every hospital whose price file we could read.