CPT 45338 · 1,280 hospitals reporting

Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare

The same procedure costs $120 at one hospital and $19,858 at another — a 165× spread for what's billed under the same code. Median: $1,396.

Cheapest published

$120

3 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,280 hospitals

$1,396

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$19,858

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

468 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
BUENA VISTA REGIONAL MEDICAL CENTER	IA	$1,404	$1,404	$625	$1,743	0 insurers
SAINT MICHAEL'S MEDICAL CENTER	NJ	$5,281	$1,387	$21.83	$4,842	5 insurers
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL	PA	—	$1,382	—	—	5 insurers
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL	PA	—	$1,382	—	—	5 insurers
TRIOS HEALTH	WA	$3,535	$1,414	—	—	1 insurers
WHEELING HOSPITAL, INC	WV	$2,828	$1,414	—	—	5 insurers
THREE RIVERS HOSPITAL	WA	$1,419	$1,419	—	—	4 insurers
USC ARCADIA HOSPITAL	CA	$3,920	$1,372	—	—	5 insurers
HEYWOOD HOSPITAL -	MA	$1,427	$1,427	$1,150	$4,755	5 insurers
CAPE FEAR VALLEY MEDICAL CENTER	NC	$2,381	$1,429	—	—	5 insurers
BETSY JOHNSON REGIONAL HOSPITAL	NC	$2,381	$1,429	—	—	5 insurers
WAYNE MEMORIAL HOSPITAL	GA	$2,050	$1,435	—	—	0 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$3,456	$1,348	—	—	3 insurers
CLINCH MEMORIAL HOSPITAL	GA	$2,695	$1,348	—	—	5 insurers
CLINCH MEMORIAL HOSPITAL	GA	$2,695	$1,348	—	—	5 insurers
UCH-MEMORIAL HEALTH SYSTEM	CO	$3,831	$1,341	—	—	5 insurers
LONGS PEAK HOSPITAL	CO	$3,831	$1,341	—	—	5 insurers
UCHEALTH BROOMFIELD HOSPITAL	CO	$3,831	$1,341	—	—	5 insurers
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH	TX	$2,418	$1,451	$1,330	$8,427	5 insurers
LANDMARK MEDICAL CENTER	RI	$3,764	$1,338	$520	$3,764	5 insurers
CARILION MEDICAL CENTER	VA	$4,179	$1,463	—	—	5 insurers
CARILION NEW RIVER VALLEY MEDICAL CENTER	VA	$4,179	$1,463	—	—	5 insurers
CARILION FRANKLIN MEMORIAL HOSPITAL	VA	$4,179	$1,463	—	—	5 insurers
MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM	AL	$5,231	$1,308	—	—	5 insurers
NORTH VISTA HOSPITAL	NV	$2,213	$1,301	$329	$2,213	5 insurers
MONTEFIORE ST LUKE'S CORNWALL	NY	—	$1,494	—	—	5 insurers
RUSSELL REGIONAL HOSPITAL	KS	$1,760	$1,496	—	—	0 insurers
NORTHERN COCHISE COMMUNITY HOSPITAL, INC.	AZ	$2,148	$1,289	—	—	5 insurers
NORTHERN COCHISE COMMUNITY HOSPITAL, INC.	AZ	$2,148	$1,289	—	—	2 insurers
RANDOLPH HOSPITAL	NC	$6,438	$1,288	—	—	4 insurers