CPT 45346 · 1,063 hospitals reporting

Sigmoidoscopy w/ablation

The same procedure costs $141 at one hospital and $36,513 at another — a 260× spread for what's billed under the same code. Median: $2,362.

Cheapest published

$141

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

Median across 1,063 hospitals

$2,362

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

Most expensive

$36,513

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

Price distribution

261 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
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER	OH	$3,149	$2,362	—	—	2 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$4,691	$2,392	—	—	4 insurers
BAPTIST HEALTH DEACONESS MADISONVILLE	KY	$4,955	$2,329	—	—	5 insurers
JACKSON COUNTY REGIONAL HEALTH CENTER	IA	$2,324	$2,324	—	—	5 insurers
CANYON VISTA MEDICAL CENTER	AZ	$6,038	$2,415	—	—	1 insurers
MEMORIAL HOSPITAL	IL	$5,103	$2,296	—	—	5 insurers
HAWARDEN REGIONAL HEALTHCARE	IA	$2,690	$2,287	—	—	2 insurers
CARLE EUREKA HOSPITAL	IL	$2,445	$2,445	—	—	5 insurers
MOSAIC LIFE CARE AT ST JOSEPH	MO	$2,650	$2,253	—	—	5 insurers
WALKER BAPTIST MEDICAL CENTER	AL	$4,145	$2,487	$1,199	$3,612	5 insurers
CITIZENS BAPTIST MEDICAL CENTER	AL	$4,145	$2,487	$1,199	$3,612	5 insurers
MISSOURI BAPTIST MEDICAL CENTER	MO	$4,145	$2,487	$1,199	$3,612	5 insurers
ALTON MEMORIAL HOSPITAL	IL	$4,152	$2,491	$1,199	$3,612	5 insurers
MEMORIAL HOSPITAL	IL	$4,152	$2,491	$1,199	$3,612	5 insurers
UH REGIONAL HOSPITALS	OH	$3,338	$2,504	—	—	1 insurers
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER	OH	$3,338	$2,504	—	—	1 insurers
UH ST JOHN MEDICAL CENTER	OH	$3,338	$2,504	—	—	1 insurers
UH CLEVELAND MEDICAL CENTER	OH	$3,338	$2,504	—	—	1 insurers
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER	OH	$3,338	$2,504	—	—	1 insurers
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER	OH	$3,338	$2,504	—	—	1 insurers
RAINBOW BABIES AND CHILDRENS HOSPITAL	OH	$3,338	$2,504	—	—	1 insurers
D W MCMILLAN MEMORIAL HOSPITAL	AL	$3,675	$2,205	—	—	5 insurers
ATMORE COMMUNITY HOSPITAL	AL	$3,675	$2,205	—	—	5 insurers
UCHEALTH PIKES PEAK REGIONAL HOSPITAL	CO	$3,189	$2,551	—	—	5 insurers
SIOUX FALLS SPECIALTY HOSPITAL	SD	$3,409	$2,556	$564	$3,409	5 insurers
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON	MI	$4,287	$2,144	—	—	2 insurers
EATON RAPIDS MEDICAL CENTER	MI	$4,287	$2,144	—	—	2 insurers
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON	MI	$4,287	$2,144	—	—	2 insurers
HIGHLAND HILLS MEDICAL CENTER	MS	$4,198	$2,099	—	—	0 insurers
ADVENTHEALTH DELAND	FL	$7,896	$2,632	—	—	0 insurers
ADVENTHEALTH WATERMAN	FL	$7,896	$2,632	—	—	0 insurers
ADVENTHEALTH FISH MEMORIAL	FL	$7,896	$2,632	—	—	0 insurers
AdventHealth Palm Coast	FL	$7,896	$2,632	—	—	0 insurers
ADVENTHEALTH SHAWNEE MISSION	KS	$7,896	$2,632	—	—	0 insurers
ADVENTHEALTH CENTRAL TEXAS	TX	$7,896	$2,632	—	—	0 insurers
ADVENTHEALTH ROLLINS BROOK	TX	$7,896	$2,632	—	—	0 insurers
NATIONAL JEWISH HEALTH	CO	$2,962	$2,073	—	—	5 insurers
MISSOURI DELTA MEDICAL CENTER	MO	$8,252	$2,063	—	—	5 insurers
ANIMAS SURGICAL HOSPITAL, LLC	CO	—	$2,038	$802	$3,000	3 insurers
BEEBE MEDICAL CENTER	DE	$3,167	$2,692	—	—	0 insurers