CPT 45388 · 1,241 hospitals reporting

Destruction of polyp or growth of large bowel using a flexible endoscope

The same procedure costs $109 at one hospital and $15,116 at another — a 139× spread for what's billed under the same code. Median: $1,889.

Cheapest published

$109

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

Median across 1,241 hospitals

$1,889

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

Most expensive

$15,116

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

Price distribution

415 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
HENDERSON COUNTY COMMUNITY HOSPITAL	TN	$4,722	$1,889	—	—	5 insurers
HAYWOOD COUNTY COMMUNITY HOSPITAL	TN	$4,722	$1,889	—	—	5 insurers
NATIONAL PARK MEDICAL CENTER	AR	$6,303	$1,891	—	—	5 insurers
HASKELL REGIONAL HOSPITAL, INC	OK	$1,893	$1,893	—	—	5 insurers
NORTH CENTRAL SURGICAL CENTER LLP	TX	$3,160	$1,896	$1,659	$8,427	5 insurers
WALKER BAPTIST MEDICAL CENTER	AL	$3,161	$1,897	$1,241	$6,771	5 insurers
CITIZENS BAPTIST MEDICAL CENTER	AL	$3,161	$1,897	$1,241	$6,771	5 insurers
MISSOURI BAPTIST MEDICAL CENTER	MO	$3,161	$1,897	$1,241	$6,771	5 insurers
PROGRESS WEST HOSPITAL	MO	$3,161	$1,897	$1,422	$6,771	5 insurers
YALE-NEW HAVEN HOSPITAL	CT	$3,218	$1,899	—	—	5 insurers
ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER	NE	$2,000	$1,920	—	—	0 insurers
SPRINGHILL MEDICAL CENTER	AL	$2,185	$1,857	—	—	0 insurers
CHRISTUS ST FRANCES CABRINI HOSPITAL	LA	$7,423	$1,930	$50	$7,561	5 insurers
CODY REGIONAL HEALTH	WY	$2,173	$1,847	—	—	5 insurers
WHEELING HOSPITAL, INC	WV	$3,642	$1,821	—	—	5 insurers
CONEMAUGH MEMORIAL MEDICAL CENTER	PA	$4,892	$1,957	—	—	2 insurers
NEVADA REGIONAL MEDICAL CENTER	MO	$1,818	$1,818	$470	$3,087	0 insurers
SILVER CROSS HOSPITAL AND MEDICAL CENTERS	IL	$4,745	$1,813	$2,847	$3,749	3 insurers
SILVER CROSS HOSPITAL AND MEDICAL CENTERS	IL	$4,745	$1,813	$280	$6,561	5 insurers
CEDAR-SINAI MARINA DEL REY HOSPITAL	CA	$2,780	$1,807	—	—	5 insurers
UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER	MO	$3,583	$1,971	—	—	5 insurers
FAULKTON AREA MEDICAL CENTER	SD	$2,472	$1,978	—	—	0 insurers
FAULKTON AREA MEDICAL CENTER	SD	$2,472	$1,978	—	—	0 insurers
OAKLEAF SURGICAL HOSPITAL	WI	$2,203	$1,983	$275	$2,203	5 insurers
MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM	AL	$7,176	$1,794	—	—	5 insurers
SIGNATURE HEALTHCARE BROCKTON HOSPITAL	MA	$2,552	$1,786	—	—	5 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$3,931	$2,005	—	—	4 insurers
CLARKE COUNTY HOSPITAL	IA	$2,005	$2,005	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK	AR	$7,065	$1,766	—	—	4 insurers
BAPTIST HEALTH MEDICAL CENTER-DREW COUNTY	AR	$7,065	$1,766	—	—	4 insurers
BAPTIST HEALTH - FORT SMITH	AR	$7,065	$1,766	—	—	4 insurers
BAPTIST HEALTH MEDICAL CENTER-STUTTGART	AR	$7,065	$1,766	—	—	4 insurers
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK	AR	$7,065	$1,766	—	—	4 insurers
PARK NICOLLET METHODIST HOSPITAL	MN	—	$2,015	$1,856	$4,045	1 insurers
TERREBONNE GENERAL MEDICAL CENTER - PARISH	LA	$4,410	$1,758	$135	$4,190	5 insurers
PHYSICIANS MEDICAL CENTER	LA	$4,410	$1,758	$135	$4,190	5 insurers
JACKSON COUNTY REGIONAL HEALTH CENTER	IA	$1,745	$1,745	—	—	5 insurers
HOULTON REGIONAL HOSPITAL	ME	$1,833	$1,741	—	—	5 insurers
ANIMAS SURGICAL HOSPITAL, LLC	CO	—	$2,038	$614	$3,000	3 insurers
SURGICAL INSTITUTE OF READING	PA	$5,205	$1,726	$533	$243,594	5 insurers