CPT 45390 · 1,168 hospitals reporting

Removal of large bowel tissue using a flexible endoscope

The same procedure costs $118 at one hospital and $19,858 at another — a 168× spread for what's billed under the same code. Median: $1,827.

Cheapest published

$118

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

Median across 1,168 hospitals

$1,827

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

350 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 SAMARITAN MEDICAL CENTER	OH	$2,419	$1,814	—	—	0 insurers
NORTH CENTRAL SURGICAL CENTER LLP	TX	$3,067	$1,840	$1,659	$8,427	5 insurers
WYOMING COUNTY	NY	$4,534	$1,813	—	—	0 insurers
WYTHE COUNTY COMMUNITY HOSPITAL	VA	$4,534	$1,813	—	—	0 insurers
SIGNATURE HEALTHCARE BROCKTON HOSPITAL	MA	$2,552	$1,786	—	—	5 insurers
SANFORD MAYVILLE	ND	$2,339	$1,871	—	—	5 insurers
SANFORD HILLSBORO	ND	$2,339	$1,871	—	—	5 insurers
HILTON HEAD REGIONAL MEDICAL CENTER	SC	—	$1,769	$1,769	$5,783	5 insurers
EAST COOPER MEDICAL CENTER	SC	—	$1,769	$1,382	$11,060	5 insurers
COASTAL CAROLINA HOSPITAL	SC	—	$1,769	$1,557	$4,931	5 insurers
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK	AR	$7,065	$1,766	—	—	4 insurers
BAPTIST HEALTH - FORT SMITH	AR	$7,065	$1,766	—	—	4 insurers
BAPTIST HEALTH MEDICAL CENTER- CONWAY	AR	$7,065	$1,766	—	—	4 insurers
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY	CO	$5,410	$1,894	—	—	5 insurers
YALE-NEW HAVEN HOSPITAL	CT	$3,218	$1,899	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK	AR	$6,986	$1,747	—	—	4 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$4,459	$1,739	—	—	1 insurers
TOPS SURGICAL SPECIALTY HOSPITAL	TX	$5,495	$1,923	$1	$5,962	5 insurers
CARLE EUREKA HOSPITAL	IL	$1,731	$1,731	—	—	2 insurers
UCH-MEMORIAL HEALTH SYSTEM	CO	$4,916	$1,721	—	—	5 insurers
LONGS PEAK HOSPITAL	CO	$4,916	$1,721	—	—	5 insurers
UCHEALTH BROOMFIELD HOSPITAL	CO	$4,916	$1,721	—	—	5 insurers
UCHEALTH GRANDVIEW HOSPITAL	CO	$4,916	$1,721	—	—	5 insurers
HARRISON MEMORIAL HOSPITAL	KY	$2,781	$1,946	—	—	5 insurers
CARILION MEDICAL CENTER	VA	$4,821	$1,687	—	—	5 insurers
CARILION NEW RIVER VALLEY MEDICAL CENTER	VA	$4,821	$1,687	—	—	5 insurers
CARILION FRANKLIN MEMORIAL HOSPITAL	VA	$4,821	$1,687	—	—	5 insurers
CARILION GILES COMMUNITY HOSPITAL	VA	$4,821	$1,687	—	—	5 insurers
RIVERSIDE MEDICAL CENTER	IL	$6,300	$1,677	—	—	5 insurers
GREENWICH HOSPITAL ASSOCIATION -	CT	$3,218	$1,674	—	—	5 insurers
TEXAS HEALTH HOSPITAL FRISCO	TX	$2,786	$1,671	—	—	1 insurers
BALDWIN HEALTH	AL	$3,200	$1,664	—	—	3 insurers
PIH HEALTH DOWNEY HOSPITAL	CA	$3,200	$1,664	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SOUTH BAY	CA	$3,200	$1,664	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	CA	$3,200	$1,664	—	—	3 insurers
LOS ANGELES COMMUNITY HOSPITAL	CA	$3,200	$1,664	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SAN MARCOS	CA	$3,200	$1,664	—	—	3 insurers
HUMBOLDT COUNTY MEMORIAL HOSPITAL	IA	$1,844	$1,660	—	—	5 insurers
HUMBOLDT COUNTY MEMORIAL HOSPITAL	IA	$1,844	$1,660	—	—	5 insurers
FAIRVIEW LAKES HEALTH SERVICES	MN	$4,985	$1,999	—	—	5 insurers