CPT 45990 · 1,162 hospitals reporting

Diagnostic exam of anus and rectum under anesthesia

The same procedure costs $100 at one hospital and $38,436 at another — a 384× spread for what's billed under the same code. Median: $2,034.

Cheapest published

$100

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

Median across 1,162 hospitals

$2,034

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

Most expensive

$38,436

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

Price distribution

330 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
CHOCTAW HEALTH CENTER	MS	$4,044	$2,022	—	—	1 insurers
CHOCTAW MEMORIAL HOSPITAL	OK	$4,044	$2,022	—	—	1 insurers
University of Arkansas Medical Sciences	AR	$3,411	$2,047	—	—	5 insurers
CARILION STONEWALL JACKSON HOSPITAL	VA	$3,318	$1,991	$87.32	$3,185	1 insurers
STARR REGIONAL MEDICAL CENTER ATHENS	TN	$10,637	$2,085	—	—	1 insurers
CAPE FEAR VALLEY MEDICAL CENTER	NC	$3,554	$2,132	—	—	5 insurers
D W MCMILLAN MEMORIAL HOSPITAL	AL	$3,210	$1,926	—	—	5 insurers
ATMORE COMMUNITY HOSPITAL	AL	$3,210	$1,926	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK	AR	$7,623	$1,906	—	—	4 insurers
UNITY HOSPITAL	NY	$2,756	$2,205	—	—	1 insurers
UNITY MEDICAL CENTER	TN	$2,756	$2,205	—	—	1 insurers
UNM HOSPITAL	NM	$3,380	$1,859	—	—	5 insurers
SPRINGHILL MEDICAL CENTER	LA	$6,568	$2,233	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER-STUTTGART	AR	$9,095	$2,274	—	—	4 insurers
ANAHEIM COMMUNITY HOSPITAL, LLC	CA	$4,312	$1,725	—	—	0 insurers
EVERGREEN MEDICAL CENTER	AL	$2,638	$1,715	—	—	3 insurers
MISSOURI DELTA MEDICAL CENTER	MO	$9,426	$2,357	—	—	5 insurers
UNIVERSITY OF MISSISSIPPI MED CENTER	MS	$5,900	$2,360	—	—	5 insurers
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA	MS	$5,900	$2,360	—	—	5 insurers
JAMAICA HOSPITAL MEDICAL CENTER	NY	$2,371	$2,371	—	—	5 insurers
BAXTER HEALTH	AR	$4,050	$2,430	—	—	3 insurers
JOHNSON COUNTY HEALTHCARE CENTER	WY	$1,634	$1,634	—	—	0 insurers
O U MEDICAL CENTER	OK	$16,245	$1,624	$2,298	$13,321	5 insurers
JACKSON HEALTH SYSTEM	FL	$12,689	$2,481	$3,536	$10,001	1 insurers
NORTH ALABAMA MEDICAL CENTER	AL	$4,485	$1,570	—	—	1 insurers
NORTH ALABAMA SHOALS HOSPITAL	AL	$4,485	$1,570	—	—	1 insurers
VILLAGES REGIONAL HOSPITAL, THE	FL	$2,603	$1,562	$1,172	$4,477	5 insurers
CEDAR-SINAI MARINA DEL REY HOSPITAL	CA	$2,386	$1,551	—	—	5 insurers
WEST VIRGINIA UNIVERSITY HOSPITALS, INC	WV	$5,075	$2,537	—	—	5 insurers
BETSY JOHNSON REGIONAL HOSPITAL	NC	$2,546	$1,528	—	—	5 insurers
ALAMEDA HOSPITAL	CA	$5,117	$2,558	$2,047	$3,838	4 insurers
HIGHLAND HOSPITAL	CA	$5,117	$2,558	$2,047	$3,838	4 insurers
BAPTIST MEDICAL CENTER SOUTH	AL	$7,797	$1,481	—	—	5 insurers
RUTHERFORD REGIONAL MEDICAL CENTER	NC	$6,520	$2,608	—	—	2 insurers
EAST LIVERPOOL CITY HOSPITAL	OH	$2,790	$2,613	$597	$2,790	5 insurers
COSHOCTON REGIONAL MEDICAL CENTER	OH	$13,376	$2,613	$585	$13,109	5 insurers
BAPTIST HEALTH - FORT SMITH	AR	$10,611	$2,653	—	—	4 insurers
SAMARITAN NORTH LINCOLN HOSPITAL	OR	$2,657	$2,657	—	—	5 insurers
MAGNOLIA REGIONAL HEALTH CENTER	MS	$7,978	$2,713	—	—	5 insurers
BALDWIN HEALTH	AL	$2,600	$1,352	—	—	3 insurers