Diagnostic exam of rectum and lower large bowel using an endoscope
Medicare pricing data for 776 providers across 45 states
Prices vary significantly by location — from $27 in Mississippi to $151 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Diagnostic exam of rectum and lower large bowel using an endoscope (HCPCS code 45300) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $131.62, but hospitals typically charge $376.04 — a 2.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $131.62, your out-of-pocket cost would be approximately $26.32. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $98.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $151 | $692 | 4 | 43 | +14.5% |
| Maryland | $150 | $288 | 20 | 466 | +13.7% |
| New Jersey | $145 | $457 | 32 | 654 | +10.4% |
| District of Columbia | $144 | $303 | 3 | 42 | +9.0% |
| Washington | $143 | $384 | 18 | 233 | +8.6% |
| Connecticut | $141 | $447 | 13 | 70 | +7.3% |
| California | $141 | $294 | 79 | 1,925 | +6.9% |
| New York | $139 | $638 | 92 | 1,897 | +5.7% |
| Massachusetts | $138 | $582 | 14 | 97 | +4.5% |
| Colorado | $133 | $335 | 9 | 64 | +1.3% |
| Virginia | $131 | $413 | 24 | 152 | -0.4% |
| Delaware | $130 | $150 | 1 | 26 | -1.2% |
| Minnesota | $128 | $489 | 14 | 36 | -3.0% |
| Texas | $127 | $333 | 80 | 1,168 | -3.5% |
| Pennsylvania | $127 | $234 | 50 | 742 | -3.6% |
| Nevada | $126 | $222 | 3 | 98 | -4.2% |
| Oregon | $126 | $435 | 18 | 180 | -4.3% |
| Illinois | $124 | $357 | 14 | 34 | -5.5% |
| Florida | $123 | $317 | 41 | 323 | -6.4% |
| Indiana | $123 | $297 | 14 | 51 | -6.5% |
| Puerto Rico | $122 | $217 | 8 | 58 | -7.5% |
| Missouri | $122 | $282 | 10 | 180 | -7.5% |
| Utah | $121 | $307 | 5 | 18 | -7.9% |
| Arizona | $121 | $192 | 17 | 271 | -7.9% |
| Iowa | $119 | $323 | 11 | 123 | -9.2% |
| South Carolina | $119 | $288 | 15 | 159 | -9.4% |
| Georgia | $119 | $355 | 23 | 136 | -9.9% |
| North Carolina | $118 | $662 | 17 | 179 | -10.5% |
| Ohio | $118 | $233 | 26 | 262 | -10.6% |
| Kansas | $117 | $255 | 6 | 217 | -11.1% |
| Nebraska | $117 | $341 | 9 | 216 | -11.3% |
| Kentucky | $116 | $152 | 10 | 290 | -11.8% |
| Alabama | $116 | $230 | 10 | 54 | -11.8% |
| Oklahoma | $116 | $219 | 5 | 24 | -12.0% |
| Michigan | $115 | $290 | 8 | 31 | -13.0% |
| Arkansas | $111 | $236 | 3 | 49 | -15.3% |
| Tennessee | $111 | $398 | 18 | 297 | -15.4% |
| Louisiana | $109 | $204 | 5 | 28 | -17.4% |
| West Virginia | $100 | $394 | 3 | 27 | -24.3% |
| New Hampshire | $98 | $342 | 2 | 19 | -25.9% |
| Wisconsin | $96 | $495 | 10 | 26 | -26.8% |
| Idaho | $91 | $284 | 3 | 19 | -31.2% |
| Maine | $38 | $301 | 8 | 14 | -71.0% |
| Montana | $32 | $197 | 5 | 21 | -75.6% |
| Mississippi | $27 | $214 | 11 | 27 | -79.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber