Control of bleeding of upper large bowel using a flexible endoscope
Medicare pricing data for 8,514 providers across 51 states
This procedure has a 5.9x markup — hospitals charge $1,619 but Medicare allows only $273.33. Uninsured patients may face bills 5.9 times higher than what insurance negotiates. 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
Control of bleeding of upper large bowel using a flexible endoscope (HCPCS code 45382) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $273.33, but hospitals typically charge $1,619 — a 5.9x 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 $273.33, your out-of-pocket cost would be approximately $54.67. 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 5.9x more than what Medicare allows for this procedure. Medicare actually pays $217.07 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $353 | $2,295 | 637 | 1,750 | +29.0% |
| Alaska | $339 | $2,642 | 23 | 45 | +24.0% |
| California | $294 | $1,870 | 810 | 2,766 | +7.6% |
| Florida | $294 | $1,359 | 655 | 2,120 | +7.4% |
| Hawaii | $291 | $1,762 | 30 | 92 | +6.5% |
| New Jersey | $287 | $2,260 | 363 | 1,066 | +5.1% |
| Maryland | $278 | $1,319 | 205 | 773 | +1.7% |
| Wyoming | $278 | $1,932 | 15 | 27 | +1.6% |
| Oregon | $277 | $1,739 | 83 | 162 | +1.4% |
| Massachusetts | $275 | $1,643 | 245 | 550 | +0.8% |
| Connecticut | $273 | $1,695 | 108 | 191 | +0.1% |
| Utah | $270 | $1,988 | 38 | 90 | -1.3% |
| Virginia | $268 | $1,348 | 241 | 593 | -2.0% |
| Rhode Island | $267 | $1,329 | 47 | 100 | -2.4% |
| New Mexico | $264 | $1,246 | 25 | 62 | -3.3% |
| Illinois | $264 | $1,734 | 322 | 843 | -3.4% |
| Michigan | $263 | $1,047 | 229 | 528 | -3.9% |
| Colorado | $263 | $1,346 | 127 | 243 | -4.0% |
| Washington | $262 | $1,421 | 168 | 403 | -4.2% |
| Mississippi | $261 | $1,739 | 68 | 177 | -4.3% |
| Arizona | $261 | $1,214 | 155 | 337 | -4.4% |
| District of Columbia | $259 | $1,229 | 27 | 65 | -5.3% |
| Pennsylvania | $258 | $1,205 | 409 | 889 | -5.5% |
| Louisiana | $258 | $1,308 | 113 | 255 | -5.5% |
| Delaware | $257 | $1,210 | 30 | 92 | -6.1% |
| Texas | $255 | $1,626 | 619 | 1,634 | -6.6% |
| Nevada | $255 | $1,184 | 48 | 143 | -6.9% |
| North Carolina | $254 | $1,542 | 275 | 589 | -7.1% |
| Montana | $253 | $1,351 | 23 | 73 | -7.4% |
| Ohio | $253 | $1,199 | 316 | 696 | -7.5% |
| South Carolina | $252 | $1,337 | 140 | 398 | -7.8% |
| North Dakota | $251 | $1,475 | 19 | 89 | -8.0% |
| Georgia | $251 | $1,486 | 188 | 382 | -8.2% |
| New Hampshire | $250 | $2,830 | 52 | 107 | -8.6% |
| Kansas | $249 | $1,367 | 68 | 180 | -8.8% |
| Oklahoma | $248 | $1,035 | 86 | 188 | -9.3% |
| Indiana | $247 | $1,318 | 184 | 497 | -9.8% |
| Maine | $246 | $1,236 | 31 | 61 | -10.1% |
| Iowa | $246 | $1,903 | 67 | 174 | -10.1% |
| Missouri | $245 | $1,366 | 190 | 498 | -10.3% |
| Minnesota | $245 | $1,848 | 135 | 274 | -10.4% |
| Arkansas | $243 | $1,229 | 70 | 182 | -11.3% |
| Nebraska | $242 | $1,685 | 50 | 294 | -11.4% |
| Wisconsin | $242 | $3,189 | 160 | 316 | -11.5% |
| Kentucky | $242 | $1,014 | 128 | 371 | -11.5% |
| Tennessee | $242 | $1,555 | 182 | 585 | -11.6% |
| West Virginia | $238 | $1,112 | 37 | 93 | -13.0% |
| Idaho | $237 | $759 | 43 | 118 | -13.1% |
| Vermont | $236 | $1,874 | 12 | 35 | -13.7% |
| South Dakota | $234 | $1,795 | 25 | 48 | -14.3% |
| Alabama | $224 | $1,708 | 115 | 546 | -18.1% |
⚠️ 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