Destruction of polyp or growth of large bowel using a flexible endoscope
Medicare pricing data for 4,890 providers across 49 states
This procedure has a 5.6x markup — hospitals charge $2,474 but Medicare allows only $438.28. Uninsured patients may face bills 5.6 times higher than what insurance negotiates. Prices vary significantly by location — from $241 in West Virginia to $1,559 in New York. 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
Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS code 45388) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $438.28, but hospitals typically charge $2,474 — a 5.6x 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 $438.28, your out-of-pocket cost would be approximately $87.66. 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 5.6x more than what Medicare allows for this procedure. Medicare actually pays $354.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $1,559 | $5,011 | 272 | 1,208 | +255.7% |
| Idaho | $1,208 | $1,825 | 22 | 82 | +175.6% |
| Nevada | $920 | $3,798 | 20 | 68 | +109.8% |
| Arizona | $727 | $1,869 | 89 | 761 | +65.9% |
| Arkansas | $473 | $1,830 | 67 | 1,265 | +7.9% |
| Virginia | $470 | $3,130 | 128 | 426 | +7.2% |
| Michigan | $427 | $1,885 | 146 | 892 | -2.6% |
| Massachusetts | $422 | $2,197 | 112 | 198 | -3.6% |
| California | $417 | $3,311 | 385 | 2,442 | -4.8% |
| New Jersey | $417 | $4,996 | 154 | 575 | -4.8% |
| Hawaii | $406 | $1,908 | 18 | 115 | -7.4% |
| Florida | $393 | $2,290 | 388 | 2,067 | -10.3% |
| Delaware | $383 | $1,536 | 19 | 111 | -12.6% |
| Wyoming | $371 | $2,448 | 12 | 28 | -15.3% |
| North Carolina | $361 | $2,730 | 169 | 553 | -17.6% |
| Texas | $357 | $2,837 | 346 | 1,054 | -18.5% |
| Maryland | $353 | $1,999 | 90 | 823 | -19.4% |
| Oregon | $340 | $1,689 | 64 | 482 | -22.5% |
| Iowa | $326 | $2,024 | 34 | 188 | -25.5% |
| Tennessee | $326 | $1,690 | 109 | 558 | -25.7% |
| North Dakota | $325 | $1,077 | 16 | 85 | -25.8% |
| Colorado | $319 | $2,162 | 54 | 145 | -27.1% |
| Louisiana | $318 | $1,829 | 88 | 523 | -27.4% |
| Pennsylvania | $317 | $1,453 | 252 | 634 | -27.6% |
| Kansas | $315 | $1,538 | 40 | 122 | -28.2% |
| Alabama | $311 | $1,475 | 112 | 2,171 | -28.9% |
| South Carolina | $307 | $2,046 | 89 | 375 | -30.0% |
| Washington | $304 | $1,811 | 126 | 418 | -30.7% |
| Mississippi | $303 | $3,550 | 50 | 225 | -30.9% |
| Missouri | $300 | $2,312 | 116 | 460 | -31.5% |
| Georgia | $300 | $2,247 | 153 | 328 | -31.6% |
| Minnesota | $298 | $2,021 | 73 | 136 | -31.9% |
| Illinois | $297 | $3,797 | 212 | 577 | -32.3% |
| Indiana | $294 | $4,143 | 117 | 371 | -33.0% |
| District of Columbia | $293 | $1,498 | 12 | 60 | -33.0% |
| Kentucky | $290 | $1,407 | 90 | 459 | -33.8% |
| Rhode Island | $285 | $2,487 | 13 | 25 | -34.9% |
| Montana | $279 | $2,007 | 14 | 29 | -36.3% |
| Ohio | $278 | $1,859 | 222 | 613 | -36.6% |
| Connecticut | $273 | $2,587 | 39 | 58 | -37.8% |
| New Hampshire | $272 | $1,388 | 37 | 397 | -37.9% |
| New Mexico | $270 | $1,134 | 18 | 111 | -38.3% |
| Wisconsin | $269 | $4,053 | 99 | 248 | -38.6% |
| Nebraska | $266 | $4,990 | 35 | 56 | -39.2% |
| Oklahoma | $263 | $1,318 | 38 | 129 | -39.9% |
| Maine | $262 | $1,153 | 22 | 71 | -40.2% |
| Utah | $254 | $2,255 | 21 | 39 | -42.0% |
| South Dakota | $251 | $1,760 | 14 | 63 | -42.8% |
| West Virginia | $241 | $1,512 | 11 | 37 | -45.0% |
⚠️ 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