Removal of large bowel tissue using a flexible endoscope
Medicare pricing data for 5,318 providers across 50 states
Prices vary significantly by location — from $317 in West Virginia to $726 in Idaho. 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
Removal of large bowel tissue using a flexible endoscope (HCPCS code 45390) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $485.49, but hospitals typically charge $1,690 — a 3.5x 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 $485.49, your out-of-pocket cost would be approximately $97.10. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $395.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Idaho | $726 | $2,384 | 14 | 149 | +49.6% |
| California | $667 | $2,163 | 490 | 5,005 | +37.3% |
| Maryland | $599 | $1,216 | 122 | 1,215 | +23.3% |
| New Jersey | $571 | $2,360 | 192 | 1,213 | +17.6% |
| Wyoming | $567 | $1,826 | 7 | 23 | +16.9% |
| Washington | $566 | $1,405 | 149 | 1,087 | +16.5% |
| Colorado | $543 | $1,852 | 82 | 442 | +11.8% |
| North Carolina | $537 | $1,511 | 222 | 1,432 | +10.6% |
| New Hampshire | $523 | $2,577 | 31 | 221 | +7.8% |
| Kansas | $510 | $1,442 | 62 | 418 | +5.1% |
| Nebraska | $507 | $1,359 | 38 | 284 | +4.4% |
| Mississippi | $502 | $1,622 | 43 | 232 | +3.4% |
| Louisiana | $500 | $1,509 | 83 | 391 | +3.0% |
| South Dakota | $500 | $1,999 | 13 | 115 | +3.0% |
| Florida | $499 | $1,827 | 448 | 2,809 | +2.8% |
| Arkansas | $487 | $1,600 | 34 | 216 | +0.4% |
| Oregon | $478 | $1,466 | 54 | 244 | -1.6% |
| Arizona | $470 | $1,567 | 79 | 469 | -3.2% |
| Georgia | $466 | $1,557 | 115 | 544 | -4.1% |
| Oklahoma | $464 | $1,404 | 28 | 150 | -4.3% |
| Hawaii | $451 | $1,578 | 15 | 33 | -7.2% |
| Connecticut | $445 | $1,769 | 58 | 302 | -8.4% |
| Vermont | $441 | $2,137 | 17 | 76 | -9.2% |
| Montana | $439 | $1,309 | 10 | 57 | -9.6% |
| Wisconsin | $437 | $3,000 | 113 | 491 | -9.9% |
| Virginia | $428 | $1,778 | 162 | 1,329 | -11.9% |
| Kentucky | $425 | $1,231 | 80 | 528 | -12.4% |
| Rhode Island | $422 | $1,580 | 8 | 20 | -13.0% |
| Nevada | $420 | $979 | 27 | 77 | -13.4% |
| Texas | $417 | $1,615 | 341 | 1,543 | -14.1% |
| Indiana | $417 | $1,657 | 120 | 907 | -14.2% |
| Ohio | $413 | $1,267 | 201 | 910 | -14.9% |
| Pennsylvania | $412 | $1,419 | 288 | 1,647 | -15.2% |
| New York | $400 | $1,919 | 362 | 1,758 | -17.7% |
| Iowa | $398 | $1,118 | 36 | 369 | -18.1% |
| Michigan | $393 | $1,151 | 148 | 682 | -19.1% |
| Utah | $389 | $1,047 | 22 | 61 | -19.9% |
| Illinois | $389 | $1,563 | 212 | 1,288 | -19.9% |
| Minnesota | $389 | $1,875 | 87 | 554 | -20.0% |
| New Mexico | $386 | $912 | 22 | 94 | -20.4% |
| Massachusetts | $380 | $1,513 | 196 | 1,113 | -21.7% |
| South Carolina | $375 | $1,330 | 109 | 903 | -22.8% |
| Missouri | $372 | $1,203 | 114 | 681 | -23.3% |
| District of Columbia | $361 | $1,242 | 31 | 175 | -25.5% |
| Alabama | $359 | $1,300 | 57 | 260 | -26.1% |
| Tennessee | $339 | $1,253 | 64 | 284 | -30.2% |
| North Dakota | $336 | $1,083 | 15 | 82 | -30.8% |
| Delaware | $328 | $614 | 12 | 65 | -32.5% |
| Maine | $321 | $953 | 22 | 123 | -33.9% |
| West Virginia | $317 | $1,228 | 22 | 193 | -34.6% |
⚠️ 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