Diagnostic exam of anus using an endoscope
Medicare pricing data for 7,598 providers across 52 states
Prices vary significantly by location — from $45 in Vermont to $135 in New Jersey. 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 anus using an endoscope (HCPCS code 46600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $111.44, but hospitals typically charge $297.77 — a 2.7x 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 $111.44, your out-of-pocket cost would be approximately $22.29. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $83.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $135 | $453 | 168 | 4,233 | +21.0% |
| New York | $131 | $414 | 446 | 9,716 | +17.8% |
| Maryland | $130 | $270 | 153 | 1,899 | +16.6% |
| Alaska | $128 | $395 | 28 | 217 | +14.6% |
| California | $127 | $295 | 1,172 | 11,587 | +13.7% |
| Connecticut | $125 | $413 | 105 | 1,283 | +12.2% |
| District of Columbia | $122 | $276 | 22 | 615 | +9.5% |
| Puerto Rico | $121 | $289 | 11 | 59 | +8.4% |
| Colorado | $119 | $284 | 180 | 1,095 | +6.8% |
| Wyoming | $118 | $170 | 7 | 47 | +6.2% |
| Virginia | $118 | $259 | 224 | 2,768 | +5.6% |
| Nevada | $117 | $241 | 48 | 583 | +4.7% |
| Florida | $114 | $284 | 439 | 7,767 | +2.4% |
| Georgia | $113 | $302 | 163 | 2,161 | +1.6% |
| Texas | $112 | $293 | 398 | 6,765 | +0.5% |
| Washington | $112 | $299 | 256 | 1,636 | +0.3% |
| Oregon | $109 | $314 | 154 | 1,061 | -2.1% |
| Indiana | $108 | $227 | 114 | 1,687 | -3.1% |
| South Dakota | $107 | $187 | 32 | 132 | -3.9% |
| Arizona | $107 | $242 | 164 | 3,603 | -4.1% |
| South Carolina | $107 | $240 | 108 | 1,385 | -4.3% |
| Massachusetts | $105 | $370 | 223 | 3,776 | -5.4% |
| Pennsylvania | $105 | $214 | 324 | 4,124 | -5.5% |
| Rhode Island | $102 | $347 | 20 | 256 | -8.3% |
| Missouri | $102 | $238 | 116 | 1,320 | -8.8% |
| Oklahoma | $101 | $186 | 48 | 549 | -9.2% |
| Hawaii | $100 | $198 | 25 | 95 | -9.9% |
| North Carolina | $99 | $263 | 295 | 2,267 | -11.0% |
| Minnesota | $99 | $424 | 185 | 1,476 | -11.6% |
| Alabama | $98 | $179 | 54 | 415 | -11.9% |
| Arkansas | $98 | $192 | 34 | 443 | -12.3% |
| Utah | $96 | $226 | 80 | 526 | -13.6% |
| Kansas | $96 | $220 | 70 | 809 | -13.9% |
| Iowa | $96 | $284 | 118 | 589 | -13.9% |
| Tennessee | $95 | $304 | 99 | 1,673 | -14.5% |
| Nebraska | $95 | $274 | 96 | 853 | -15.1% |
| Delaware | $94 | $213 | 13 | 357 | -15.8% |
| Michigan | $93 | $191 | 214 | 2,036 | -16.5% |
| Illinois | $91 | $263 | 267 | 3,613 | -18.2% |
| Kentucky | $91 | $207 | 54 | 480 | -18.6% |
| Montana | $88 | $222 | 47 | 244 | -21.1% |
| Wisconsin | $85 | $403 | 235 | 1,009 | -23.6% |
| West Virginia | $85 | $301 | 20 | 164 | -24.1% |
| Louisiana | $80 | $175 | 60 | 758 | -28.2% |
| Ohio | $80 | $213 | 219 | 2,515 | -28.6% |
| Mississippi | $78 | $229 | 30 | 136 | -30.2% |
| New Mexico | $77 | $184 | 50 | 298 | -30.6% |
| New Hampshire | $76 | $268 | 51 | 553 | -31.8% |
| North Dakota | $70 | $153 | 38 | 157 | -37.6% |
| Idaho | $54 | $160 | 54 | 343 | -51.4% |
| Maine | $46 | $140 | 34 | 263 | -58.9% |
| Vermont | $45 | $93 | 26 | 191 | -59.2% |
⚠️ 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