Diagnostic exam of lower portion of large bowel using a flexible endoscope
Medicare pricing data for 14,308 providers across 52 states
This procedure has a 8.6x markup — hospitals charge $659.20 but Medicare allows only $76.33. Uninsured patients may face bills 8.6 times higher than what insurance negotiates. Prices vary significantly by location — from $46 in North Dakota to $137 in Puerto Rico. 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 lower portion of large bowel using a flexible endoscope (HCPCS code 45330) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.33, but hospitals typically charge $659.20 — a 8.6x 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 $76.33, your out-of-pocket cost would be approximately $15.27. 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 8.6x more than what Medicare allows for this procedure. Medicare actually pays $57.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $137 | $303 | 49 | 118 | +79.0% |
| New Jersey | $101 | $1,002 | 481 | 1,717 | +32.3% |
| New York | $100 | $868 | 982 | 3,589 | +30.9% |
| Rhode Island | $91 | $531 | 54 | 143 | +19.5% |
| Pennsylvania | $90 | $485 | 804 | 2,999 | +18.3% |
| California | $90 | $850 | 1,179 | 3,808 | +18.1% |
| Virginia | $87 | $506 | 378 | 1,256 | +14.0% |
| Maryland | $84 | $611 | 325 | 1,415 | +9.9% |
| Hawaii | $84 | $1,289 | 22 | 66 | +9.6% |
| Oklahoma | $83 | $356 | 132 | 451 | +8.8% |
| Nevada | $83 | $838 | 102 | 423 | +8.1% |
| Alaska | $82 | $1,048 | 44 | 129 | +7.3% |
| Arizona | $80 | $783 | 289 | 1,029 | +4.7% |
| Kansas | $79 | $547 | 126 | 441 | +3.8% |
| Massachusetts | $76 | $529 | 425 | 1,554 | +0.2% |
| Florida | $76 | $684 | 1,081 | 3,822 | -0.1% |
| Colorado | $75 | $1,762 | 195 | 479 | -2.2% |
| North Carolina | $74 | $538 | 496 | 1,417 | -2.7% |
| Connecticut | $73 | $636 | 195 | 424 | -3.9% |
| Indiana | $73 | $735 | 299 | 939 | -4.7% |
| Minnesota | $72 | $623 | 273 | 721 | -6.0% |
| Washington | $69 | $412 | 286 | 716 | -9.9% |
| Delaware | $69 | $440 | 65 | 216 | -9.9% |
| Tennessee | $68 | $616 | 282 | 1,251 | -10.3% |
| Wyoming | $68 | $836 | 22 | 56 | -10.8% |
| Oregon | $68 | $617 | 170 | 420 | -11.1% |
| Georgia | $66 | $635 | 413 | 1,270 | -13.1% |
| Illinois | $66 | $667 | 569 | 1,846 | -13.6% |
| Louisiana | $66 | $407 | 224 | 910 | -13.8% |
| Mississippi | $65 | $687 | 114 | 635 | -14.5% |
| New Hampshire | $65 | $674 | 85 | 274 | -14.8% |
| Wisconsin | $65 | $1,018 | 282 | 568 | -15.2% |
| Michigan | $65 | $371 | 430 | 1,067 | -15.4% |
| New Mexico | $64 | $610 | 67 | 174 | -15.5% |
| South Carolina | $64 | $537 | 257 | 837 | -15.8% |
| Texas | $63 | $835 | 946 | 2,758 | -17.3% |
| Missouri | $63 | $516 | 284 | 835 | -18.0% |
| Nebraska | $62 | $559 | 79 | 292 | -19.2% |
| Ohio | $60 | $424 | 602 | 1,735 | -21.6% |
| Montana | $60 | $451 | 37 | 114 | -21.8% |
| Alabama | $59 | $498 | 223 | 803 | -22.2% |
| Arkansas | $59 | $414 | 140 | 492 | -23.3% |
| Vermont | $56 | $556 | 32 | 144 | -26.7% |
| Utah | $55 | $363 | 77 | 162 | -27.9% |
| Idaho | $53 | $338 | 55 | 138 | -30.0% |
| South Dakota | $53 | $519 | 35 | 80 | -30.0% |
| Iowa | $53 | $697 | 106 | 308 | -30.4% |
| District of Columbia | $53 | $273 | 61 | 215 | -31.2% |
| Maine | $51 | $336 | 53 | 126 | -33.2% |
| West Virginia | $51 | $258 | 88 | 253 | -33.6% |
| Kentucky | $50 | $335 | 215 | 566 | -34.1% |
| North Dakota | $46 | $415 | 30 | 61 | -39.1% |
⚠️ 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