Injection beneath lining of large bowel using a flexible endoscope
Medicare pricing data for 16,112 providers across 52 states
This procedure has a 14.8x markup — hospitals charge $1,588 but Medicare allows only $107.10. Uninsured patients may face bills 14.8 times higher than what insurance negotiates. Prices vary significantly by location — from $20 in Maine to $154 in Alaska. 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
Injection beneath lining of large bowel using a flexible endoscope (HCPCS code 45381) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $107.10, but hospitals typically charge $1,588 — a 14.8x 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 $107.10, your out-of-pocket cost would be approximately $21.42. 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 14.8x more than what Medicare allows for this procedure. Medicare actually pays $88.00 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $154 | $2,966 | 59 | 274 | +43.6% |
| Hawaii | $151 | $1,709 | 53 | 423 | +41.4% |
| California | $151 | $1,946 | 1,405 | 10,630 | +41.3% |
| Nevada | $150 | $2,019 | 96 | 614 | +40.1% |
| Maryland | $141 | $1,144 | 334 | 2,837 | +31.9% |
| New Jersey | $136 | $2,403 | 585 | 3,190 | +26.6% |
| Colorado | $123 | $2,043 | 258 | 1,762 | +15.1% |
| Florida | $123 | $1,576 | 1,107 | 6,369 | +14.8% |
| New York | $120 | $2,052 | 1,134 | 5,212 | +12.4% |
| Arizona | $120 | $1,693 | 337 | 2,376 | +12.1% |
| Rhode Island | $120 | $1,427 | 57 | 220 | +12.0% |
| Delaware | $118 | $1,271 | 67 | 464 | +10.4% |
| Puerto Rico | $118 | $604 | 22 | 28 | +10.3% |
| Georgia | $113 | $1,278 | 457 | 2,145 | +5.5% |
| Texas | $109 | $2,138 | 1,168 | 6,537 | +1.9% |
| North Carolina | $108 | $1,216 | 503 | 2,266 | +0.7% |
| Wyoming | $106 | $2,030 | 27 | 133 | -0.7% |
| Louisiana | $105 | $1,098 | 203 | 1,210 | -2.1% |
| Kansas | $105 | $1,522 | 136 | 998 | -2.4% |
| Mississippi | $103 | $1,434 | 125 | 1,268 | -3.5% |
| Oregon | $103 | $1,405 | 189 | 703 | -4.2% |
| Connecticut | $101 | $1,625 | 219 | 727 | -5.7% |
| Nebraska | $99 | $1,283 | 113 | 556 | -7.2% |
| Washington | $98 | $1,024 | 376 | 2,100 | -8.7% |
| Arkansas | $95 | $968 | 132 | 646 | -11.5% |
| Utah | $95 | $1,763 | 95 | 375 | -11.7% |
| Indiana | $92 | $1,548 | 353 | 1,764 | -13.8% |
| Pennsylvania | $91 | $1,115 | 826 | 3,535 | -14.7% |
| South Carolina | $90 | $1,205 | 259 | 1,358 | -15.5% |
| Tennessee | $89 | $1,275 | 314 | 1,362 | -16.7% |
| Alabama | $87 | $1,198 | 209 | 952 | -18.7% |
| Michigan | $86 | $950 | 500 | 1,768 | -19.7% |
| Ohio | $84 | $1,129 | 721 | 2,691 | -21.3% |
| Iowa | $83 | $1,266 | 145 | 695 | -22.7% |
| Massachusetts | $81 | $1,252 | 415 | 1,533 | -24.8% |
| New Mexico | $78 | $1,168 | 71 | 432 | -27.5% |
| Missouri | $76 | $1,336 | 344 | 1,702 | -29.3% |
| Virginia | $74 | $1,291 | 414 | 2,170 | -30.5% |
| Montana | $74 | $1,024 | 39 | 421 | -30.7% |
| New Hampshire | $73 | $2,453 | 81 | 471 | -31.9% |
| Oklahoma | $71 | $921 | 149 | 833 | -33.7% |
| Illinois | $68 | $1,588 | 714 | 4,151 | -36.3% |
| Idaho | $67 | $670 | 75 | 514 | -37.4% |
| South Dakota | $67 | $1,297 | 51 | 365 | -37.4% |
| Minnesota | $66 | $1,282 | 350 | 1,391 | -38.1% |
| Wisconsin | $58 | $2,891 | 310 | 1,146 | -45.7% |
| Kentucky | $55 | $923 | 232 | 1,043 | -48.5% |
| Vermont | $54 | $1,463 | 27 | 94 | -50.0% |
| District of Columbia | $48 | $1,035 | 40 | 112 | -55.6% |
| North Dakota | $45 | $1,190 | 49 | 197 | -57.7% |
| West Virginia | $29 | $947 | 63 | 254 | -72.6% |
| Maine | $20 | $790 | 59 | 211 | -81.3% |
⚠️ 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