Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
Medicare pricing data for 3,545 providers across 50 states
This procedure has a 6.9x markup — hospitals charge $1,815 but Medicare allows only $261.47. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Prices vary significantly by location — from $143 in New Mexico to $491 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
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS code 45384) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $261.47, but hospitals typically charge $1,815 — a 6.9x 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 $261.47, your out-of-pocket cost would be approximately $52.29. 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 6.9x more than what Medicare allows for this procedure. Medicare actually pays $211.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $491 | $555 | 6 | 36 | +87.7% |
| New York | $383 | $2,572 | 214 | 2,469 | +46.4% |
| Alaska | $333 | $3,171 | 17 | 132 | +27.2% |
| Connecticut | $320 | $1,239 | 12 | 121 | +22.5% |
| Illinois | $316 | $2,848 | 116 | 2,429 | +20.8% |
| New Jersey | $315 | $2,401 | 132 | 2,460 | +20.5% |
| California | $309 | $2,434 | 234 | 5,093 | +18.1% |
| Maryland | $285 | $1,622 | 69 | 2,059 | +9.0% |
| Massachusetts | $282 | $1,615 | 34 | 237 | +7.8% |
| Georgia | $273 | $1,296 | 151 | 2,846 | +4.2% |
| Nevada | $272 | $2,895 | 29 | 134 | +4.1% |
| Hawaii | $268 | $1,830 | 13 | 637 | +2.7% |
| Arkansas | $263 | $1,022 | 55 | 1,974 | +0.5% |
| Florida | $262 | $1,814 | 318 | 5,695 | +0.1% |
| Texas | $258 | $2,897 | 263 | 4,158 | -1.5% |
| West Virginia | $256 | $803 | 25 | 274 | -2.0% |
| Virginia | $251 | $1,380 | 90 | 1,438 | -4.0% |
| Mississippi | $248 | $1,586 | 47 | 955 | -5.3% |
| Washington | $245 | $1,571 | 29 | 199 | -6.2% |
| Oklahoma | $241 | $901 | 48 | 775 | -8.0% |
| Pennsylvania | $240 | $1,293 | 149 | 1,307 | -8.4% |
| Kansas | $238 | $1,335 | 70 | 1,249 | -9.1% |
| Louisiana | $233 | $1,384 | 89 | 1,888 | -10.8% |
| South Dakota | $233 | $710 | 20 | 754 | -10.9% |
| Michigan | $233 | $1,220 | 100 | 1,366 | -10.9% |
| Alabama | $232 | $1,180 | 117 | 1,905 | -11.5% |
| Minnesota | $231 | $1,628 | 37 | 448 | -11.8% |
| Wyoming | $230 | $2,037 | 10 | 18 | -11.9% |
| Delaware | $228 | $1,534 | 11 | 120 | -13.0% |
| Arizona | $227 | $1,607 | 44 | 170 | -13.0% |
| Utah | $227 | $1,067 | 11 | 30 | -13.2% |
| Tennessee | $227 | $1,267 | 101 | 1,755 | -13.3% |
| Ohio | $227 | $1,196 | 128 | 1,985 | -13.3% |
| South Carolina | $226 | $1,445 | 92 | 1,082 | -13.7% |
| Rhode Island | $211 | $1,369 | 5 | 17 | -19.3% |
| Idaho | $210 | $1,118 | 15 | 66 | -19.8% |
| North Carolina | $208 | $1,333 | 102 | 933 | -20.4% |
| Colorado | $204 | $1,193 | 33 | 141 | -22.0% |
| Indiana | $198 | $1,785 | 98 | 886 | -24.3% |
| Wisconsin | $195 | $3,435 | 76 | 1,189 | -25.4% |
| Kentucky | $194 | $804 | 53 | 650 | -25.7% |
| Vermont | $194 | $1,055 | 4 | 17 | -25.8% |
| Iowa | $186 | $1,200 | 41 | 282 | -29.0% |
| Missouri | $175 | $1,388 | 78 | 939 | -32.9% |
| Oregon | $170 | $1,419 | 25 | 202 | -35.0% |
| North Dakota | $170 | $1,224 | 12 | 31 | -35.1% |
| Nebraska | $165 | $1,192 | 34 | 380 | -37.0% |
| New Hampshire | $156 | $914 | 16 | 230 | -40.2% |
| Maine | $143 | $826 | 11 | 22 | -45.1% |
| New Mexico | $143 | $1,361 | 15 | 100 | -45.3% |
⚠️ 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