Price Checker / CPT 45100
How much does Biopsy Of Rectum cost?
CPT 45100 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 15x the fair price — among the most extreme markups. Dispute this.
Fair price
$450–$910
What this should cost
With insurance
~$2,750
Typical out-of-pocket
Overcharged if over
$1,150
Push back above this
The average hospital charge of $10,304 is $9,624 over the fair price (about 15x the fair rate).
What hospitals charge for Biopsy Of Rectum
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Los Alamos Medical Center LOS ALAMOS, NY | $27,583 | — | 9025% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $9,570 | $5,742 | 3066% |
| Northern Itasca Hospital District , MN | $5,544 | $3,936 | 1734% |
| Stephens County Hospital TOCCOA, GA | $4,485 | $2,691 | 1384% |
| Aspire Behavioral Health Hospital Conroe, TX | $4,337 | — | 1335% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Biopsy Of Rectum
CPT code 45100 refers to biopsy of rectum (billing description: "Biopsy of rectum"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $302 in a facility (hospital or surgery center) and $302 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.