Price Checker / CPT 45111

How much does Partial Removal Of Rectum cost?

CPT 45111 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $2,500–$2,900.

Fair price

$2,500–$2,900

What this should cost

With insurance

~$2,900

Typical out-of-pocket

Overcharged if over

$3,650

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About Partial Removal Of Rectum

CPT code 45111 refers to partial removal of rectum (billing description: "Partial removal of rectum"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,011 in a facility (hospital or surgery center) and $1,011 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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