Price Checker / CPT 45300
How much does Proctosigmoidoscopy Diagnostic cost?
CPT 45300 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 43x the fair price — among the most extreme markups. Dispute this.
Fair price
$220–$450
What this should cost
With insurance
~$2,300
Typical out-of-pocket
Overcharged if over
$560
Push back above this
The average hospital charge of $14,458 is $14,118 over the fair price (about 43x the fair rate).
What hospitals charge for Proctosigmoidoscopy Diagnostic
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Concord Medical Center , CA | $64,499 | $29,025 | 43296% |
| Person Memorial Hospital ROXBORO, NC | $31,787 | — | 21287% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $7,903 | $4,742 | 5217% |
| UPMC Wellsboro WELLSBORO, PA | $4,771 | $3,817 | 3110% |
| Effingham Hospital , GA | $3,873 | $2,517 | 2506% |
| Carroll County Memorial Hospital CARROLLTON, KY | $2,600 | $1,560 | 1649% |
| Elmore Community Hospital Wetumpka, AL | $117 | — | 459% |
| Lake Martin Community Hospital Dadeville, AL | $117 | — | 459% |
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 Proctosigmoidoscopy Diagnostic
CPT code 45300 refers to proctosigmoidoscopy diagnostic (billing description: "Proctosigmoidoscopy dx"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $45 in a facility (hospital or surgery center) and $149 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.