Price Checker / CPT 45321
How much does Proctosigmoidoscopy Volvul cost?
CPT 45321 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 45x the fair price — among the most extreme markups. Dispute this.
Fair price
$150–$290
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$360
Push back above this
The average hospital charge of $9,851 is $9,631 over the fair price (about 45x the fair rate).
What hospitals charge for Proctosigmoidoscopy Volvul
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "MultiCare Mary Bridge Children's Hospital" , WA | — | — | 20096% |
| "Children's Hospital of Michigan" DETROIT, MI | — | — | 18132% |
| St. Anne Hospital , WA | — | — | 12644% |
| Mid Coast Hospital , ME | — | — | 9654% |
| MultiCare Yakima Memorial Hospital , WA | — | — | 9452% |
| JONES MEMORIAL HOSPITAL WELLSVILLE, NY | — | — | 8462% |
| Carle Health Proctor Hospital PEORIA, IL | — | — | 7847% |
| University Hospitals Tripoint Medical Center , OH | — | — | 7730% |
| Mosaic Medical Center in Maryville , MO | $7,000 | $5,950 | 7028% |
| "Brigham and Women's Hospital" BOSTON, MA | $5,597 | $4,198 | 5600% |
| Spring Harbor Hospital , ME | — | — | 2603% |
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 Volvul
CPT code 45321 refers to proctosigmoidoscopy volvul (billing description: "Proctosigmoidoscopy volvul"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $98 in a facility (hospital or surgery center) and $98 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.