Price Checker / CPT 45321

How much does Proctosigmoidoscopy Volvul cost?

CPT 45321 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

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.

HospitalGross ChargeCash Ratevs 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$5,9507028%
"Brigham and Women's Hospital"

BOSTON, MA

$5,597$4,1985600%
Spring Harbor Hospital

, ME

2603%

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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

  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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