Price Checker / CPT 45385
How much does Colonoscopy with polyp removal cost?
CPT 45385 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 3.7x the fair price. This is well above fair — push back or dispute it.
Fair price
$2,000–$2,350
What this should cost
With insurance
~$2,550
Typical out-of-pocket
Overcharged if over
$2,950
Push back above this
The average hospital charge of $8,142 is $5,942 over the fair price (about 3.7x the fair rate).
What hospitals charge for Colonoscopy with polyp removal
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Eastern Long Island Hospital , NY | $3,210 | — | 15107% |
| Pacifica Hospital of the Valley Sun Valley, CA | $61,772 | — | 12254% |
| Down East Community Hospital Machias, ME | $24,617 | — | 4405% |
| Georgetown Community Hospital GEORGETOWN, KY | $11,813 | — | 2262% |
| Brodstone Memorial Hospital Superior, NE | $11,989 | — | 2250% |
| Los Alamos Medical Center LOS ALAMOS, NY | $11,418 | — | 2184% |
| Wythe County Community Hospital WYTHEVILLE, VA | $9,696 | — | 1839% |
| Community Medical Center Falls City, NE | $9,866 | — | 1814% |
| Bourbon Community Hospital PARIS, KY | $9,329 | — | 1766% |
| West Holt Memorial Hospital Atkinson, NE | $9,586 | — | 1741% |
| Meadowview Regional Medical Center MAYSVILLE, KY | $7,565 | — | 1413% |
| Kearney County Hospital , NE | $7,259 | $5,807 | 1352% |
| Chadron Community Hospital Chadron, NE | $7,280 | — | 1298% |
| Raleigh General Hospital BECKLEY, WV | $6,411 | — | 1182% |
| Southwestern Medical Center Lawton, OK | $5,921 | — | 1084% |
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 Colonoscopy with polyp removal
CPT code 45385 refers to colonoscopy with polyp removal (billing description: "Colonoscopy w/lesion removal"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $223 in a facility (hospital or surgery center) and $500 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.