Price Checker / CPT 45390
How much does Colonoscopy W/resection cost?
CPT 45390 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.
Fair price
$440–$870
What this should cost
With insurance
~$173,000
Typical out-of-pocket
Overcharged if over
$1,100
Push back above this
The average hospital charge of $9,224 is $8,564 over the fair price (about 14x the fair rate).
What hospitals charge for Colonoscopy W/resection
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Bourbon Community Hospital PARIS, KY | $12,518 | — | 4213% |
| Heart of Texas Healthcare System , TX | $11,563 | — | 3485% |
| Amarillo Surgical and Endoscopy , CA | $6,779 | — | 2236% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX | — | — | 1980% |
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 W/resection
CPT code 45390 refers to colonoscopy w/resection (billing description: "Colonoscopy w/resection"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $290 in a facility (hospital or surgery center) and $290 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.