Price Checker / CPT 45393
How much does Colonoscopy W/decompression cost?
CPT 45393 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 17x the fair price — among the most extreme markups. Dispute this.
Fair price
$330–$660
What this should cost
With insurance
~$2,550
Typical out-of-pocket
Overcharged if over
$830
Push back above this
The average hospital charge of $8,548 is $8,048 over the fair price (about 17x the fair rate).
What hospitals charge for Colonoscopy W/decompression
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Kindred Hospital Greensboro Greensboro, NC | $30,757 | — | 13980% |
| Kindred Hospital Chicago Lakeshore Chicago, IL | $16,503 | — | 7455% |
| Kindred Hospital Chicago - North Northlake, IL | $16,503 | — | 7455% |
| Kindred Hospital Chicago - Northlake Northlake, IL | $16,503 | — | 7455% |
| Kindred Hospital Sycamore Sycamore, IL | $16,503 | — | 7455% |
| Kindred Hospital Philadelphia - Havertown Havertown, PA | $7,686 | — | 3419% |
| Kindred Hospital Philadelphia Philadelphia, PA | $7,686 | — | 3419% |
| Kindred Hospital Louisville at Jewish Louisville, KY | $6,278 | — | 2774% |
| Kindred Hospital Louisville Louisville, KY | $6,278 | — | 2774% |
| Southwestern Medical Center Lawton, OK | $5,670 | — | 2495% |
| Kindred Hospital Seattle - First Hill Seattle, WA | $5,251 | — | 2304% |
| Kindred Hospital Indianapolis Indianapolis, IN | $3,907 | — | 1689% |
| Kindred Hospital Indianapolis North Indianapolis, IN | $3,907 | — | 1689% |
| Highland District Hospital HILLSBORO, OH | $3,490 | $2,792 | 1498% |
| Kindred Hospital Northland Kansas City, MO | $3,337 | — | 1428% |
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/decompression
CPT code 45393 refers to colonoscopy w/decompression (billing description: "Colonoscopy w/decompression"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $218 in a facility (hospital or surgery center) and $218 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.