Price Checker / CPT 45990
How much does Surgery Diagnostic Exam Anorectal cost?
CPT 45990 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 54x the fair price — among the most extreme markups. Dispute this.
Fair price
$150–$300
What this should cost
With insurance
~$2,650
Typical out-of-pocket
Overcharged if over
$380
Push back above this
The average hospital charge of $12,314 is $12,084 over the fair price (about 54x the fair rate).
What hospitals charge for Surgery Diagnostic Exam Anorectal
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| CHRISTUS Louisiana Surgical Hospital , LA | — | $3,992 | 32654% |
| Dominican Hospital SANTA CRUZ, CA | — | — | 23362% |
| Baptist Health-Fort Smith FORT SMITH, AR | $17,667 | $4,417 | 17650% |
| Baptist Health Medical Center-Conway CONWAY, AR | $17,667 | $4,417 | 17650% |
| Baptist Health Medical Center-Drew County MONTICELLO, AR | $17,667 | $4,417 | 17650% |
| Baptist Health Medical Center-Hot Spring County , AR | $17,667 | $4,417 | 17650% |
| Baptist Health Medical Center-Little Rock LITTLE ROCK, AR | $17,667 | $4,417 | 17650% |
| Baptist Health Medical Center-North Little Rock NORTH LITTLE ROCK, AR | $17,667 | $4,417 | 17650% |
| Baptist Health Medical Center-Stuttgart STUTTGART, AR | $17,667 | $4,417 | 17650% |
| Baptist Health-Van Buren VAN BUREN, AR | $17,667 | $4,417 | 17650% |
| MultiCare Good Samaritan Hospital PUYALLUP, WA | $13,867 | $5,547 | 13832% |
| St. Anne Hospital , WA | — | — | 12474% |
| Centrastate Medical Center FREEHOLD, NJ | $9,625 | $3,478 | 9570% |
| Mid Coast Hospital , ME | — | — | 9524% |
| MultiCare Yakima Memorial Hospital , WA | — | — | 9325% |
Were you billed for this procedure?
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About Surgery Diagnostic Exam Anorectal
CPT code 45990 refers to surgery diagnostic exam anorectal (billing description: "Surg dx exam anorectal"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $100 in a facility (hospital or surgery center) and $100 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.