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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 45385
  4. Cost Analysis

How Much Does Removal of polyps or growths of large bowel using an endoscope with mechanical snare Cost on Medicare?

Cost analysis for CPT 45385 — Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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Average Medicare Payment

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Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 1.9x more than the cheapest for this procedure. AK averages $372.95 vs WV at $199.03.

StateAvg PaymentTotal PaymentsServicesProviders
AK$372.95$1.4M3.9K53
CA$340.40$47.7M140.1K1.4K
PR$335.19$68.4K20413
NJ$322.73$14.3M44.2K562
NY$322.57$21.4M66.5K1.1K
NV$322.35$3.2M9.8K97
HI$321.34$1.2M3.7K50
MD$312.96$12.8M40.9K359
RI$310.68$1.7M5.5K61
OR$308.49$5.9M19.1K234
CO$307.07$8.2M26.7K269
DE$306.67$2.8M9.2K63
WY$302.62$819.8K2.7K28
WA$296.28$11.6M39.2K375
FL$294.20$35.2M119.6K1.1K
AZ$293.47$9.4M31.9K330
CT$291.34$4.6M15.8K239
GA$290.32$12.5M43.0K469
NC$287.87$18.6M64.7K557
PA$287.41$20.9M72.6K860
TX$283.55$29.8M105.1K1.1K
NE$283.13$4.1M14.4K123
NM$281.43$1.6M5.8K62
OH$272.17$15.5M56.8K674
LA$271.95$6.4M23.4K232
MS$271.21$4.9M18.1K117
SC$270.16$9.8M36.4K267
MI$268.26$9.6M35.8K525
IL$267.54$14.9M55.6K635
ID$266.82$2.3M8.5K79
UT$266.14$2.4M8.8K101
MA$266.05$11.0M41.5K463
MN$264.87$5.8M22.1K364
IN$262.27$9.9M37.7K374
KS$261.60$3.7M14.2K157
TN$260.66$8.7M33.2K320
VA$260.08$9.8M37.8K398
VI$256.33$45.4K1773
AR$254.80$3.7M14.7K134
IA$253.97$4.4M17.4K149
OK$252.89$3.6M14.3K158
MO$250.98$7.1M28.4K340
DC$250.90$621.7K2.5K49
NH$249.81$2.5M10.2K96
SD$246.92$1.3M5.4K61
KY$245.21$5.0M20.4K247
MT$240.39$1.2M5.0K44
AL$238.47$3.8M16.0K210
ME$234.36$1.1M4.9K59
WI$233.56$5.4M23.2K321
VT$227.96$645.4K2.8K33

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Mngi Endoscopy Asc IncAmbulatory Surgical CenterMN$1.4M2.9K$481.01
Digestivecare, LlcAmbulatory Surgical CenterTN$1.0M2.4K$414.65
Lincoln Endoscopy Center, LlcAmbulatory Surgical CenterNE$954.7K2.1K$451.60
Monterey Bay Endoscopy Center LlcAmbulatory Surgical CenterCA$891.8K1.4K$631.14
Endoscopy Center Of North CarolinaAmbulatory Surgical CenterNC$888.3K2.1K$415.11
Endoscopy Center Of Santa Maria IncAmbulatory Surgical CenterCA$791.4K1.4K$571.00
Berks Center For Digestive Health, LpAmbulatory Surgical CenterPA$788.9K1.7K$462.68
Midwest Endoscopy Services LlcAmbulatory Surgical CenterNE$714.8K1.6K$451.81
The Maryland Center For Digestive Health LlcAmbulatory Surgical CenterMD$713.2K1.6K$444.67
Sansum ClinicAmbulatory Surgical CenterCA$710.3K1.2K$572.86
Long Island Digestive Endoscopy Center, LlcAmbulatory Surgical CenterNY$706.0K1.3K$523.33
Northwest Endoscopy Center, LlcAmbulatory Surgical CenterWA$671.9K1.3K$501.39
Gastrointestinal Associates Endoscopy Center, LlcAmbulatory Surgical CenterMS$655.4K1.6K$419.62
Austin Gi Surgicenter, LlcAmbulatory Surgical CenterTX$623.7K1.4K$447.07
Pinehurst Medical Clinic IncAmbulatory Surgical CenterNC$619.9K1.5K$414.67
Wilmington Gastroenterology Endoscopy Center, IncAmbulatory Surgical CenterNC$616.9K1.5K$425.15
Sutter Bay Medical FoundationAmbulatory Surgical CenterCA$616.1K906$679.99
West Chester Endoscopy LlcAmbulatory Surgical CenterPA$615.4K1.3K$459.61
The Outpatient Center, LlcAmbulatory Surgical CenterFL$609.4K1.4K$428.25
Harmony Surgery Center, LlcAmbulatory Surgical CenterCO$597.0K1.3K$452.95

🤔 Is Removal of polyps or growths of large bowel using an endoscope with mechanical snare Overpriced?

Based on the data, CPT 45385 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.

Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.