Cost analysis for CPT 45385 — Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.9x more than the cheapest for this procedure. AK averages $372.95 vs WV at $199.03.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $372.95 | $1.4M | 3.9K | 53 |
| CA | $340.40 | $47.7M | 140.1K | 1.4K |
| PR | $335.19 | $68.4K | 204 | 13 |
| NJ | $322.73 | $14.3M | 44.2K | 562 |
| NY | $322.57 | $21.4M | 66.5K | 1.1K |
| NV | $322.35 | $3.2M | 9.8K | 97 |
| HI | $321.34 | $1.2M | 3.7K | 50 |
| MD | $312.96 | $12.8M | 40.9K | 359 |
| RI | $310.68 | $1.7M | 5.5K | 61 |
| OR | $308.49 | $5.9M | 19.1K | 234 |
| CO | $307.07 | $8.2M | 26.7K | 269 |
| DE | $306.67 | $2.8M | 9.2K | 63 |
| WY | $302.62 | $819.8K | 2.7K | 28 |
| WA | $296.28 | $11.6M | 39.2K | 375 |
| FL | $294.20 | $35.2M | 119.6K | 1.1K |
| AZ | $293.47 | $9.4M | 31.9K | 330 |
| CT | $291.34 | $4.6M | 15.8K | 239 |
| GA | $290.32 | $12.5M | 43.0K | 469 |
| NC | $287.87 | $18.6M | 64.7K | 557 |
| PA | $287.41 | $20.9M | 72.6K | 860 |
| TX | $283.55 | $29.8M | 105.1K | 1.1K |
| NE | $283.13 | $4.1M | 14.4K | 123 |
| NM | $281.43 | $1.6M | 5.8K | 62 |
| OH | $272.17 | $15.5M | 56.8K | 674 |
| LA | $271.95 | $6.4M | 23.4K | 232 |
| MS | $271.21 | $4.9M | 18.1K | 117 |
| SC | $270.16 | $9.8M | 36.4K | 267 |
| MI | $268.26 | $9.6M | 35.8K | 525 |
| IL | $267.54 | $14.9M | 55.6K | 635 |
| ID | $266.82 | $2.3M | 8.5K | 79 |
| UT | $266.14 | $2.4M | 8.8K | 101 |
| MA | $266.05 | $11.0M | 41.5K | 463 |
| MN | $264.87 | $5.8M | 22.1K | 364 |
| IN | $262.27 | $9.9M | 37.7K | 374 |
| KS | $261.60 | $3.7M | 14.2K | 157 |
| TN | $260.66 | $8.7M | 33.2K | 320 |
| VA | $260.08 | $9.8M | 37.8K | 398 |
| VI | $256.33 | $45.4K | 177 | 3 |
| AR | $254.80 | $3.7M | 14.7K | 134 |
| IA | $253.97 | $4.4M | 17.4K | 149 |
| OK | $252.89 | $3.6M | 14.3K | 158 |
| MO | $250.98 | $7.1M | 28.4K | 340 |
| DC | $250.90 | $621.7K | 2.5K | 49 |
| NH | $249.81 | $2.5M | 10.2K | 96 |
| SD | $246.92 | $1.3M | 5.4K | 61 |
| KY | $245.21 | $5.0M | 20.4K | 247 |
| MT | $240.39 | $1.2M | 5.0K | 44 |
| AL | $238.47 | $3.8M | 16.0K | 210 |
| ME | $234.36 | $1.1M | 4.9K | 59 |
| WI | $233.56 | $5.4M | 23.2K | 321 |
| VT | $227.96 | $645.4K | 2.8K | 33 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mngi Endoscopy Asc Inc | Ambulatory Surgical Center | MN | $1.4M | 2.9K | $481.01 |
| Digestivecare, Llc | Ambulatory Surgical Center | TN | $1.0M | 2.4K | $414.65 |
| Lincoln Endoscopy Center, Llc | Ambulatory Surgical Center | NE | $954.7K | 2.1K | $451.60 |
| Monterey Bay Endoscopy Center Llc | Ambulatory Surgical Center | CA | $891.8K | 1.4K | $631.14 |
| Endoscopy Center Of North Carolina | Ambulatory Surgical Center | NC | $888.3K | 2.1K | $415.11 |
| Endoscopy Center Of Santa Maria Inc | Ambulatory Surgical Center | CA | $791.4K | 1.4K | $571.00 |
| Berks Center For Digestive Health, Lp | Ambulatory Surgical Center | PA | $788.9K | 1.7K | $462.68 |
| Midwest Endoscopy Services Llc | Ambulatory Surgical Center | NE | $714.8K | 1.6K | $451.81 |
| The Maryland Center For Digestive Health Llc | Ambulatory Surgical Center | MD | $713.2K | 1.6K | $444.67 |
| Sansum Clinic | Ambulatory Surgical Center | CA | $710.3K | 1.2K | $572.86 |
| Long Island Digestive Endoscopy Center, Llc | Ambulatory Surgical Center | NY | $706.0K | 1.3K | $523.33 |
| Northwest Endoscopy Center, Llc | Ambulatory Surgical Center | WA | $671.9K | 1.3K | $501.39 |
| Gastrointestinal Associates Endoscopy Center, Llc | Ambulatory Surgical Center | MS | $655.4K | 1.6K | $419.62 |
| Austin Gi Surgicenter, Llc | Ambulatory Surgical Center | TX | $623.7K | 1.4K | $447.07 |
| Pinehurst Medical Clinic Inc | Ambulatory Surgical Center | NC | $619.9K | 1.5K | $414.67 |
| Wilmington Gastroenterology Endoscopy Center, Inc | Ambulatory Surgical Center | NC | $616.9K | 1.5K | $425.15 |
| Sutter Bay Medical Foundation | Ambulatory Surgical Center | CA | $616.1K | 906 | $679.99 |
| West Chester Endoscopy Llc | Ambulatory Surgical Center | PA | $615.4K | 1.3K | $459.61 |
| The Outpatient Center, Llc | Ambulatory Surgical Center | FL | $609.4K | 1.4K | $428.25 |
| Harmony Surgery Center, Llc | Ambulatory Surgical Center | CO | $597.0K | 1.3K | $452.95 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.