CPT 45382 Surgery - Digestive

How Much Does Colonoscopy with Control Bleed Cost?

Also known as: Colonoscopy w/control bleed (CPT 45382)

A colonoscopy with control of bleeding in the colon.

The total estimated cost of Colonoscopy with Control Bleed (CPT 45382) is $762 to $1,428, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $227.

Total Estimated Cost of Care

$762 — $1,428

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$227
Hospital Facility Fee
$680
Anesthesia (est.)
$45
Important: The physician fee of $227 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$227
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$730
Non-facility setting

Patient Guide: Colonoscopy with Control Bleed

What you need to know before your appointment

What to Expect

During the colonoscopy, the doctor identifies and treats a source of bleeding using techniques such as clips, cautery, or injection of medication.

How Long Does It Take?

30-90 minutes

Common Reasons Doctors Order This

Active colon bleeding, bleeding from a polyp removal site, hemorrhage from diverticulosis

How to Prepare

This may be performed urgently for active bleeding. Follow your medical team instructions.

Procedures Commonly Done Together

These procedures are frequently performed alongside Colonoscopy w/control bleed

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How to Reduce Your Cost for Colonoscopy w/control bleed

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($730) differs from the facility rate ($227). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

4.54
Work RVU
1.75
Practice Expense RVU
0.50
Malpractice RVU
21.86
Total RVU

Payment = Total RVU (21.86) x CF ($33.40) = $730

Frequently Asked Questions

How much does Colonoscopy w/control bleed cost?

The Medicare facility rate for Colonoscopy w/control bleed is $227. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Colonoscopy w/control bleed cost without insurance?

Without insurance, the cost of Colonoscopy w/control bleed can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Colonoscopy w/control bleed?

Most commercial health insurance plans and Medicare cover Colonoscopy w/control bleed when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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