CPT 45317 Surgery - Digestive
Proctosigmoidoscopy bleed Cost
Body System: Digestive
Medicare Facility Rate
$103
CMS PFS CY2026
Medicare Non-Facility Rate
$240
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.85
Work RVU
0.92
Facility PE RVU
0.30
Malpractice RVU
7.19
Total RVU
Frequently Asked Questions
How much does Proctosigmoidoscopy bleed cost?
The Medicare facility rate is $103. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Proctosigmoidoscopy bleed cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $103.