CPT 45390 Surgery - Digestive
Colonoscopy w/resection Cost
Body System: Digestive
Medicare Facility Rate
$290
CMS PFS CY2026
Medicare Non-Facility Rate
$290
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.89
Work RVU
2.15
Facility PE RVU
0.65
Malpractice RVU
8.69
Total RVU
Frequently Asked Questions
How much does Colonoscopy w/resection cost?
The Medicare facility rate is $290. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Colonoscopy w/resection 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 $290.