CPT 45393 Surgery - Digestive
Colonoscopy w/decompression Cost
Body System: Digestive
Medicare Facility Rate
$218
CMS PFS CY2026
Medicare Non-Facility Rate
$218
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.56
Work RVU
1.42
Facility PE RVU
0.56
Malpractice RVU
6.54
Total RVU
Frequently Asked Questions
How much does Colonoscopy w/decompression cost?
The Medicare facility rate is $218. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Colonoscopy w/decompression 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 $218.