CPT 45381

Lower GI Endoscopy - Other

Current code51 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 45381 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$1,861 – $2,7974 plansDoctor’s fee: $654 – $982	$2,677Doctor’s fee: $940	$3,346Doctor’s fee: $1,175
Cascade Valley HospitalArlington	$1,224 – $1,3564 plans	$979	$1,224
Coulee Medical CenterGrand Coulee	—	$675	$750
EvergreenHealth Medical CenterKirkland	—	$2,880	$3,600
EvergreenHealth MonroeMonroe	$1,2911 plan	$3,118	$3,897
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$2,861	$4,086
Island HospitalAnacortes	$684 – $7423 plans	$580 – $1,061	$580 – $1,061
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$794Doctor’s fee: $516 – $794	$1,222Doctor’s fee: $794 – $1,222
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,271	$2,542
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$503	$718
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$503	$718
Seattle Children's HospitalSeattle	$1,080 – $1,36612 plans	$4,203	$4,203
Skagit Valley HospitalMount Vernon	$358 – $4394 plans	$3,818	$4,773
Trios HealthKennewick	—	—	$7,728
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,476	$4,966
Virginia Mason Medical CenterSeattle	—	$2,005	$3,931

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $575 in an office; $192 in a hospital or surgery center
Doctor's fee, rest of Washington: $508 in an office; $178 in a hospital or surgery center
Hospital outpatient payment (national): $1,223 (APC 5312)
Surgery center payment (national): $657

How hospitals also write this code

Some price files write it differently. These are counted as CPT 45381:

45381P (with a letter after it, P; 2 price lines)