What do doctors typically charge for Removal of Growth of Rectum Through Anus with Removal of a Portion of Muscle?

The nationwide median physician charge for Removal of Growth of Rectum Through Anus with Removal of a Portion of Muscle (CPT 45172) is $7006.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 45172?

The standard insurance baseline reimbursement rate is $923.97. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Removal of Growth of Rectum Through Anus with Removal of a Portion of Muscle

CPT 45172Medical Service

Removal of Growth of Rectum Through Anus with Removal of a Portion of Muscle

Removal of growth of rectum through anus with removal of a portion of muscle. Clinical pricing breakdown and utilization metrics across 4 practicing doctors nationwide.

$7006.00

Peer Median Charge

Gross billed rate

$923.97

Standard Baseline

Customary allowable

7.6x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT 45172?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $7006.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $923.97 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 45172 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"