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See a sample rate comparisonCPT 45114 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Proctectomy Partial W/ Anastomsis; Abdomi & Transsacral Appr, Proctectomy Partial With Anastomosis; Abdominal And Transsacral Appr
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None GC - Service performed by resident under supervision 22 - Increased Procedural Services 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 45114 |
| Medicaid Fee Schedule | View Medicaid rates for 45114 |
National average reimbursement for CPT 45114 by major payers:
$2,175.19
$2,409.67
$2,487.27
$2,872.00
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CPT 45114
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$16,236.00Published rateCharlotte Surgery Center, LLC
Charlotte Surgery Center LLC
$1,184.00Published rateIdaho Surgicenter Inc, Idaho Surgicenter South
Idaho Surgicenter Inc
$825.00Published ratePatrick A Conarro Md, D.B.A. Summit Surgical Asc
Patrick A Conarro Md
$400.00Published rateNorthern Arizona Surgicenter, LLC
Northern Arizona Surgicenter LLC
$100.00Published rate
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See a sample payer proposalCPT 45114 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45114 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 45114 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 45111-CPT | High | Partial Removal Of The Rectum, Surgical Removal Of A Portion Of The Rectum. The Remaining Healthy Segments Of The Rectum Are Reconnected. |
| 45112-CPT | High | Removal Of Rectum, Removal Of Rectum And Suturing Of Large Bowel To Anus Via Incision Of Abdomen And Region Between Thighs (Combined Abdominoperineal Approach) |
| 45113-CPT | High | Proctectomy Partial With Rec, Proctectomy Partial With Rectal Mucosectomy Ileoanalanastomosis Creation Of Ileal Reservoir (S Or J) With Or Without Loop Ileostomy |
| 45114-CPT | High | Proctectomy Partial W/ Anastomsis; Abdomi & Transsacral Appr, Proctectomy Partial With Anastomosis; Abdominal And Transsacral Appr |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45114 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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