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Sigmoidoscopy diagnostic

CPT 45330 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$68.79
Median
$513.67
Max
$997.9
Range multiplier
14.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1281$52.35$889.17$1,422.6827.2×
UnitedHealthcare2079$36.42$509.76$3,050.6383.8×
Medicaid1277$36.42$498.71$1,907.752.4×
Aetna2161$63.05$942.61$11,584183.7×
Humana1838$52.35$889.17$1,045.4220.0×
Blue Cross Blue Shield1436$71.82$205.01$1,907.726.6×
priority health op rate1017$236.16$514.85$1,711.137.2×
smarthealth816$1,281.22$1,281.22$1,330.531.0×
Ambetter816$1,510.01$1,510.01$1,539.621.0×
Medicare Advantage815$782.93$915.16$915.161.2×
blue mcr replacement714$915.16$915.16$915.161.0×
facility billing - op714$915.16$915.16$915.161.0×
healthspring mcr replacement714$924.31$928.89$933.461.0×
occunet714$1,693.05$1,876.08$2,059.111.2×
Oscar Health714$1,464.26$1,464.26$1,464.261.0×
WellCare714$915.16$915.16$915.161.0×
First Health812$71.28$750.45$3,486.4448.9×
hap - hmo op rate510$288.16$398.77$946.683.3×
TRICARE910$803.95$881.29$1,606.242.0×
cofinity - auto op rate49$434.96$568.82$1,456.93.3×
priority health88$85.72$85.72$85.721.0×
mclaren commercial ins88$66.79$66.79$66.791.0×
u of m health plan88$60.2$60.2$60.21.0×
hap - hmo88$53.89$53.89$53.891.0×
mi amish medical board77$889.17$889.17$889.171.0×
hp - ppo op rate47$445.42$1,099.03$1,463.333.3×
hp - hmo op rate47$321.02$825.08$1,099.623.4×
hap preferred op rate47$251.04$763.46$1,053.864.2×
cofinity - ppom op rate36$383.38$907.9$1,259.53.3×
mclaren health op rate46$147.01$500.37$1,420.579.7×
health advantage - ppo op rate25$251.39$752$825.873.3×
mhp - hmo op rate25$251.39$752$825.873.3×
hurley medical center op rate14$219.07$670.39$719.713.3×
cofinity - wc/auto op rate14$443.46$1,357.07$1,456.93.3×
cofinity wc op rate14$383.38$1,173.19$1,259.53.3×
hap/ahl op rate14$288.16$881.81$946.683.3×
hcap op rate34$469.44$500.22$803.71.7×
mclaren health advantage op rate24$288.66$317.65$358.791.2×
health plus hmo op rate23$277.63$392.94$594.742.1×
cofinity op rate23$546.93$827.81$2,415.944.4×
hap - preferred op rate13$426.33$490.25$517.641.2×
Multiplan23$568.67$636$860.711.5×
oakland county community mental health op rate13$560.3$644.3$680.31.2×
oc inmates correct care solutions llc op rate13$352.99$405.91$428.591.2×
hap ahl op rate23$251.04$359.66$544.372.2×
hap hmo op rate23$231.19$355.7$538.372.3×
cofinity and wc op rate13$389.91$448.37$473.421.2×
Cigna23$232.98$414.18$626.892.7×
hap op rate23$1,180.2$1,537.77$2,787.352.4×
hap - ppo op rate33$501.52$501.52$1,099.032.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TAWAS ST. JOSEPH HOSPITALTAWASMI9$1,378$454.74$647.66$997.9$1,539.62
ASCENSION STANDISH HOSPITALSTANDISHMI12$915.16$942.61$11,584
BORGESS-PIPP HEALTH CENTERPLAINWELLMI12$915.16$942.61$11,584
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI12$915.16$942.61$11,584
ASCENSION ALLEGAN HOSPITALALLEGANMI12$915.16$942.61$11,584
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI12$915.16$942.61$11,584
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI12$915.16$942.61$11,584
ASCENSION BORGESS HOSPITALKALAMAZOOMI12$915.16$942.61$11,584
MCLAREN FLINTFLINTMI26$5,506.1$2,753.05$36.42$831.41$2,184.84
MCLAREN THUMB REGIONBAD AXEMI11$4,520.43$2,260.22$36.42$68.79$1,606.24
MCLAREN LAPEER REGIONLAPEERMI24$4,374.76$2,187.38$36.42$608.46$1,907.7
MCLAREN NORTHERN MICHIGANPETOSKEYMI15$3,719.49$1,859.75$36.42$513.67$2,013.66
MCLAREN PORT HURONPORT HURONMI29$3,412.48$1,706.24$36.42$511.72$1,422.68
MCLAREN GREATER LANSINGLANSING MI 489100MI20$5,603.34$2,801.67$36.42$498.71$3,486.44
MCLAREN CENTRAL MICHIGANMT PLEASANTMI17$7,889.28$3,944.64$36.42$498.71$2,899.13
MCLAREN MACOMBMT. CLEMENSMI20$429.95$288.66$490.91$804.99
BAY REGIONAL MEDICAL CENTERBAY CITYMI25$5,698.03$2,849.02$36.42$484.13$1,422.68
MCLAREN BAY SPECIAL CAREBAY CITYMI18$406.85$186.79$476.79$911.98
MCLAREN OAKLANDPONTIACMI14$353.75$295.5$449.69$789.51
KARMANOS CANCER HOSPITALDETROITMI15$201.9$143.28$277.63$653.58
ASCENSION ST JOHN HOSPITALDETROITMI3$63.05$137.29$137.29
SPARROW CLINTON HOSPITALST. JOHNSMI0$292$146
SPARROW EATONCHARLOTTEMI0$292$146
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$5,200$3,640
MCKENZIE HEALTH SYSTEMSANDUSYMI0$572$457.6
CARSON CITY HOSPITALCARSON CITYMI0$292$146

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.