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Sigmoidoscopy diagnostic

CPT 45330 · negotiated-rate distribution across hospitals in TX

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Hospitals
68
Min
$80.00
Median
$858.40
Max
$3,590.00
Range multiplier
44.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield56298$51.97$248.70$8,427.00162.2×
UnitedHealthcare52155$14.46$974.81$4,419.00305.6×
Aetna51111$50.95$838.52$3,901.0076.6×
Cigna4382$40.85$2,975.00$5,101.00124.9×
Humana4478$50.95$835.86$2,700.0053.0×
baylor scott & white health plan1872$765.62$1,021.59$1,421.061.9×
Medicaid2258$133.64$296.31$2,128.4415.9×
superior health plan2037$130.67$641.59$880.456.7×
Medicare1136$150.92$814.27$953.586.3×
Anthem BCBS325$49.67$49.67$2,243.0045.2×
prime health services1821$844.28$878.43$2,308.002.7×
triwest1919$805.84$835.86$861.251.1×
american health plan1919$846.22$877.65$904.311.1×
Ambetter1818$150.92$1,730.23$1,840.5712.2×
procare advantage1818$846.22$877.65$904.311.1×
healthspring1515$846.22$877.65$880.451.0×
healthcare highways [2210]515$498.75$1,107.60$1,469.522.9×
corvel1414$844.28$875.65$902.251.1×
Multiplan1214$118.00$924.00$3,202.8027.1×
wellpoint (fka amerigroup)510$130.67$495.81$863.686.6×
Molina910$137.20$874.33$1,125.608.2×
wellmed910$51.06$856.08$871.0017.1×
wellpoint610$142.43$1,013.35$1,222.088.6×
web tpa [2115]510$498.75$1,361.19$2,826.005.7×
Medicare Advantage38$150.92$150.92$441.222.9×
commercial | entrust | all plans88$1,578.54$1,874.81$2,088.671.3×
commercial | community health choice | exchange77$803.08$1,191.25$1,191.971.5×
healthscope benefits [2290]56$498.75$894.75$1,469.522.9×
healthsmart26$86.00$2,347.68$2,733.6031.8×
sedgwick66$1,204.85$1,236.13$1,287.571.1×
scott & white56$1,369.72$1,369.72$2,283.361.7×
First Health45$101.00$2,572.80$2,826.0028.0×
commercial | renaissance | all plans55$571.80$572.15$572.151.0×
commercial | superior health plan | all plans55$1,191.25$1,191.97$1,191.971.0×
commercial | kelseycare | all plans55$942.30$942.30$942.301.0×
commercial | kelseycare | exchange55$1,072.13$1,072.78$1,072.781.0×
commercial | nxhealth | all plans55$2,565.13$2,581.05$2,582.611.0×
velocity provider ppo network35$866.25$866.25$1,029.421.2×
commercial | harris health | ers55$1,191.25$1,191.97$1,191.971.0×
90 degree benefits55$871.00$2,140.19$2,140.192.5×
amerigroup commercial [5055]44$498.75$894.75$1,469.522.9×
care improvement44$856.08$856.08$856.081.0×
caprock44$2,140.19$2,140.19$2,140.191.0×
black lung [6055]44$498.75$894.75$1,469.522.9×
patoka valley tier 224$49.67$49.67$49.671.0×
pdh/texas trust44$1,712.16$1,712.16$1,712.161.0×
txp optum health (transplant)14$1,704.48$1,993.92$2,412.001.4×
mhs care connect24$318.54$318.54$318.541.0×
lucent health [6000]44$498.75$894.75$1,469.522.9×
insurance management services44$1,395.41$1,395.41$1,395.411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
College Station HospitalCollege StationTX14$215.25$904.31$3,500.00
Scott And White Memorial HospitalTempleTX15$130.67$890.04$4,419.00
Baylor Medical Center-GrapevineGrapevineTX14$130.67$880.45$4,042.00
Baylor S&W All Saints Medical CenterFort WorthTX16$130.67$879.44$4,042.00
Hillcrest Baptist Medical CenterWacoTX14$130.67$877.98$3,500.00
Baylor University Medical CtrDallasTX16$130.67$877.65$4,042.00
Baylor S&W Medical Center - MckinneyMckinneyTX14$130.67$877.65$4,042.00
Baylor S&W Medical Center - IrvingIrvingTX15$130.67$877.65$4,042.00
Centennial Medical CenterFriscoTX16$130.67$877.65$4,042.00
Baylor Scott & White Mc- Lake PointeRowlettTX16$130.67$877.65$4,042.00
Baylor S&W Medical Center - PlanoPlanoTX14$130.67$877.65$4,042.00
North Texas Medical CenterGainsvilleTX17$168.00$42.00$67.00$871.00$958.00
Corpus Christi Specialty HospitalCorpus ChristiTX8$1,155.00$1,155.00$808.50$866.25$1,039.50
Mid Coast Medical Center-CentralLlanoTX11$130.67$858.40$4,419.00
Scott And White Hospital TaylorTaylorTX11$130.67$858.40$4,419.00
Bsw Medical Center - AustinAustinTX11$130.67$858.40$4,419.00
Baylor Scott & White - BudaBudaTX11$130.67$858.40$4,419.00
Scott & White Cedar ParkCedar ParkTX1$858.40$858.40$858.40
Round Rock HospitalRound RockTX16$130.67$858.40$4,419.00
Pam Squared At Corpus ChristiCorpus ChrstiTX26$1,155.00$1,155.00$51.39$857.85$1,501.24
Baylor Scott & White PflugervillePflugervilleTX14$130.67$857.42$4,419.00
Baylor Scott & White - Marble FallsMarble FallsTX14$130.67$846.22$3,500.00
Falls Community Hospital And ClinicMarlinTX6$2,298.19$1,838.55$654.48$831.04$1,838.55
St Lukes Hospital At The VintageHoustonTX15$93.10$810.54$2,582.61
St. Lukes Sugar Land HospitalSugar LandTX13$93.10$810.54$2,468.00
St. Lukes Patients Medical CenterPasadenaTX14$2,927.00$1,024.45$93.10$810.05$2,487.95
St. Lukes The Woodlands HospitalThe WoodlandsTX14$93.10$810.05$2,581.05
Chi St Lukes Health Baylor Med CtrHoustonTX14$88.10$810.05$2,700.00
St. Lukes Lakeside HospitalThe WoodlandsTX14$93.10$808.77$2,468.00
Baylor County Hospital DistrictSeymourTX9$291.00$203.70$65.00$80.00$805.84
Brazosport Regional Health SystemLake JacksonTX10$138.60$794.17$3,348.00
St. Joseph Regional Health CenterBryanTX10$233.00$81.55$181.57$789.27$2,960.00
College Station Medical CenterCollege StationTX10$233.00$81.55$181.57$789.27$2,960.00
Ut Health East Texas Specialty HospiTylerTX13$1,995.00$199.50$498.75$606.74$1,252.86
Lifecare Spec Hosp Of North TexasDallasTX11$2,276.00$227.60$519.13$569.00$2,128.44
Clay County Memorial HospitalHenriettaTX5$3,859.00$2,701.00$86.00$455.00$1,235.00
Limestone Medical CenterGroesbeckTX7$1,521.45$912.87$138.60$445.63$1,217.16
Chi St Lukes Health Memorial LufkinLufkinTX7$87.32$366.02$1,392.00
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$3,590.00$8,427.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$87.32$279.92$1,392.00
St Lukes Health Memorial San AugustSan AugustineTX4$87.32$275.42$1,392.00
Grimes St. Joseph Health CenterNavasotaTX4$233.00$81.55$181.57$275.42$2,960.00
Baptist Saint Anthonys HospitalAmarilloTX80$3,768.00$376.80$1,122.07$2,637.60$3,202.80
Scott & White Hospital BrenhamBrenhamTX4$215.25$255.25$3,500.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$3,807.00$2,284.20$832.67$2,252.00$3,361.00
Heritage Park Surgical HospitalShermanTX2$5,170.00$3,102.00$832.67$2,252.00$3,361.00
Childrens Medical Center Of PlanoPlanoTX31$3,216.00$2,412.00$133.64$2,251.20$3,119.52
Madison St. Joseph Health CenterMadisonvilleTX7$233.00$81.55$139.80$215.73$2,960.00
Burleson St. Joseph Health CenterCaldwellTX7$233.00$81.55$139.80$209.70$289.19
Glen Rose Medical CenterGlen RoseTX8$2,804.00$2,804.00$1,290.00$1,963.00$2,664.00
Trinity Regional Hospital SachseSachseTX8$534.00$427.20$50.95$174.48$2,392.53
Ascension Seton Shoal CreekAustinTX18$14.46$150.92$318.54
Ascension Seton BastropBastropTX18$14.46$150.92$318.54
Texas Rehabilitation Hospital Of KelKellerTX13$4,882.00$488.20$1,220.50$1,435.31$2,494.70
Golden Plains Community HospitalBorgerTX6$226.88$158.82$40.85$136.13$228.34
Shannon Medical CenterSan AngeloTX14$137.20$1,155.70$2,140.19
River Crest HospitalSan AngeloTX14$137.20$1,155.70$2,140.19
Big Spring State HospitalBig SpringsTX14$137.20$1,155.70$2,140.19
San Angelo Community Medical CenterSan AngeloTX14$137.20$1,155.70$2,140.19
Crescent Medical Center LancasterLancasterTX12$3,550.00$2,308.00$710.00$1,133.50$118,591
Seton Medical Center Harker HeightsHarker HeightsTX15$2,840.00$284.00$382.83$1,107.60$2,459.44
Wilson N Jones Regional Medical CtrShermanTX8$534.00$427.20$50.95$109.70$174.48
Acuity Hospital Of South TexasSan AntonioTX11$1,364.04$1,364.04$53.56$1,023.03$1,227.64
Longview Regional Medical CenterLongviewTX0$10,433$1,877.90
Nocona General HospitalNoconaTX0$2,406.00$27.85
Laredo Medical CenterLaredoTX0$13,081$3,139.44
Yoakum County HospitalDenver CityTX0$1,733.01$1,733.01
Navarro Regional HospitalCorsicanaTX0$10,929$2,623.02

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.