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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in CA

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Hospitals
34
Min
$155.10
Median
$1,211.72
Max
$5,446.65
Range multiplier
35.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS27107$50.14$1,317.33$7,826.00156.1×
Blue Cross Blue Shield29101$50.14$2,836.20$8,078.11161.1×
UnitedHealthcare2472$130.65$4,889.00$23,486179.8×
Medicaid2270$82.06$185.40$1,985.2024.2×
Aetna2753$50.14$1,894.00$9,253.00184.5×
Medicare2844$50.14$1,072.08$3,472.9569.3×
Kaiser Permanente2739$50.14$964.55$2,234.2844.6×
Health Net1031$110.86$1,673.45$8,108.0073.1×
Cigna1931$188.57$5,801.00$9,344.0049.6×
Humana2123$50.14$1,023.57$8,864.00176.8×
Molina716$103.61$1,190.22$2,801.6027.0×
Empire BCBS28$150.23$1,190.22$1,487.789.9×
brand new day48$1,202.12$1,493.73$1,785.331.5×
TRICARE47$1,190.22$1,190.22$1,190.221.0×
emanate health26$1,190.22$1,190.22$2,380.442.0×
citrus valley physicians group26$1,190.22$1,190.22$1,190.221.0×
First Health55$200.56$1,520.90$4,047.0020.2×
commercial | hill physicians | all plans55$1,120.59$1,120.59$1,120.591.0×
traditional medi-cal44$103.61$103.61$103.611.0×
vantage care24$103.61$646.92$1,190.2211.5×
commercial | connected care intel | all plans33$7,009.00$7,009.00$8,864.001.3×
Bright Health33$1,001.02$1,225.48$1,225.481.2×
central health plan33$1,190.22$1,190.22$1,190.221.0×
commercial | mhn | all plans33$1,013.65$1,211.72$1,211.721.2×
employer direct healthcare33$1,666.31$1,666.31$1,666.311.0×
imperial health plan of ca33$1,261.63$1,261.63$1,261.631.0×
naphcare23$1,844.84$1,844.84$1,844.841.0×
renal payer solutions33$1,190.22$1,190.22$1,190.221.0×
prime healthcare services12$1,190.22$1,190.22$1,190.221.0×
epic health plan22$1,190.22$1,190.22$1,190.221.0×
workers compensation22$1,567.94$1,567.94$1,567.941.0×
verda healthplan22$1,190.22$1,190.22$1,190.221.0×
rios22$1,130.71$1,130.71$1,130.711.0×
san diego pace22$2,223.77$2,273.50$2,323.231.0×
commercial | epic health | all plans22$1,322.10$1,322.10$1,322.101.0×
caloptima22$103.61$103.61$103.611.0×
commercial | naphcare | all plans22$1,837.89$1,843.96$1,850.021.0×
california health and wellness22$1,950.61$2,201.01$2,451.401.3×
choice physicians network22$1,190.22$1,190.22$1,190.221.0×
worker compensation22$1,567.94$1,567.94$1,567.941.0×
alignment22$1,190.22$1,190.22$1,190.221.0×
neighborhood22$1,214.02$1,214.02$1,214.021.0×
optum health12$1,926.10$2,538.95$3,151.801.6×
commercial | sutter health | all plans22$3,757.44$3,788.84$3,820.231.0×
commercial | la care | all plans22$1,138.48$1,175.97$1,213.461.1×
commercial | valley care ipa | all plans22$963.21$963.21$963.211.0×
la care mcr adv hmo [612]11$1,196.08$1,196.08$1,196.081.0×
managed health network11$3,431.96$3,431.96$3,431.961.0×
medcare partners health plan11$1,190.22$1,190.22$1,190.221.0×
medi-cal11$2,451.40$2,451.40$2,451.401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Elizabeth Community HosptialRed BluffCA7$144.02$964.55$964.55
Mercy Medical Center MercedMercedCA9$116.04$963.51$11,205
St. Mary Medical CenterApple ValleyCA11$124.33$951.26$5,237.00
St. Bernardine Medical CenterSan BernardinoCA11$130.65$948.73$17,142
Community Hospital Of San BernardinoSan BernardinoCA13$130.65$943.44$8,054.00
Dominican HospitalSanta CruzCA9$130.65$5,446.65$9,344.00
Scripps Mercy HospitalSan DiegoCA9$1,982.30$495.57$449.98$495.58$1,196.08
Mercy Medical Center Mt. ShastaMt. ShastaCA7$125.37$361.18$414.43
Methodist Hospital Of SacramentoSacramentoCA11$130.65$2,979.00$9,864.00
Marian Medical CenterSanta MariaCA10$130.65$2,802.00$8,271.00
Central Valley Specialty HospitalModestoCA6$3,728.21$3,728.21$932.05$2,796.16$3,168.98
Mercy Hospital Of FolsomFolsomCA10$130.65$2,793.00$9,151.00
Woodland HealthcareWoodlandCA7$130.65$2,720.68$5,600.00
Mercy San Juan Medical CenterCarmichaelCA11$130.65$2,349.52$23,486
Sharp Memorial HospitalSan DiegoCA8$3,502.00$2,626.50$525.30$2,273.50$3,151.80
Sharp Chula Vista Medical CenterChula VistaCA13$3,502.00$2,626.50$525.30$2,206.26$8,108.00
Grossmont HospitalLa MesaCA3$3,502.00$2,626.50$1,950.61$2,171.24$2,451.40
St. Johns Regional Medical CenterOxnardCA11$158.09$2,153.10$14,888
St. Johns Pleasant Valley HospitalCamarilloCA11$130.65$1,985.20$14,888
Glendale Memorial Hospital & Hlth CtGlendaleCA6$119.15$1,984.20$6,468.00
Mercy General HospitalSacramentoCA11$130.65$1,671.10$15,371
Mark Twain Medical CenterSan AndreasCA12$218.00$152.60$50.14$155.10$213.64
Saint Francis Memorial HospitalSan FranciscoCA15$127.39$1,431.10$7,009.00
Sequoia HospitalRedwood CityCA12$130.65$1,220.57$7,377.00
St. Marys Medical CenterSan FranciscoCA13$128.48$1,211.72$7,009.00
Huntington Beach HospitalHuntington BeachCA16$4,845.30$1,190.00$103.61$1,190.22$1,785.33
Montclair Hospital Medical CenterMontclairCA25$5,112.70$1,190.00$103.61$1,190.22$2,380.44
Chino Valley Medical CenterChinoCA25$5,112.70$1,190.00$103.61$1,190.22$2,380.44
Garden Grove Hospital Medical CenterGarden GroveCA19$4,845.30$1,190.00$103.61$1,190.22$1,844.84
Sierra Nevada Memorial HospitalGrass ValleyCA9$130.65$1,120.59$9,875.00
St. Josephs Medical CenterStocktonCA2$1,060.48$1,060.48$1,060.48
St. Josephs Behavioral Hlth CenterStocktonCA2$1,060.48$1,060.48$1,060.48
Northridge Medical Center - RoscoeNorthridgeCA12$124.33$1,013.65$10,558
Bakersfield Memorial HospitalBakersfieldCA11$130.65$1,001.02$8,849.00

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.