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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in GA

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Hospitals
6
Min
$155.4
Median
$942.61
Max
$1,581
Range multiplier
10.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna517$133.2$971.72$11,58487.0×
UnitedHealthcare514$75.46$924.31$2,50633.2×
Blue Cross Blue Shield312$125.95$1,816.56$4,794.5738.1×
Cigna311$125.8$1,935.5$2,73221.7×
Humana511$75.46$881.79$3,16341.9×
WellCare510$148$915.16$1,186.638.0×
First Health38$140.6$2,445.3$5,113.936.4×
Health Net16$75.46$559.86$2,496.7833.1×
CareSource36$743.17$956.05$1,624.352.2×
Ambetter34$1,020.04$1,265.03$1,510.011.5×
banner health13$75.46$148$971.7212.9×
Oscar Health23$1,206.66$1,464.26$1,464.261.2×
devoted health23$156.88$956.05$1,030.036.6×
smarthealth12$1,281.22$1,281.22$1,281.221.0×
alliant op rate22$1,581$1,581$1,5811.0×
arizona medical network12$148$559.86$971.726.6×
blue mcr replacement12$915.16$915.16$915.161.0×
bridgeway health solutions12$148$559.86$971.726.6×
dodge cty op rate22$1,363.71$1,894.56$2,425.411.8×
facility billing - op12$915.16$915.16$915.161.0×
health choice pathway12$148$559.86$971.726.6×
health management network12$148$559.86$971.726.6×
healthspring mcr replacement12$924.31$928.89$933.461.0×
imperial insurance12$155.4$587.86$1,020.316.6×
Medicare Advantage12$915.16$915.16$915.161.0×
occunet12$1,693.05$1,876.08$2,059.111.2×
peach state12$956.05$1,034.95$1,113.841.2×
riverwood behavioral health12$928.2$1,044.23$1,160.251.3×
rural arizona network12$148$559.86$971.726.6×
secure health op rate22$2,260$2,260$2,2601.0×
sonder health plan12$974.61$974.61$974.611.0×
united mine workers of america12$148$559.86$971.726.6×
Medicare11$928.2$928.2$928.21.0×
americas choice provider network11$928.2$928.2$928.21.0×
mercy care11$79.24$79.24$79.241.0×
Multiplan11$928.2$928.2$928.21.0×
naphcare11$1,438.71$1,438.71$1,438.711.0×
novanet11$928.2$928.2$928.21.0×
acchs11$75.46$75.46$75.461.0×
arizona complete health11$75.46$75.46$75.461.0×
amerigroup op rate11$1,207.86$1,207.86$1,207.861.0×
corvel11$928.2$928.2$928.21.0×
clear spring health plan11$928.2$928.2$928.21.0×
peach state hp op rate11$1,222.41$1,222.41$1,222.411.0×
employer direct healthcare11$1,299.48$1,299.48$1,299.481.0×
phcs op rate11$5,227.55$5,227.55$5,227.551.0×
centurion11$1,392.3$1,392.3$1,392.31.0×
georgia workers’ compensation11$928.2$928.2$928.21.0×
health choice11$79.24$79.24$79.241.0×
prime health services11$928.2$928.2$928.21.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA26$2,001.25$928$561.72$956.05$2,001.25
ST. MARYS SACRED HEART HOSPITALLAVONIAGA12$915.16$942.61$11,584
PERRY HOSPITALPERRYGA10$1,639.36$728.6$888.9$2,898
HOUSTON MEDICAL CENTERWARNER ROBINSGA16$1,639.36$728.6$1,581$5,227.55
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA22$2,574$1,909.91$75.46$155.4$2,496.78
UNION GENERAL HOSPITALBLAIRSVILLEGA0

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.