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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in IL

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Hospitals
39
Min
$70.02
Median
$978.89
Max
$2,597.87
Range multiplier
37.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna22139$25.40$931.46$2,586.80101.8×
UnitedHealthcare32137$50.20$996.56$6,071.00120.9×
Blue Cross Blue Shield22126$19.00$933.80$1,941.00102.2×
Humana2466$19.00$950.24$6,690.00352.1×
Medicare954$67.25$950.38$1,045.4215.5×
Molina2350$66.23$730.80$1,952.5729.5×
Medicare Advantage139$67.25$331.26$1,045.1115.5×
Cigna1633$45.30$514.42$6,771.00149.5×
Multiplan1323$75.00$1,133.90$4,214.3256.2×
Ambetter1623$64.93$1,539.62$1,539.6223.7×
healthlink817$82.63$933.80$2,312.0028.0×
meridian716$67.91$272.00$996.5614.7×
WellCare713$68.65$280.14$996.5614.5×
Bright Health612$1,187.97$1,187.97$1,187.971.0×
smarthealth612$1,330.53$1,330.53$1,330.531.0×
ecoh111$164.51$596.30$2,385.2814.5×
cox health systems insurance company [220]210$55.00$65.00$1,217.1522.1×
allied benefits [498]210$58.00$642.06$2,281.0039.3×
Oscar Health99$1,425.58$1,425.58$1,425.581.0×
hstechnology99$1,824.74$1,824.74$1,824.741.0×
phcs [244]28$75.00$482.80$1,770.4023.6×
amerivantage48$68.18$475.41$997.9014.6×
TRICARE48$950.38$950.38$950.381.0×
health partners open network48$140.92$659.70$1,324.289.4×
consociate [478]28$1,850.00$3,218.50$4,587.002.5×
med-pay [480]28$65.00$452.63$1,659.7525.5×
meridian health plan27$68.18$69.79$997.9014.6×
Self-Pay (Cash)57$183.75$950.38$950.385.2×
prime health services36$65.22$393.75$902.8713.8×
hope trust [806]26$58.00$642.06$1,283.5422.1×
healthcare sol mercy [609]26$75.00$830.25$1,659.7522.1×
healthscope benefits [258]26$498.15$995.85$1,925.003.9×
health alliance [224]26$55.00$608.85$1,217.1522.1×
hfn16$164.51$567.44$2,385.2814.5×
First Health56$74.30$286.25$2,979.2540.1×
medica [661]26$80.00$885.60$1,770.4022.1×
healthlink [225]26$48.50$65.00$75.501.6×
mychoice wi medical adv15$67.25$301.14$950.1014.1×
priority health [648]24$2,769.00$4,770.00$6,771.002.4×
deaconess onecare24$68.65$140.73$950.3813.8×
unicare [568]24$65.00$70.25$75.501.2×
nalc health benefit plan [242]24$2,769.00$4,770.00$6,771.002.4×
apwu health plan [216]24$2,769.00$4,770.00$6,771.002.4×
health's finest network [126]14$45.00$419.60$1,424.6031.7×
community partners health plan (cphp)34$807.00$1,166.40$1,600.452.0×
aarp24$902.86$902.86$902.861.0×
health alliance24$64.93$1,015.20$1,591.5024.5×
iowa total care44$709.27$755.69$878.391.2×
actin care24$1,473.09$1,473.09$1,473.091.0×
sarah bush lincoln [636]24$1,850.00$3,218.50$4,587.002.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Presence Saints Mary & Elizabeth MedChicagoIL7$114.17$998.43$1,952.57
Presence Saint Joseph Hosp-ChicagoChicagoIL9$950.38$997.90$1,539.62
Presence Saint Francis HospitalEvanstonIL9$950.38$997.90$1,539.62
Presence St. Marys HospitalKankakeeIL9$950.38$997.90$1,539.62
Presence Saint Joseph Hospital ElginElginIL9$950.38$997.90$1,539.62
Carle Foundation HospitalUrbanaIL11$2,720.00$2,720.00$69.26$996.56$2,312.00
Carle Bromenn Medical CenterNormalIL11$1,944.00$1,944.00$69.26$996.56$1,458.00
Alton Memorial HospitalAltonIL36$8,490.90$5,094.54$25.00$996.56$6,771.00
St. Alexius Medical CenterHoffman EstatesIL12$902.86$978.89$1,682.17
Alexian Brothers Medical CenterElk Grove VillageIL12$902.86$978.89$1,663.16
Memorial Hospital EastShilohIL35$5,780.61$3,468.37$48.50$931.46$6,771.00
Carle Eureka HospitalEurekaIL11$1,944.00$1,944.00$69.26$874.25$1,632.96
Union County Hospital DistrictAnnaIL20$525.00$183.75$65.22$70.02$393.75
Hammond-Henry HospitalGeneseoIL5$90.00$648.00$720.00
Marshall Browning HospitalDuquoinIL5$80.00$581.60$727.00
Swedishamerican HospitalRockfordIL26$4,714.00$754.24$67.25$475.05$4,214.32
Kirby HospitalMonticelloIL9$2,122.00$1,273.20$67.91$424.40$1,909.80
Richland Memorial HospitalOlneyIL10$1,334.00$1,334.00$82.00$400.20$1,160.58
Hoopeston Community Memorial HospitaHoopsetonIL10$1,334.00$1,334.00$82.00$400.20$1,160.58
Red Bud Regional HospitalRed BudIL6$525.00$183.75$85.81$315.00$409.50
Trinity Rock IslandRock IslandIL13$840.00$672.00$64.93$293.70$2,586.80
Advocate Sherman HospitalElginIL5$1,378.06$2,597.87$4,256.00
Condell Medical CenterLibertyvilleIL5$1,378.06$2,567.37$4,681.00
Advocate Christ HospitalOak LawnIL5$1,378.06$2,447.37$6,071.00
Advocate Good Samaritan HospitalDowners GroveIL5$1,378.06$2,447.37$6,071.00
Good Shepherd HospitalBarringtonIL5$1,378.06$2,447.37$6,071.00
Advocate Northside Health SystemChicagoIL5$1,378.06$2,447.37$6,071.00
Advocate Southland HospitalChicagoIL5$1,378.06$2,447.37$6,071.00
Advocate Lutheran General HospitalPark RidgeIL5$1,378.06$2,447.37$6,071.00
South Suburban HospitalHazelcrestIL5$1,378.06$2,447.37$6,071.00
Proctor HospitalPeoriaIL10$840.00$672.00$64.93$224.58$2,484.55
Pekin Memorial HospitalPekinIL10$840.00$672.00$64.93$224.58$2,484.55
Methodist Medical Ctr Of IllinoisPeoriaIL10$840.00$672.00$64.93$214.15$2,341.41
Heartland Regional Medical CenterMarionIL23$525.00$183.75$65.22$188.02$2,708.60
Valley West Community HospitalSandwichIL16$5,927.51$4,149.26$19.00$176.70$1,676.00
Board Of Trustees Of The UniversityChicagoIL0$1,892.00$1,324.40
Jackson Park HospitalChicagoIL0$2,512.07$2,009.66
Anderson HospitalMaryvilleIL0
Midwest Medical CenterGalenaIL0$479.60$436.44

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.