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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in KS

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Hospitals
11
Min
$75.9
Median
$851.6
Max
$1,354.23
Range multiplier
17.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1044$38.3$762.99$1,862.3748.6×
UnitedHealthcare833$225$929.02$2,360.8810.5×
Aetna827$85$1,215.54$11,236132.2×
Medicare626$843.17$851.6$915.161.1×
Humana823$843.17$868.24$1,948.772.3×
Medicare Advantage522$843.17$843.17$933.461.1×
Workers Comp120$754.17$1,419.96$1,419.961.9×
Cigna412$36.5$1,016.73$4,583125.6×
Ambetter612$1,433.39$1,433.39$1,738.81.2×
First Health310$59.28$401.68$2,708.4645.7×
smarthealth510$1,180.44$1,180.44$1,281.221.1×
va48$843.17$843.17$843.171.0×
Medicaid17$296.08$296.08$777.212.6×
TRICARE45$420.32$420.32$868.242.1×
transplants-case rates [5750]15$35$40$1002.9×
centivo [5032000982]14$1,649.65$1,649.65$1,649.651.0×
gallagher bassett [5032000103]14$1,419.96$1,419.96$1,419.961.0×
Multiplan34$887.92$2,344.25$2,566.432.9×
vc hope24$843.17$843.17$843.171.0×
6 degrees health [503999050]14$1,693.07$1,931.84$2,170.61.3×
alt wppa [5032000964]13$873.56$1,736.48$1,736.482.0×
providrs care33$363.53$363.53$363.531.0×
kancare healthy blue33$234$234$2341.0×
Meritain Health13$744.07$975.51$1,211.281.6×
php [503200005]13$865.2$873.56$1,065.641.2×
kancare sunflower33$234$234$2341.0×
kancare amerigroup33$236.25$236.25$236.251.0×
commercial-contracted [8000]13$75$86.3$1,12415.0×
healthcare highways [2210]13$1,354.23$1,354.23$1,354.231.0×
90 degree benefits12$1,647.29$1,647.29$1,647.291.0×
centurion [5032000966]12$1,128.71$1,128.71$1,128.711.0×
prime health services [503999912]12$1,419.96$1,419.96$1,419.961.0×
research study encore borland-groover12$915.16$915.16$915.161.0×
careplus mcr replacement12$933.46$933.46$933.461.0×
pace place12$915.16$915.16$915.161.0×
oscar [503201609]12$1,649.65$1,649.65$1,649.651.0×
GEHA12$754.17$813.87$873.561.2×
occunet [503999930]12$1,823.3$1,823.3$1,823.31.0×
Oscar Health12$1,464.26$1,464.26$1,464.261.0×
saint lukes health systems12$843.17$843.17$843.171.0×
bc advantage mcr replacement12$915.16$915.16$915.161.0×
avmed exchange12$1,647.29$1,647.29$1,647.291.0×
advanced medical pricing solutions [503301513]12$2,604.72$2,604.72$2,604.721.0×
Molina12$1,693.05$1,693.05$1,693.051.0×
fort hays state student athletes [5032000960]12$1,823.3$1,823.3$1,823.31.0×
employer direct healthcare12$1,601.53$1,601.53$1,601.531.0×
devoted [503200068]12$868.24$868.24$868.241.0×
alt bnsf railway co [503301503]12$1,419.96$1,419.96$1,419.961.0×
corizon12$1,053.96$1,053.96$1,053.961.0×
allwell [503200078]12$894.29$894.29$894.291.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
GREAT PLAINS OF OTTAWA COUNTY INCMINNEAPOLISKS23$896.86$933.46$11,236
VIA CHRISTI REHAB CENTER INCWICHITAKS10$281.18$851.6$2,360.88
VIA CHRISTI HOSP. WICHITA ST. TERESAWICHITAKS12$843.17$851.6$2,360.88
VIA CHRISTI HOSPITAL PITTSBURG INC.PITTSBURGKS14$225$843.17$2,360.88
MERCY REGIONAL HEALTH CENTERMANHATTANKS14$225$843.17$2,360.88
REHABILITATION HOSP OF OVERLAND PARKOVERLAND PARKKS9$1,109.9$1,109.9$665.94$832.43$998.91
ST. LUKES SOUTHOVERLAND PARKKS9$8,993.75$5,396.25$35$75.9$4,583
WAMEGO HOSPITAL ASSOCIATIONWAMEGOKS8$225$236.25$1,117.06
ST.FRANCIS HEALTH CENTERTOPEKAKS19$3,303$990.9$1,354.23$1,354.23$3,303
UNIVERSITY OF KANSAS HOSPITALKANSAS CITYKS65$9,208.52$1,841.7$425.39$1,106.74$2,604.72
CHILDRENS MERCY HOSPITAL KANSASOVERLAND PARKKS0$590$283.2

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.