▸ Compare · PriceTransparency
Sigmoidoscopy with biopsy
CPT 45331 · negotiated-rate distribution across hospitals in MI
Hospitals
27
Min
$85.57
Median
$922.47
Max
$2,051.19
Range multiplier
24.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicare | 13 | 82 | $65.23 | $889.17 | $1,422.68 | 21.8× |
| Medicaid | 13 | 78 | $46.22 | $498.71 | $1,907.7 | 41.3× |
| UnitedHealthcare | 21 | 74 | $46.22 | $889.17 | $3,109.52 | 67.3× |
| Aetna | 22 | 57 | $81.39 | $950.38 | $11,584 | 142.3× |
| Humana | 19 | 39 | $65.23 | $889.17 | $1,045.42 | 16.0× |
| Blue Cross Blue Shield | 15 | 37 | $115.57 | $698.8 | $1,907.7 | 16.5× |
| Medicare Advantage | 9 | 16 | $782.93 | $915.16 | $922.47 | 1.2× |
| smarthealth | 8 | 16 | $1,281.22 | $1,281.22 | $1,330.53 | 1.0× |
| Ambetter | 8 | 16 | $1,510.01 | $1,510.01 | $1,539.62 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $924.31 | $928.89 | $933.46 | 1.0× |
| WellCare | 7 | 14 | $915.16 | $915.16 | $915.16 | 1.0× |
| Oscar Health | 7 | 14 | $1,464.26 | $1,464.26 | $1,464.26 | 1.0× |
| occunet | 7 | 14 | $1,693.05 | $1,876.08 | $2,059.11 | 1.2× |
| blue mcr replacement | 7 | 14 | $915.16 | $915.16 | $915.16 | 1.0× |
| facility billing - op | 7 | 14 | $915.16 | $915.16 | $915.16 | 1.0× |
| priority health op rate | 10 | 12 | $651.63 | $1,297.98 | $2,675.96 | 4.1× |
| TRICARE | 10 | 11 | $803.95 | $893.28 | $1,775.59 | 2.2× |
| priority health | 9 | 9 | $109.05 | $109.05 | $494.47 | 4.5× |
| First Health | 8 | 9 | $86.46 | $2,500.9 | $3,553.74 | 41.1× |
| hap - hmo | 8 | 8 | $69.88 | $69.88 | $69.88 | 1.0× |
| u of m health plan | 8 | 8 | $75.01 | $75.01 | $75.01 | 1.0× |
| mclaren commercial ins | 8 | 8 | $80.57 | $80.57 | $80.57 | 1.0× |
| mi amish medical board | 7 | 7 | $889.17 | $889.17 | $889.17 | 1.0× |
| hap - hmo op rate | 5 | 6 | $655.87 | $1,049.86 | $1,389.38 | 2.1× |
| hp - ppo op rate | 4 | 5 | $1,099.03 | $1,712.07 | $1,913.19 | 1.7× |
| hp - hmo op rate | 4 | 5 | $825.08 | $1,233.9 | $1,437.66 | 1.7× |
| mclaren health op rate | 4 | 5 | $385.61 | $750.49 | $1,108.33 | 2.9× |
| hap preferred op rate | 4 | 5 | $692.66 | $959.61 | $2,696.88 | 3.9× |
| cofinity - auto op rate | 4 | 5 | $1,017.73 | $1,326.6 | $3,253.44 | 3.2× |
| cofinity - ppom op rate | 3 | 4 | $1,146.85 | $2,108.98 | $2,571.26 | 2.2× |
| harbor health plan | 1 | 4 | $494.47 | $543.91 | $922.47 | 1.9× |
| hap - ppo op rate | 3 | 3 | $1,099.03 | $1,927.69 | $1,927.69 | 1.8× |
| mhp - hmo op rate | 2 | 3 | $561.05 | $752 | $1,079.76 | 1.9× |
| hap op rate | 2 | 3 | $1,362.42 | $1,940.91 | $2,174.69 | 1.6× |
| hcap op rate | 3 | 3 | $883.88 | $1,804.39 | $1,804.39 | 2.0× |
| health advantage - ppo op rate | 2 | 3 | $561.05 | $752 | $1,079.76 | 1.9× |
| total health care priority health | 1 | 3 | $494.47 | $907.98 | $922.47 | 1.9× |
| cofinity wc op rate | 1 | 2 | $1,146.85 | $1,396.77 | $1,646.69 | 1.4× |
| cofinity op rate | 2 | 2 | $910.4 | $1,397.66 | $1,884.91 | 2.1× |
| hap ahl op rate | 2 | 2 | $598.68 | $645.67 | $692.66 | 1.2× |
| blue care network op rate | 2 | 2 | $584.76 | $584.76 | $584.76 | 1.0× |
| mclaren health plan op rate | 2 | 2 | $402.86 | $402.86 | $402.86 | 1.0× |
| hap/ahl op rate | 1 | 2 | $862.01 | $1,049.86 | $1,237.71 | 1.4× |
| mclaren health plan | 1 | 2 | $494.47 | $708.47 | $922.47 | 1.9× |
| bcn op rate | 2 | 2 | $526.5 | $824.76 | $1,123.01 | 2.1× |
| hurley medical center op rate | 1 | 2 | $655.34 | $798.16 | $940.97 | 1.4× |
| health advantage - commercial op rate | 2 | 2 | $1,054.06 | $1,054.06 | $1,054.06 | 1.0× |
| Cigna | 2 | 2 | $642.84 | $666.13 | $689.42 | 1.1× |
| cofinity - wc/auto op rate | 1 | 2 | $1,326.6 | $1,615.7 | $1,904.79 | 1.4× |
| health plus hmo op rate | 2 | 2 | $654.07 | $710.06 | $766.05 | 1.2× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| TAWAS ST. JOSEPH HOSPITAL | TAWAS | MI | 9 | — | — | $950.38 | $997.9 | $1,539.62 |
| BORGESS-PIPP HEALTH CENTER | PLAINWELL | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| ASCENSION ALLEGAN HOSPITAL | ALLEGAN | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| ASCENSION BORGESS HOSPITAL | KALAMAZOO | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| ASCENSION PROVIDENCE ROCHESTER HOSPI | ROCHESTER | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| GENESYS REGIONAL MEDICAL CTR. | GRAND BLANC | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| ASCENSION STANDISH HOSPITAL | STANDISH | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| ASCENSION BORGESS-LEE HOSPITAL | DOWAGIAC | MI | 12 | — | — | $915.16 | $942.61 | $11,584 |
| GARDEN CITY HOSPITAL OSTEOPATHIC | GARDEN CITY | MI | 19 | $6,000 | $922 | $494.47 | $922.47 | $1,429.83 |
| MCLAREN FLINT | FLINT | MI | 26 | $6,749.25 | $3,374.63 | $46.22 | $889.17 | $2,856.51 |
| MCLAREN THUMB REGION | BAD AXE | MI | 11 | $4,997.03 | $2,498.52 | $46.22 | $85.57 | $1,775.59 |
| MCLAREN OAKLAND | PONTIAC | MI | 14 | — | $681.7 | $484.13 | $825.93 | $1,311 |
| MCLAREN GREATER LANSING | LANSING MI 489100 | MI | 20 | $5,945.55 | $2,972.78 | $46.22 | $703.38 | $3,553.74 |
| MCLAREN LAPEER REGION | LAPEER | MI | 24 | $6,190.7 | $3,095.35 | $46.22 | $696.82 | $1,907.7 |
| KARMANOS CANCER HOSPITAL | DETROIT | MI | 15 | — | $557.2 | $395.35 | $692.66 | $1,071.4 |
| MCLAREN PORT HURON | PORT HURON | MI | 29 | $4,972.15 | $2,486.08 | $46.22 | $592.08 | $1,422.68 |
| BAY REGIONAL MEDICAL CENTER | BAY CITY | MI | 24 | $3,378.01 | $1,689.01 | $46.22 | $584.76 | $2,571.26 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | MI | 15 | $4,122.59 | $2,061.3 | $46.22 | $543.59 | $2,541.56 |
| MCLAREN CENTRAL MICHIGAN | MT PLEASANT | MI | 17 | $12,211 | $6,105.46 | $46.22 | $501.76 | $2,261.9 |
| MCLAREN MACOMB | MT. CLEMENS | MI | 20 | — | $2,273.55 | $469.76 | $2,051.19 | $4,092.38 |
| ASCENSION ST JOHN HOSPITAL | DETROIT | MI | 3 | — | — | $81.39 | $163.81 | $163.81 |
| MCLAREN BAY SPECIAL CARE | BAY CITY | MI | 17 | — | $1,503.66 | $402.86 | $1,233.9 | $2,571.26 |
| MCKENZIE HEALTH SYSTEM | SANDUSY | MI | 0 | $572 | $457.6 | — | — | — |
| NORTH OTTAWA COMMUNITY HOSPITAL | GRAND HAVEN | MI | 0 | $6,262 | $4,383.4 | — | — | — |
| CARSON CITY HOSPITAL | CARSON CITY | MI | 0 | $560 | $280 | — | — | — |
| SPARROW EATON | CHARLOTTE | MI | 0 | $560 | $280 | — | — | — |
| SPARROW CLINTON HOSPITAL | ST. JOHNS | MI | 0 | $560 | $280 | — | — | — |
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.