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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in MN

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Hospitals
19
Min
$78.55
Median
$921.69
Max
$1,038.76
Range multiplier
13.2×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11180$34.71$1,666.16$2,598.0874.9×
health partners12172$48.75$706.74$2,852.858.5×
medica12169$51.98$652$2,349.5745.2×
Blue Cross Blue Shield18119$55.62$461.13$12,335221.8×
ucare1292$49.68$711.92$2,085.4642.0×
sanford health plan1290$26.9$907.51$1,663.6961.8×
security health plan1188$33.34$934.7$2,118.4563.5×
UnitedHealthcare1782$66.19$886.9$3,31550.1×
First Health1672$37.45$2,315.68$3,532.594.3×
Multiplan1269$38.82$2,400.4$2,400.9161.8×
private healthcare systems1166$38.82$2,400.4$2,400.9161.8×
wisconsin physician services1166$41.11$2,541.6$2,542.1461.8×
itasca medical care1144$48.75$458.2$917.4718.8×
primewest1143$48.75$66.19$917.4718.8×
south country health alliance936$48.75$458.2$907.5118.6×
WellCare1122$66.19$473.32$917.4713.9×
Medicaid619$8.66$721.89$1,834.94211.9×
hennepin health919$55.09$55.09$918.2316.7×
Medicare713$78.55$926.42$988.7812.6×
optum110$71.49$848.31$1,610.0322.5×
Humana39$78.55$291.24$1,835.9923.4×
Cigna16$88.48$1,068.76$1,581.7817.9×
interlink16$118.5$1,431.38$2,118.4517.9×
Aetna16$107.44$1,297.78$1,920.7317.9×
medica [900156]56$595.25$1,783.73$2,3513.9×
healthpartners [900713]56$542.65$1,683.39$1,838.523.4×
emerging therapies16$101.12$1,221.44$1,807.7517.9×
ma wisconsin replacement [950271]22$860.11$879.88$899.651.0×
commercial | preferred one | all other plans11$121.68$121.68$121.681.0×
commercial | sanford health plan | all plans11$510.15$510.15$510.151.0×
commercial | medica | all plans11$1,091$1,091$1,0911.0×
commercial | health partners | all plans11$1,650.82$1,650.82$1,650.821.0×
hp11$341$341$3411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LAKEVIEW MEMORIALSTILLWATERMN7$3,925$1,452.25$8.66$967.09$3,532.5
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN17$2,824.61$1,132.67$48.75$961.96$2,872
FAIRVIEW NORTHLAND REGPRINCETONMN17$2,824.61$1,132.67$48.75$961.96$2,872
REGIONS HOSPITALST PAULMN7$1,194$310.44$342.18$959.16$1,869
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN15$2,824$1,200.2$48.75$953.05$7,269.12
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$2,824.61$1,132.67$48.75$951.44$2,872
RANGE REGIONAL HEALTH SERVICESHIBBINGMN15$2,824$1,200.2$48.75$933.27$12,335
PARK NICOLLET METHODIST HOSPITALST. LOUIS PARKMN8$2,983$775.58$482$922.27$2,237.25
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN17$2,824.61$1,200.46$48.75$921.69$2,872
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN17$2,824.61$1,200.46$48.75$921.69$2,872
FAIRVIEW RIDGES HOSPITALBURNSVILLEMN17$2,824.61$1,200.46$48.75$921.69$2,872
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN17$2,824.61$1,200.46$48.75$921.69$2,872
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN17$2,824.61$1,200.46$48.75$921.69$2,872
FAIRVIEW SOUTHDALE HOSPITALEDINAMN17$2,824.61$1,132.67$26.9$907.51$2,762
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN4$78.55$78.55$121.68
OLIVIA HOSPITAL AND CLINICSOLIVIAMN7$1,940$1,183.4$79.29$603.34$1,921.76
ST. GABRIELS HOSPITALLITTLE FALLSMN13$809$469.22$78.55$457.09$1,650.82
COMMUNITY MEMORIAL HOSPITALCLOQUETMN1$341$228.47$341$341$341
HUTCHINSON HEALTH CAREHUTCHINSONMN8$2,644$1,216.24$422.49$1,038.76$3,762.58

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.