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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in MO

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Hospitals
10
Min
$85.00
Median
$699.48
Max
$1,106.74
Range multiplier
13.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield883$23.32$997.59$2,098.4490.0×
Aetna857$22.00$75.00$2,281.00103.7×
Cigna855$49.20$828.52$6,771.00137.6×
Humana836$22.20$868.24$6,690.00301.4×
allied benefits [498]735$58.00$74.30$2,281.0039.3×
cox health systems insurance company [220]735$55.00$65.00$1,389.8525.3×
UnitedHealthcare835$22.40$915.27$6,278.00280.3×
consociate [478]730$54.20$1,850.00$4,587.0084.6×
med-pay [480]728$65.00$432.00$1,895.2529.2×
phcs [244]728$75.00$460.80$2,021.6027.0×
healthscope benefits [258]727$65.00$995.85$6,278.0096.6×
healthcare sol mercy [609]721$75.00$904.50$1,895.2525.3×
medica [661]721$80.00$964.80$2,021.6025.3×
hope trust [806]721$58.00$699.48$1,465.6625.3×
healthlink [225]721$48.50$65.00$75.501.6×
health alliance [224]721$55.00$663.30$1,768.9032.2×
Workers Comp120$754.17$1,419.96$1,419.961.9×
priority health [648]719$54.30$828.52$6,771.00124.7×
apwu health plan [216]719$54.30$828.52$6,771.00124.7×
nalc health benefit plan [242]719$54.30$828.52$6,771.00124.7×
sarah bush lincoln [636]718$54.20$1,850.00$4,587.0084.6×
unicare [568]714$65.00$70.25$75.501.2×
cox health [757]711$23.10$557.17$1,047.4745.3×
medica [662]711$23.54$567.78$1,047.4744.5×
essence healthcare [221]711$22.00$530.64$997.5945.3×
devoted health plan [847]610$24.15$582.50$1,047.4743.4×
First Health810$74.30$74.30$975.5113.1×
Multiplan89$75.00$75.00$2,344.2531.3×
hfn [563]77$80.00$80.00$85.001.1×
coresource [497]77$60.30$60.30$2,281.0037.8×
health systems inc [620]77$75.00$75.00$75.001.0×
preferred health professionals [561]77$75.50$75.50$75.501.0×
beechstreet [551]77$75.00$75.00$75.001.0×
fmh benefit service inc [222]77$60.30$60.30$2,281.0037.8×
mail handlers [495]77$60.30$60.30$2,281.0037.8×
detego health [868]77$75.00$75.00$75.001.0×
Medicare25$868.24$885.60$934.671.1×
gallagher bassett [5032000103]14$1,419.96$1,419.96$1,419.961.0×
6 degrees health [503999050]14$1,693.07$1,931.84$2,170.601.3×
centivo [5032000982]14$1,649.65$1,649.65$1,649.651.0×
php [503200005]13$865.20$873.56$1,065.641.2×
alt wppa [5032000964]13$873.56$1,736.48$1,736.482.0×
Meritain Health13$744.07$975.51$1,211.281.6×
lasso healthcare [503999926]12$868.24$868.24$868.241.0×
triwest [503201703]12$868.24$868.24$868.241.0×
allwell [503200078]12$894.29$894.29$894.291.0×
TRICARE12$868.24$868.24$868.241.0×
wellfit [503301514]12$1,649.65$1,649.65$1,649.651.0×
sedgwick claims management services [53201618]12$1,419.96$1,419.96$1,419.961.0×
Ambetter12$1,476.01$1,476.01$1,476.011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$5,786.11$3,471.67$48.50$931.46$6,771.00
Progress West HospitalOfallonMO36$2,945.51$1,767.31$48.50$931.46$6,771.00
St. Louis Childrens HospitalSt. LouisMO34$12,219$7,331.37$48.50$85.00$6,278.00
Parkland Health Center - FarmingtonFarmingtonMO35$4,912.29$2,947.37$45.60$699.48$4,587.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO36$4,601.44$2,760.86$45.60$610.16$4,402.00
Missouri Baptist Sullivan HospitalSullivanMO35$8,193.96$4,916.38$22.00$274.37$4,587.00
Missouri Baptist Hospital SullivanSullivanMO35$8,193.96$4,916.38$22.00$274.37$4,587.00
North Kansas City HospitalNorth Kansas CityMO65$9,208.52$1,841.70$425.39$1,106.74$2,604.72
Harrison County Community HospitalBethanyMO0$162.00$81.00
Missouri Delta Medical CenterSikestonMO0$9,820.04$2,455.01

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.