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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in MO

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Hospitals
10
Min
$85
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$75$2,281103.7×
Cigna855$49.2$828.52$6,771137.6×
Humana836$22.2$868.24$6,690301.4×
allied benefits [498]735$58$74.3$2,28139.3×
cox health systems insurance company [220]735$55$65$1,389.8525.3×
UnitedHealthcare835$22.4$915.27$6,278280.3×
consociate [478]730$54.2$1,850$4,58784.6×
med-pay [480]728$65$432$1,895.2529.2×
phcs [244]728$75$460.8$2,021.627.0×
healthscope benefits [258]727$65$995.85$6,27896.6×
healthcare sol mercy [609]721$75$904.5$1,895.2525.3×
medica [661]721$80$964.8$2,021.625.3×
hope trust [806]721$58$699.48$1,465.6625.3×
healthlink [225]721$48.5$65$75.51.6×
health alliance [224]721$55$663.3$1,768.932.2×
Workers Comp120$754.17$1,419.96$1,419.961.9×
priority health [648]719$54.3$828.52$6,771124.7×
apwu health plan [216]719$54.3$828.52$6,771124.7×
nalc health benefit plan [242]719$54.3$828.52$6,771124.7×
sarah bush lincoln [636]718$54.2$1,850$4,58784.6×
unicare [568]714$65$70.25$75.51.2×
cox health [757]711$23.1$557.17$1,047.4745.3×
medica [662]711$23.54$567.78$1,047.4744.5×
essence healthcare [221]711$22$530.64$997.5945.3×
devoted health plan [847]610$24.15$582.5$1,047.4743.4×
First Health810$74.3$74.3$975.5113.1×
Multiplan89$75$75$2,344.2531.3×
hfn [563]77$80$80$851.1×
coresource [497]77$60.3$60.3$2,28137.8×
health systems inc [620]77$75$75$751.0×
preferred health professionals [561]77$75.5$75.5$75.51.0×
beechstreet [551]77$75$75$751.0×
fmh benefit service inc [222]77$60.3$60.3$2,28137.8×
mail handlers [495]77$60.3$60.3$2,28137.8×
detego health [868]77$75$75$751.0×
Medicare25$868.24$885.6$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$2,170.61.3×
centivo [5032000982]14$1,649.65$1,649.65$1,649.651.0×
php [503200005]13$865.2$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$48.5$931.46$6,771
PROGRESS WEST HOSPITALOFALLONMO36$2,945.51$1,767.31$48.5$931.46$6,771
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO34$12,219$7,331.37$48.5$85$6,278
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$4,912.29$2,947.37$45.6$699.48$4,587
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO36$4,601.44$2,760.86$45.6$610.16$4,402
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO35$8,193.96$4,916.38$22$274.37$4,587
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO35$8,193.96$4,916.38$22$274.37$4,587
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO65$9,208.52$1,841.7$425.39$1,106.74$2,604.72
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$162$81
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.