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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in MS

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Hospitals
11
Min
$87.5
Median
$834.85
Max
$996.56
Range multiplier
11.4×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare441$64.3$996.56$1,771.6427.6×
Medicaid234$29.69$235.19$677.1622.8×
Blue Cross Blue Shield430$42.68$659.39$5,664.44132.7×
Medicare228$62.25$296.55$1,848.2529.7×
Cigna318$85.82$1,308.06$3,039.835.4×
Aetna310$58.45$158.06$2,166.6437.1×
excellus 220118$58.45$169.23$432.867.4×
independent health 515617$106.87$422.54$1,848.2517.3×
Humana47$54$834.85$1,243.2723.0×
Molina23$846.45$846.45$996.561.2×
generic hospice vbid [10940000101]12$834.85$834.85$834.851.0×
va hospital [600005]12$834.85$834.85$834.851.0×
TRICARE12$817.57$817.57$817.571.0×
healthcare highways12$44$54.5$651.5×
capital district physicians health plan (cdphp) 514912$174.51$439.14$703.764.0×
transplant optum tenncare [350013]12$581$581$5811.0×
First Health12$85$87.5$901.1×
langston performance health [100405]12$2,439$2,439$2,4391.0×
carecentrix [450200]12$834.85$834.85$834.851.0×
fidelis 515512$92.84$229.95$367.054.0×
american health advantage mcr adv [450117]12$834.85$834.85$834.851.0×
Medicare Advantage12$834.85$834.85$834.851.0×
devoted health [450111]12$834.85$834.85$834.851.0×
WellCare11$996.56$996.56$996.561.0×
Empire BCBS11$2,200.59$2,200.59$2,200.591.0×
friday health plan11$58.32$58.32$58.321.0×
healthsmart11$94$94$941.0×
medica11$42$42$421.0×
meridian11$1,156.01$1,156.01$1,156.011.0×
mvp 290011$2,934.12$2,934.12$2,934.121.0×
oklahoma health network (ohn)11$80$80$801.0×
osma health11$90$90$901.0×
preferred community choice11$92$92$921.0×
Self-Pay (Cash)11$35.1$35.1$35.11.0×
total senior care 131911$1,243.27$1,243.27$1,243.271.0×
upmc health plan 513811$932.45$932.45$932.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MISSISSIPPI METHODIST REHAB CENTERJACKSONMS7$69.26$996.56$2,166.64
JEFFERSON COUNTY HOSPITALFAYETTEMS14$35.1$87.5$5,664.44
METHODIST H/C OLIVE BRANCH HOSPITALOLIVE BRANCHMS16$9,561.2$2,103.46$250$834.85$2,439
MONTFORT JONES MEMORIAL HOSPITALKOSCIUSKOMS15$614$138.94$29.69$244.5$3,039.8
LAIRD HOSPITALUNIONMS0$1,511$921.71
SCOTT REGIONAL HOSPITALMORTONMS0$1,511$951.93
DELTA HEALTH-NORTHWEST REGIONALCLARKSDALEMS0$3,889.08$1,944.54
JOHN C. STENNIS MEMORIAL HOSPITALDEKALBMS0$1,511$1,042.59
DELTA HEALTH-THE MEDICAL CENTERGREENVILLEMS0$3,889.08$1,944.54
MARION GENERAL HOSPITALCOLUMBIAMS0$32,660$19,596
H.C. WATKINS MEMORIAL HOSPITALQUITMANMS0$1,511$1,012.37

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.