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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$996.39
Median
$1,017.92
Max
$2,616.00
Range multiplier
2.6×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield864$33.15$85.00$4,408.23133.0×
UnitedHealthcare1254$12.16$2,650.00$6,648.00546.7×
Aetna1242$13.32$1,094.03$6,872.00515.9×
Cigna925$1,519.00$2,360.00$3,163.002.1×
fidelis care816$12.51$512.25$1,073.6885.8×
amerihealth816$37.03$72.82$93.112.5×
qualcare inc815$75.60$87.00$9,057.00119.8×
wellpoint814$158.08$1,016.01$3,266.0020.7×
WellCare1111$1,017.92$1,982.82$2,136.622.1×
clover health1111$996.39$1,017.92$1,073.681.1×
Humana1111$996.39$1,022.87$1,098.581.1×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$1,743.68$1,754.84$2,045.741.2×
wellpoint full dual advantage33$1,017.92$1,017.92$1,046.271.0×
Ambetter33$2,086.74$2,086.74$2,144.851.0×
braven health33$1,017.92$1,017.92$1,046.271.0×
healthspring33$1,048.46$1,048.46$1,077.661.0×
horizon nj health33$120.42$120.42$120.421.0×
horizon nj total care33$1,017.92$1,017.92$1,046.271.0×
jefferson health plan33$1,089.17$1,089.17$1,119.511.0×
Medicare33$1,017.92$1,017.92$1,046.271.0×
pa health_wellness chc12$82.77$188.94$295.103.6×
horizon nj health nj11$61.56$61.56$61.561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$5,110.00$12.16$996.39$4,408.23
Robert Wood Johnson University HospiNew BrunswickNJ13$5,110.00$12.16$996.39$4,408.23
Community Medical CenterToms RiverNJ13$3,786.00$12.41$996.39$4,174.00
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$6,311.00$14.45$996.39$9,057.00
Kennedy University HospitalCherry HillNJ5$3,740.00$1,203.21$61.56$2,616.00$6,648.00
Jersey City Medical CenterJersey CityNJ13$5,339.00$27.58$1,073.68$4,174.00
Inspira Medical Center VinelandVinelandNJ13$120.42$1,046.27$6,872.00
Newark Beth Israel Medical CenterNewarkNJ13$4,881.00$22.71$1,022.87$4,049.00
Cooperman Barnabas Medical CenterLivingstonNJ13$6,839.00$15.83$1,022.87$4,294.00
Inspira Medical Center Woodbury IncWoodburyNJ13$120.42$1,017.92$6,872.00
Inspira Medical Center ElmerElmerNJ13$120.42$1,017.92$6,872.00
Monmouth Medical CenterLong BranceNJ13$5,419.00$24.85$1,009.14$4,294.00

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.