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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$163.21
Median
$1,000.56
Max
$2,768.92
Range multiplier
17.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield692$29.69$363.9$5,290.04178.2×
UnitedHealthcare951$47.16$337.1$9,831208.5×
Emblem Health442$35.69$987.1$2,677.9975.0×
Aetna942$57.26$670.15$9,784170.9×
Empire BCBS331$73.85$1,092.76$5,36772.7×
Healthfirst228$65.65$942.68$2,259.2934.4×
Medicaid225$30.34$150.35$949.8431.3×
Medicare222$57.26$246.97$1,276.9422.3×
mvp418$57.26$586.26$2,259.2939.5×
capital district physicians' health plan316$176.07$258.92$1,866.6910.6×
fidelis care416$57.26$80.21$1,154.420.2×
amerihealth110$66.85$105.06$1,132.8316.9×
Cigna310$85.82$412.5$6,53976.2×
fidelis29$80.66$1,004.13$2,475.6430.7×
magnacare59$523.2$1,894.4$3,9577.6×
Humana68$57.26$962.19$1,160.8520.3×
Multiplan37$621.3$2,203.2$3,121.25.0×
[fidelis]16$82.06$978.83$2,250.5827.4×
geisinger16$92.32$101.87$363.23.9×
mvp 290016$62.18$255.4$2,544.5940.9×
oxford26$377.52$1,498$7,40019.6×
independent health 515614$88.08$221.69$399.714.5×
[oxford]14$379.57$4,097.39$9,32024.6×
Molina34$70.49$1,090.06$2,259.2932.1×
martins point34$258.91$594.58$1,193.044.6×
fidelis 515514$79.09$202.76$367.054.6×
VA Health34$67.37$498.81$1,113.9516.5×
excellus 220114$57.26$143.73$258.924.5×
univera14$58.45$69.35$104.531.8×
choicecare24$279.27$651.3$1,958.47.0×
[magnacare]14$1,000.8$1,537.6$2,617.62.6×
[metroplus]14$143.61$1,203.72$2,552.1617.8×
emblemhealth13$145.13$1,024.94$1,62211.2×
centers plan for healthy living23$82.93$997$1,078.8813.0×
First Health23$588.6$2,080.8$2,131.23.6×
harvard pilgrim23$523.2$1,894.4$1,958.43.7×
wellpath23$94.32$1,395.36$1,670.9217.7×
pennsylvania health and wellness13$84.04$95.51$340.54.1×
st. regis23$523.2$523.2$1,113.952.1×
urn12$1,084.2$1,773.24$2,462.282.3×
Anthem BCBS12$70.49$70.49$70.491.0×
martin's point12$650$864.44$1,078.881.7×
6 degrees health12$1,112$1,943.2$2,774.42.5×
[urn]12$1,084.2$1,703.66$2,323.122.1×
metroplus12$80.66$1,167.43$2,254.227.9×
life pittsburgh12$67.31$573.1$1,078.8816.0×
partners health plan12$997$997$9971.0×
jefferson health plans12$97.42$222.37$347.313.6×
capital district physicians health plan (cdphp) 514912$174.51$439.14$703.764.0×
american health plans12$74.04$576.46$1,078.8814.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$2,368$2,368$57.26$523.2$5,290.04
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY5$4,552.6$4,552.6$949.84$2,768.92$4,822
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$202$44.44$58.45$239.1$2,071.45
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$498$296.96$29.69$220.08$3,216.83
ALICE HYDE MEDICAL CENTERMALONENY12$1,770$1,770$57.26$163.21$1,734.6
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$2,448$2,448$176.07$1,187.28$2,254.61
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY10$70.49$1,049.16$1,622
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$6,300$997$997$1,004.13$3,957
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$3,468$3,468$35.69$1,000.56$9,831
NYU LANGONE HOSPITALSNEW YORKNY0$3,054.21$580.3
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$3,054.21$580.3

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.