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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in OH

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Hospitals
26
Min
$255.00
Median
$1,382.35
Max
$3,437.36
Range multiplier
13.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$469.60$1,240.02$3,700.577.9×
Aetna20104$71.00$1,416.10$3,889.1354.8×
UnitedHealthcare2095$46.22$947.95$3,540.4876.6×
Anthem BCBS1892$81.26$1,543.21$4,433.0054.6×
Cigna1972$98.00$1,394.40$3,383.3534.5×
ohio health choice1868$167.30$1,688.70$3,908.7723.4×
First Health1947$82.40$2,066.70$3,849.8546.7×
healthsmart1744$131.45$1,618.50$4,173.9431.8×
the health plan1839$81.26$1,427.36$3,437.3642.3×
Medicare238$45.00$749.70$1,422.6831.6×
summacare1636$81.26$845.19$1,896.5423.3×
Multiplan1734$1,459.80$2,241.00$4,664.993.2×
ohio preferred network1634$179.25$2,078.40$2,338.2013.0×
immergrun1530$811.00$1,245.00$1,558.801.9×
amish aid community plan1530$746.12$1,145.40$1,299.001.7×
amish church fund and workers aid plan1530$746.12$1,145.40$1,299.001.7×
beech street1530$1,297.60$2,078.40$2,338.201.8×
buckeye plain ministries1530$746.12$1,145.40$1,299.001.7×
private healthcare system1530$1,394.92$2,141.40$2,234.281.6×
century health network1530$1,378.70$2,116.50$2,208.301.6×
christian healthcare ministries1530$811.00$1,245.00$1,299.001.6×
clarity1530$1,127.04$1,195.20$1,818.601.6×
configurenet1530$1,459.80$2,241.00$2,338.201.6×
fortified provider network1530$1,459.80$2,241.00$2,338.201.6×
Humana2030$53.10$845.19$4,664.9987.9×
aultcare1625$81.26$1,369.50$1,714.6821.1×
medical mutual traditional/health ohio1122$1,135.40$1,743.00$1,818.601.6×
transplants-case rates [5750]122$35.00$332.78$1,373.7839.3×
Molina1822$81.26$845.19$2,214.6427.3×
Medicaid221$46.22$243.36$1,666.0036.0×
CareSource1619$82.89$1,521.34$1,521.3418.4×
jp farley1416$1,103.56$1,195.20$1,558.801.4×
Ambetter1516$845.28$1,521.34$1,521.341.8×
sunrise plan communities816$1,174.00$1,245.00$1,245.001.1×
perennial advantage of ohio1515$493.08$887.45$887.451.8×
primetime health plan1515$469.60$845.19$845.191.8×
valor health plans1515$493.08$887.45$887.451.8×
WellCare1515$469.60$845.19$845.191.8×
paramount1515$483.69$870.55$870.551.8×
university health employee plan (contigo)1314$1,299.00$1,441.44$1,441.441.1×
devoted health1414$469.60$845.19$845.191.8×
sunrise plain communities714$811.00$1,299.00$1,299.001.6×
Blue Cross Blue Shield212$98.00$808.00$1,632.6816.7×
medical mutual110$81.26$214.74$547.506.7×
enterprise group planning48$1,454.88$1,454.88$1,818.601.2×
commercial-contracted [8000]18$48.00$437.34$1,249.5026.0×
health ohio network48$1,506.84$1,506.84$1,740.661.2×
ohio ppo connect24$3,437.36$3,437.36$3,437.361.0×
integrated health plan12$4,664.99$4,664.99$4,664.991.0×
medical mutual of ohio supermed12$3,700.57$3,700.57$3,700.571.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Lukes HospitalMaumeeOH12$3,378.01$1,689.01$46.22$498.71$1,422.68
Adams County Regional Medical CenterSeamanOH10$4,462.70$2,677.62$35.00$413.23$1,666.00
Adena Regional Medical CenterChillicotheOH21$4,910.52$2,455.26$868.77$3,437.36$4,664.99
Fayette County Memorial HospWashington Court HouseOH18$4,910.52$2,455.26$1,669.58$3,255.67$5,548.89
Twin City HospitalDennisonOH16$750.00$372.00$71.00$255.00$4,072.01
Rainbow Babies & Childrens HospitalClevelandOH40$2,598.00$1,948.50$845.19$1,644.53$2,338.20
Uh Cleveland Medical CenterClevelandOH40$2,598.00$1,948.50$732.64$1,491.25$2,338.20
University Hospitals Avon Rehab HospAvonOH40$2,598.00$1,948.50$732.64$1,491.25$2,338.20
University Hospitals Rehab HospitalBeachwoodOH40$2,598.00$1,948.50$732.64$1,491.25$2,338.20
Uh Conneaut Medical CenterConneautOH38$2,348.00$1,761.00$727.88$1,483.82$2,547.19
Uh Geneva Medical CenterGenevaOH37$2,348.00$1,761.00$469.60$1,483.82$2,547.19
Lake Hospital SystemConcordOH36$2,490.00$1,867.50$845.19$1,441.44$2,556.13
Uh Samaritan Medical CenterAshlandOH38$1,622.00$1,216.50$574.19$1,382.35$1,607.40
Uh Portage Medical CenterRavennaOH37$2,490.00$1,867.50$597.60$1,369.90$2,547.19
Uh Ahuja Medical CenterBeachwoodOH38$2,490.00$1,867.50$575.19$1,369.50$2,547.19
Uh Geauga Medical CenterChardonOH37$2,490.00$1,867.50$642.42$1,369.50$2,547.19
Uh Regional HospitalsRichmond HeightsOH37$2,490.00$1,867.50$642.42$1,369.50$2,547.19
Uh Elyria Medical CenterElyriaOH38$2,490.00$1,867.50$814.23$1,287.40$2,547.19
Uh St. John Medical CenterWestlakeOH38$2,490.00$1,867.50$677.28$1,263.68$2,547.19
Uh Parma Medical CenterParmaOH37$2,490.00$1,867.50$749.49$1,245.00$2,547.19
Barnesville HospitalBarnesvilleOH0$162.00$81.00
Harrison Community HospitalCadizOH0$162.00$81.00
Henry County Hospital (Cah)NapoleonOH0$170.00$127.50
Good Samaritan HospitalCincinnatiOH0$2,735.00$2,051.25
Wayne Hospital CompanyGreenvilleOH0$9,310.10$6,982.58
Bethesda HospitalCincinnatiOH0$2,735.00$2,051.25

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.