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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in OK

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Hospitals
9
Min
$87.5
Median
$1,655.55
Max
$2,000.56
Range multiplier
22.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthcare highways [2210]629$636.75$1,393.07$1,916.943.0×
Blue Cross Blue Shield210$163.81$1,885.79$5,664.4434.6×
First Health68$85$1,684.17$2,412.4428.4×
Multiplan67$1,488.65$2,010.39$2,625.761.8×
pba [1775]77$1,385.68$1,756.45$2,364.51.7×
hooray health [8000]66$636.75$818.88$1,1871.9×
Oscar Health66$636.75$818.88$1,1871.9×
web tpa [2115]66$809.05$1,524.31$1,916.942.4×
oncology patient assistance programs [2295]66$636.75$818.88$1,1871.9×
Cigna66$90$1,519.52$2,096.1823.3×
national association of letter carriers [1695]55$1,385.68$1,620.44$1,764.81.3×
black lung [6055]55$636.75$739.25$1,1871.9×
lucent health [6000]55$636.75$739.25$1,1871.9×
medica [2910]55$1,488.65$2,049.91$2,682.621.8×
osma health network [2345]55$636.75$902.25$1,1871.9×
pending ssi [1616]55$2,547$2,942$3,6091.4×
resource one administrators [2815]55$809.05$1,655.55$1,916.942.4×
the kempton group administrators [2905]55$1,146.15$1,624.05$2,136.61.9×
UnitedHealthcare34$68$1,649.32$1,862.6427.4×
healthpartners [1500]44$1,385.68$1,519.52$2,096.181.5×
global health [1430]33$1,579.14$1,798.62$1,833.341.2×
healthcare solutions [1485]33$1,676.94$2,059.71$2,099.471.3×
healthsmart [1505]33$2,465.85$2,500.7$2,513.451.0×
phcs [1780]12$2,324.18$2,368.31$2,412.441.0×
universal fidelity [2085]22$1,655.55$2,034$2,412.441.5×
Aetna22$81.39$83.2$851.0×
healthcare highways12$44$54.5$651.5×
beacon health options behavioral health [2890]22$1,579.14$1,810.39$2,041.641.3×
mutual of omaha [1685]11$2,412.44$2,412.44$2,412.441.0×
new era life insurance company [1705]11$2,412.44$2,412.44$2,412.441.0×
oklahoma health network (ohn)11$80$80$801.0×
fmh benefit services [1390]11$2,324.18$2,324.18$2,324.181.0×
employee benefit management services [2445]11$2,324.18$2,324.18$2,324.181.0×
osma health11$90$90$901.0×
umr - ardent employee [2036]11$778.75$778.75$778.751.0×
pan american life insurance co [1770]11$2,412.44$2,412.44$2,412.441.0×
community care [1290]11$2,324.18$2,324.18$2,324.181.0×
planned administrators inc [2360]11$2,412.44$2,412.44$2,412.441.0×
preferred community choice11$92$92$921.0×
Self-Pay (Cash)11$35.1$35.1$35.11.0×
group resources [1455]11$2,324.18$2,324.18$2,324.181.0×
Health Net11$2,412.44$2,412.44$2,412.441.0×
Healthfirst11$2,412.44$2,412.44$2,412.441.0×
healthcost solutions [2415]11$2,412.44$2,412.44$2,412.441.0×
healthscope benefits [2290]11$778.75$778.75$778.751.0×
healthsmart11$94$94$941.0×
hometown health [2155]11$2,412.44$2,412.44$2,412.441.0×
gilsbar [1425]11$2,412.44$2,412.44$2,412.441.0×
Humana11$54$54$541.0×
mayo clinic health solutions [2280]11$2,412.44$2,412.44$2,412.441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JEFFERSON COUNTY HOSPITALWAURIKAOK14$35.1$87.5$5,664.44
BAILEY MEDICAL CENTEROWASSOOK37$2,942$882.6$735.5$2,000.56$2,942
HILLCREST HOSPITAL SOUTHTULSAOK13$4,458$1,337.4$1,114.5$1,916.94$2,625.76
HILLCREST HOSPITAL CLAREMORECLAREMOREOK14$4,748$1,424.4$1,187$1,870.71$2,682.62
HILLCREST HOSPITAL HENRYETTAHENRYETTAOK12$2,957$887.1$739.25$1,726.89$2,957
HILLCREST HOSPITAL PRYORPRYOROK20$2,547$764.1$636.75$1,655.55$2,547
NOWATA HEALTH CENTERNOWATAOK3$81.39$163.81$163.81
HILLCREST HOSPITAL CUSHINGCUSHINGOK18$2,901$870.3$725.25$1,418.59$2,901
HILLCREST MEDICAL CENTERTULSAOK15$3,609$1,082.7$902.25$1,393.07$3,609

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.