▸ Compare · PriceTransparency

Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in PA

← Back to search results↓ Download CSV
Hospitals
54
Min
$280.8
Median
$1,033.6
Max
$3,500.01
Range multiplier
12.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield32202$70.99$997.01$6,30088.7×
Aetna33189$63.67$1,334.5$5,75090.3×
upmc health plan31112$70.04$886.51$2,293.832.7×
Cigna3099$103.19$1,248.4$3,687.6835.7×
UnitedHealthcare2996$66.85$934.33$6,36895.3×
pa health & wellness2349$106.14$108.51$2,315.5221.8×
amerihealth caritas2849$70.04$99.4$2,208.3231.5×
Multiplan1047$280.8$4,103.58$4,997.9517.8×
geisinger2240$70.04$178$3,524.8750.3×
intergroup1440$280.8$2,594.65$4,953.617.6×
First Health1232$1,136.96$2,649.5$3,852.83.4×
Humana1626$99.26$2,207.45$4,953.649.9×
upmc work partners2525$365.66$385.01$394.871.1×
private health care systems1224$444$2,282$4,953.611.2×
health partners plans (jefferson health plan)1515$86.72$96.01$96.011.1×
keystone first413$102.39$633.33$2,634.1625.7×
america's choice512$4,208.8$4,208.8$4,734.91.1×
wirerope works512$2,652.68$2,925.12$2,925.121.1×
preferred healthcare system510$1,216$1,216$4,403.23.6×
health partners plans39$974.51$1,670$1,6701.7×
three rivers provider network48$411.87$2,573.39$4,734.911.5×
pennsylvania health and wellness36$142.14$596.54$1,075.217.6×
selectcare36$2,486.4$3,014.4$4,953.62.0×
Medicaid26$70.04$113.97$307.114.4×
health plan of upper ohio valley35$869.21$886.59$1,377.221.6×
ibc25$1,082$1,886.88$1,913.641.8×
keystone autism services44$1,393.54$1,397.12$1,401.061.0×
gateway health plan34$76.4$1,024.55$1,221.8316.0×
health coalition partners34$1,869.84$3,569.15$4,953.62.6×
national provider network24$2,118.88$2,432.68$2,746.481.3×
Oscar Health33$1,433.1$1,466.19$1,466.191.0×
innovage33$997.01$997.01$1,156.031.2×
prime health services33$1,520.81$1,555.92$1,555.921.0×
univera13$578.4$1,272.48$1,696.642.9×
elder health33$1,146.48$1,172.95$1,172.951.0×
Anthem BCBS13$528$1,064.26$1,423.182.7×
occunet33$1,173.43$1,612.81$1,612.811.4×
clover health33$1,012.72$1,036.11$1,036.111.0×
prime net12$2,559.22$2,559.22$2,559.221.0×
qualcare12$2,150.16$2,150.16$2,150.161.0×
independent health12$1,264.19$1,343.09$1,421.981.1×
senior life22$869.21$869.21$869.211.0×
city of washington22$1,738.42$1,738.42$1,738.421.0×
naphcare22$1,466.19$1,466.19$1,466.191.0×
wtc health program22$1,221.83$1,247.83$1,273.831.0×
health payors organization12$2,325.6$2,325.6$2,325.61.0×
keystone health plan22$2,577.75$2,617.13$2,656.51.0×
pa health_wellness chc12$82.77$188.94$295.13.6×
galaxy health plan12$280.8$280.8$280.81.0×
jup pa health_wellness11$82.77$82.77$82.771.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UPMC PINNACLE HOSPITALSHARRISBURGPA12$85.95$950.64$2,656.5
UPMC ST MARGARETPITTSBURGHPA12$3,108$1,864.8$70.04$947.44$3,281.43
THE CHILDRENS HOME OF PITTSBURGHPITTSBURGHPA12$2,432$1,459.2$63.67$938.75$1,945.6
UPMC MAGEE-WOMENS HOSPITALPITTSBURGHPA12$2,432$1,459.2$63.67$938.75$1,945.6
UPMC CHILDRENS HOSPITAL OF PGHPITTSBURGHPA12$2,432$1,459.2$63.67$938.75$1,945.6
ALTOONA REGIONAL HEALTH SYSTEMALTOONAPA12$2,432$1,459.2$63.67$938.75$1,945.6
MEMORIAL HOSPITALYORKPA11$80.86$917.95$3,397
UPMC LITITZLITITZPA10$80.86$916.38$3,397
UPMC JAMESONNEW CASTLEPA13$3,121$1,872.6$70.04$906.76$2,746.48
UPMC CARLISLECARLISLEPA12$80.86$890.91$3,397
UPMC HANOVERHANOVERPA12$80.86$889.69$3,397
THE WASHINGTON HOSPITALWASHINGTONPA8$73.22$886.59$2,004.57
WHS - GREENEWAYNESBURGPA8$73.22$886.59$2,004.57
CURAHEALTH HERITAGE VALLEYBEAVERPA9$1,225.69$330.94$63.67$829.59$1,225.69
WELLSBOROWELLSBOROPA14$5,261$3,816.8$70.04$3,500.01$4,997.95
UPMC BEDFORD MEMORIAL HOSPITALEVERETTPA17$5,504$3,302.4$66.85$2,862.08$4,953.6
CHARLES COLE MEMORIAL HOSPITALCOUDERSPORTPA13$351$210.6$66.85$280.8$1,715.28
MUNCY VALLEY HOSPITALMUNCYPA15$5,261$3,156.6$70.04$2,635.76$4,997.95
LOCK HAVEN HOSPITALLOCK HAVENPA15$5,261$3,156.6$70.04$2,509.5$4,734.9
WILLIAMSPORT HOSPITAL & MEDICAL CTRWILLIAMSPORTPA15$5,261$3,156.6$70.04$2,509.5$4,734.9
DIVINE PROVIDENCE HOSPITALWILLIAMSPORTPA15$5,261$3,156.6$70.04$2,509.5$4,734.9
UPMC MCKEESPORTMCKEESPORTPA13$3,768$2,260.8$70.04$1,463.87$3,202.8
UPMC EAST HOSPITALMONROEVILLEPA13$3,802$2,281.2$70.04$1,452.36$3,281.43
UPMC NORTHWEST HOSPITALSENECAPA13$2,597$1,558.2$70.04$1,414.58$3,704
THOMAS JEFFERSON UNIV. HOSPITALPHILADELPHIAPA8$3,740$1,098.72$82.77$1,260.11$6,300
UPMC HORIZON HOSPITALGREENVILLEPA17$3,121$1,872.6$70.04$1,217.19$2,652.85
UPMC HAMOTERIEPA16$3,856$2,313.6$70.04$1,156.8$3,084.8
AMERICAN ONCOLOGIC HOSPIALPHILADELPHIAPA16$3,468$102.39$1,156.03$4,123
ARIA HEALTHPHILADELPHIAPA5$1,278$1,049.48$70.04$1,082$2,667
JEANES HOSPITALPHILADELPHIAPA18$3,468$120.05$1,075.21$4,300
TEMPLE UNIVERSITY HOSPITALPHILADELPHIAPA20$3,468$89.14$1,075.21$6,368
UPMC MERCY HOSPITALPITTSBURGHPA16$2,584$1,550.4$70.04$1,033.6$3,376.25
UPMC PASSAVANTPITTSBURGHPA14$2,981$1,788.6$70.04$1,013.54$3,281.43
PENNSYLVANIA HOSPITAL OF UPHSPHILADELPHIAPA0$3,315$3,315
MILTON S. HERSHEY MEDICAL CENTERHERSHEYPA0$5,926$1,963.28
PHYSICIANS CARE SURGICAL HOSPITALROYERSFORDPA0$1,654.31$10,218
HAMPDEN MEDICAL CENTERENOLAPA0$5,926$1,864.91
MEYERSDALE COMMUNITY HOSPITALMEYERSDALEPA0$1,758$703.2
UNIONTOWN HOSPITALUNIONTOWNPA0$585$292.5
MINERS HOSPITALHASTINGSPA0$2,990.63$1,196.25
PENN STATE HERSHEY REHABILITATION LLHUMMELSTOWNPA0$5,926$1,541.35
HOLY SPIRIT HOSPITALCAMP HILLPA0$5,926$1,415.72
PRESBYTERIAN MEDICAL CENTERPHILADELPHIAPA0$4,131$4,131
WINDBER HOSPITAL INC.WINDBERPA0$464$394.4
ST. JOSEPH MEDICAL CENTERREADINGPA0$5,926$1,541.35
CLARION HOSPITALCLARIONPA0
WAYNE MEMORIAL HOSPITALHONESDALEPA0$2,050$1,435
MINERS HOSPITALHASTINGSPA0$2,990.63$1,196.25
WESTMORELAND REGIONAL HOSPITALGREENSBURGPA0$1,950$1,170
BUTLER MEMORIAL HOSPITALBUTLERPA0
DOYLESTOWN HOSPITALDOYLESTOWNPA0$4,686.5$4,686.5
FRICK HOSPITALMOUNT PLEASANTPA0$1,950$1,170
LATROBE AREA HOSPITALLATROBEPA0$1,950$1,170
HOSPITAL OF THE UNIV OF PENNAPHILADELPHIAPA0$3,315$3,315

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.