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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in PA

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Hospitals
56
Min
$280.80
Median
$1,033.60
Max
$3,505.45
Range multiplier
12.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield34217$70.99$1,053.33$6,300.0088.7×
Aetna35196$63.67$1,341.38$5,750.0090.3×
upmc health plan33115$70.04$886.42$2,293.8032.7×
Cigna32101$103.19$1,248.40$3,687.6835.7×
UnitedHealthcare31100$66.85$934.33$6,368.0095.3×
pa health & wellness2553$106.14$108.51$2,315.5221.8×
amerihealth caritas3052$70.04$99.40$2,208.3231.5×
Multiplan1150$280.80$4,103.58$4,997.9517.8×
intergroup1544$280.80$3,084.80$4,953.6017.6×
geisinger2442$70.04$95.93$3,524.8750.3×
First Health1334$1,136.96$2,661.40$3,852.803.4×
Humana1829$99.26$2,207.45$4,953.6049.9×
upmc work partners2727$365.66$385.01$394.871.1×
private health care systems1326$444.00$2,486.40$4,953.6011.2×
health partners plans (jefferson health plan)1717$86.72$96.01$96.011.1×
keystone first413$102.39$633.33$2,634.1625.7×
america's choice512$4,208.80$4,208.80$4,734.901.1×
wirerope works512$2,652.68$2,925.12$2,925.121.1×
preferred healthcare system612$1,216.00$1,216.00$4,403.203.6×
health partners plans39$974.51$1,670.00$1,670.001.7×
selectcare48$2,486.40$3,664.40$4,953.602.0×
three rivers provider network48$411.87$2,573.39$4,734.9011.5×
pennsylvania health and wellness36$142.14$596.54$1,075.217.6×
Medicaid26$70.04$113.97$307.114.4×
health coalition partners46$1,869.84$4,314.40$4,953.602.6×
health plan of upper ohio valley35$869.21$886.59$1,377.221.6×
ibc25$1,082.00$1,886.88$1,913.641.8×
keystone autism services44$1,393.54$1,397.12$1,401.061.0×
gateway health plan34$76.40$1,024.55$1,221.8316.0×
health payors organization24$2,325.60$3,454.83$4,584.052.0×
national provider network24$2,118.88$2,432.68$2,746.481.3×
occunet33$1,173.43$1,612.81$1,612.811.4×
fidelis23$1,003.17$4,044.75$4,044.754.0×
prime health services33$1,520.81$1,555.92$1,555.921.0×
keystone health plan33$2,577.75$2,656.50$2,656.501.0×
elder health33$1,146.48$1,172.95$1,172.951.0×
Oscar Health33$1,433.10$1,466.19$1,466.191.0×
clover health33$1,012.72$1,036.11$1,036.111.0×
Anthem BCBS13$528.00$1,064.26$1,423.182.7×
univera13$578.40$1,272.48$1,696.642.9×
innovage33$997.01$997.01$1,156.031.2×
prime net12$2,559.22$2,559.22$2,559.221.0×
naphcare22$1,466.19$1,466.19$1,466.191.0×
wtc health program22$1,221.83$1,247.83$1,273.831.0×
independent health12$1,264.19$1,343.09$1,421.981.1×
pa health_wellness chc12$82.77$188.94$295.103.6×
galaxy health plan12$280.80$280.80$280.801.0×
qualcare12$2,150.16$2,150.16$2,150.161.0×
senior life22$869.21$869.21$869.211.0×
city of washington22$1,738.42$1,738.42$1,738.421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Community General Osteopathic Hosp.HarrisburgPA12$85.95$950.64$2,656.50
Upmc Pinnacle HospitalsHarrisburgPA12$85.95$950.64$2,656.50
Upmc St MargaretPittsburghPA12$3,108.00$1,864.80$70.04$947.44$3,281.43
The Childrens Home Of PittsburghPittsburghPA12$2,432.00$1,459.20$63.67$938.75$1,945.60
Upmc Childrens Hospital Of PghPittsburghPA12$2,432.00$1,459.20$63.67$938.75$1,945.60
Upmc Magee-Womens HospitalPittsburghPA12$2,432.00$1,459.20$63.67$938.75$1,945.60
Altoona Regional Health SystemAltoonaPA12$2,432.00$1,459.20$63.67$938.75$1,945.60
Memorial HospitalYorkPA11$80.86$917.95$3,397.00
Upmc LititzLititzPA10$80.86$916.38$3,397.00
Upmc JamesonNew CastlePA13$3,121.00$1,872.60$70.04$906.76$2,746.48
Upmc CarlisleCarlislePA12$80.86$890.91$3,397.00
Upmc HanoverHanoverPA12$80.86$889.69$3,397.00
Whs - GreeneWaynesburgPA8$73.22$886.59$2,004.57
The Washington HospitalWashingtonPA8$73.22$886.59$2,004.57
Curahealth Heritage ValleyBeaverPA9$1,225.69$330.94$63.67$829.59$1,225.69
Upmc ShadysidePittsburghPA20$5,393.00$3,235.80$70.04$3,505.45$4,584.05
WellsboroWellsboroPA14$5,261.00$3,816.80$70.04$3,500.01$4,997.95
Upmc Bedford Memorial HospitalEverettPA17$5,504.00$3,302.40$66.85$2,862.08$4,953.60
Charles Cole Memorial HospitalCoudersportPA13$351.00$210.60$66.85$280.80$1,715.28
Muncy Valley HospitalMuncyPA15$5,261.00$3,156.60$70.04$2,635.76$4,997.95
Williamsport Hospital & Medical CtrWilliamsportPA15$5,261.00$3,156.60$70.04$2,509.50$4,734.90
Lock Haven HospitalLock HavenPA15$5,261.00$3,156.60$70.04$2,509.50$4,734.90
Divine Providence HospitalWilliamsportPA15$5,261.00$3,156.60$70.04$2,509.50$4,734.90
Upmc MckeesportMckeesportPA13$3,768.00$2,260.80$70.04$1,463.87$3,202.80
Upmc East HospitalMonroevillePA13$3,802.00$2,281.20$70.04$1,452.36$3,281.43
Upmc Northwest HospitalSenecaPA13$2,597.00$1,558.20$70.04$1,414.58$3,704.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA8$3,740.00$1,098.72$82.77$1,260.11$6,300.00
Upmc Horizon HospitalGreenvillePA17$3,121.00$1,872.60$70.04$1,217.19$2,652.85
Upmc HamotEriePA16$3,856.00$2,313.60$70.04$1,156.80$3,084.80
American Oncologic HospialPhiladelphiaPA16$3,468.00$102.39$1,156.03$4,123.00
Aria HealthPhiladelphiaPA5$1,278.00$1,049.48$70.04$1,082.00$2,667.00
Jeanes HospitalPhiladelphiaPA18$3,468.00$120.05$1,075.21$4,300.00
Temple University HospitalPhiladelphiaPA20$3,468.00$89.14$1,075.21$6,368.00
Upmc Mercy HospitalPittsburghPA16$2,584.00$1,550.40$70.04$1,033.60$3,376.25
Upmc PassavantPittsburghPA14$2,981.00$1,788.60$70.04$1,013.54$3,281.43
Milton S. Hershey Medical CenterHersheyPA0$5,926.00$1,963.28
Physicians Care Surgical HospitalRoyersfordPA0$1,654.31$10,218
Hampden Medical CenterEnolaPA0$5,926.00$1,864.91
Meyersdale Community HospitalMeyersdalePA0$1,758.00$703.20
Uniontown HospitalUniontownPA0$585.00$292.50
Miners HospitalHastingsPA0$2,990.63$1,196.25
Penn State Hershey Rehabilitation LlHummelstownPA0$5,926.00$1,541.35
Holy Spirit HospitalCamp HillPA0$5,926.00$1,415.72
Windber Hospital Inc.WindberPA0$464.00$394.40
Hospital Of The Univ Of PennaPhiladelphiaPA0$3,315.00$3,315.00
St. Joseph Medical CenterReadingPA0$5,926.00$1,541.35
Wayne Memorial HospitalHonesdalePA0$2,050.00$1,435.00
Miners HospitalHastingsPA0$2,990.63$1,196.25
Westmoreland Regional HospitalGreensburgPA0$1,950.00$1,170.00
Clarion HospitalClarionPA0
Butler Memorial HospitalButlerPA0
Doylestown HospitalDoylestownPA0$4,686.50$4,686.50
Frick HospitalMount PleasantPA0$1,950.00$1,170.00
Latrobe Area HospitalLatrobePA0$1,950.00$1,170.00
Presbyterian Medical CenterPhiladelphiaPA0$4,131.00$4,131.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$3,315.00$3,315.00

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.