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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$68.77
Median
$878.27
Max
$1,696.43
Range multiplier
24.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$35.69$35.69$68.771.9×
Blue Cross Blue Shield572$35.69$99.38$2,108.0759.1×
UnitedHealthcare958$48.14$78.58$7,993.00166.0×
Medicare144$67.64$68.77$271.894.0×
Aetna630$29.10$54.40$900.9331.0×
no fault [114001]128$283.54$283.54$283.541.0×
Molina424$80.31$451.27$1,513.6318.8×
Humana820$72.21$864.93$922.1912.8×
univera healthcare [100169]118$58.86$107.34$107.341.8×
Cigna415$25.20$99.72$2,843.00112.8×
independent health [100165]114$125.73$125.73$125.731.0×
select health312$822.23$908.18$1,937.442.4×
absolute total care312$863.34$864.93$1,427.131.7×
WellCare110$72.21$72.21$75.651.0×
clover insurance company36$899.53$899.53$899.531.0×
amerigroup [350102]16$35.69$35.69$35.691.0×
beacon essential [350122]16$61.89$82.52$82.521.3×
federal workers compensation [500100]16$283.54$283.54$283.541.0×
fidelis essential [100163]16$75.65$75.65$75.651.0×
independent health essential [100166]16$35.69$35.69$35.691.0×
TRICARE16$68.77$68.77$68.771.0×
univera healthcare essential [100170]16$58.86$58.86$58.861.0×
VA Health16$61.89$61.89$61.891.0×
devoted health24$864.93$864.93$864.931.0×
hospice [550001]14$68.77$68.77$68.771.0×
fidelis dual advantage [450120]14$72.21$72.21$72.211.0×
iha first choice [800001]14$125.73$125.73$125.731.0×
phcs33$90.00$90.00$90.001.0×
plotkin health33$60.00$60.00$60.001.0×
Multiplan33$90.00$90.00$90.001.0×
medcost - sc33$50.44$56.53$58.511.2×
fidelis exchange [100164]12$82.52$82.52$82.521.0×
devoted health plan12$864.93$864.93$864.931.0×
upmc health plan [100181]12$123.79$123.79$123.791.0×
crime victims [100176]12$35.69$35.69$35.691.0×
covid19 hrsa [45013]12$68.77$68.77$68.771.0×
champ va [700002]12$68.77$68.77$68.771.0×
mvp healthcare [100168]12$88.84$88.84$88.841.0×
catholic health life pace [400005]12$68.77$68.77$68.771.0×
excellus rochester mcd [350117]12$35.69$35.69$35.691.0×
fallon health [450115]12$68.77$68.77$68.771.0×
beacon health options [100023]12$82.52$82.52$82.521.0×
vna option mltc [350110]12$35.69$35.69$35.691.0×
ghi [100153]12$75.65$75.65$75.651.0×
seneca nation [450119]12$68.77$68.77$68.771.0×
tuscarora nation [550120]12$35.69$35.69$35.691.0×
blue choice12$1,019.57$1,274.46$1,529.351.5×
pruitt health11$2,550.00$2,550.00$2,550.001.0×
sc state employees11$744.63$744.63$744.631.0×
blue choice health plan11$943.01$943.01$943.011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper St. Francis Mt Pleasant HospitMt. PleasantSC3$10,021$6,012.69$870.46$900.93$913.99
Bon Secours St. Francis Xavier HospiCharlestonSC3$10,021$6,012.69$870.46$900.93$913.99
Roper St. Francis Hospital-BerkeleySummervilleSC2$10,230$6,138.14$878.27$878.27$922.19
Roper Hospital Inc.CharlestonSC2$10,230$6,138.14$878.27$878.27$922.19
East Cooper Regional Medical CenterMt. PleasantSC14$795.91$36.90$864.93$2,843.00
Hilton Head HospitalHilton Head IslandSC14$795.91$32.20$864.93$7,993.00
Coastal Carolina Medical CenterHardeevilleSC14$795.91$25.20$864.93$7,906.00
Mary Black Memorial HospitalSpartanburgSC37$575.70$575.70$35.69$68.77$283.54
Colleton Medical CenterWalterboroSC8$744.63$1,696.43$5,469.00
Mcleod Medical Center - DillonDillonSC0
Mcleod Health CherawCherawSC0
Mcleod Health ClarendonManningSC0
Mcleod Loris Seacoast HospitalLorisSC0
Mcleod Regional Medical CenterFlorenceSC0

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.