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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$2,346.09
Median
$2,997
Max
$2,997
Range multiplier
1.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE19$933$933$9331.0×
Blue Cross Blue Shield26$933$2,993$2,9973.2×
UnitedHealthcare15$933$2,346.09$2,346.092.5×
medica (commercial) 94265 [3081118]13$3,247.01$3,247.01$3,247.011.0×
govt employees health assn [3081090]13$2,346.09$2,346.09$2,346.091.0×
healthpartners [3081368]13$933$933$9331.0×
Cigna13$3,755.58$3,755.58$3,755.581.0×
Aetna13$3,520.85$3,520.85$3,520.851.0×
Meritain Health12$3,755.58$3,755.58$3,755.581.0×
Humana12$933$2,226.93$3,520.853.8×
national telephone cooperative assn 52103 [3081149]12$2,346.09$2,346.09$2,346.091.0×
risk admin svs [3081167]12$823.07$823.07$823.071.0×
allied benefit systems inc [3081320]11$3,755.58$3,755.58$3,755.581.0×
key benefit administrators [3081332]11$3,755.58$3,755.58$3,755.581.0×
employee benefit management 12x44 [3081079]11$3,325.26$3,325.26$3,325.261.0×
Medicare11$933$933$9331.0×
coresource 38225 [3081146]11$2,542.84$2,542.84$2,542.841.0×
midlands choice 47080 [3081136]11$3,755.58$3,755.58$3,755.581.0×
minnesota health care programs 12k16 [3081295]11$1,185.35$1,185.35$1,185.351.0×
Multiplan11$3,038.98$3,038.98$3,038.981.0×
va black hills health care system 12115 [3081206]11$933$933$9331.0×
pacificsource health plans [3081333]11$3,325.26$3,325.26$3,325.261.0×
preferred one 41147 [3081160]11$3,755.58$3,755.58$3,755.581.0×
va ccn optum [3081339]11$933$933$9331.0×
rocky mountain admin llc 83028 [3081168]11$3,129.64$3,129.64$3,129.641.0×
sanford health plan 91184 [3081174]11$3,520.85$3,520.85$3,520.851.0×
surest [3081369]11$2,346.09$2,346.09$2,346.091.0×
tlc advantage llc [3081189]11$3,677.34$3,677.34$3,677.341.0×
avera health plans 46045 [3081018]11$2,875.37$2,875.37$2,875.371.0×
group and pension administrators inc [3081098]11$3,038.98$3,038.98$3,038.981.0×
health partners sx009 [3081102]11$2,096.05$2,096.05$2,096.051.0×
fedmed inc [3081283]11$3,716.47$3,716.47$3,716.471.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD1$3,836.46$3,836.46$2,997$2,997$2,997
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$3,912.06$3,912.06$823.07$2,346.09$3,755.58

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.