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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in TN

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Hospitals
13
Min
$65.23
Median
$873.14
Max
$998.50
Range multiplier
15.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna1382$65.23$1,004.50$2,183.0033.5×
Blue Cross Blue Shield1278$48.71$874.13$2,244.0046.1×
UnitedHealthcare1263$35.88$873.14$1,742.8748.6×
Medicare931$65.23$864.41$916.8014.1×
Humana1226$65.23$860.56$873.1413.4×
Aetna1122$65.23$890.60$1,312.8520.1×
Medicare Advantage818$834.85$873.14$873.141.0×
Ambetter1118$91.32$1,135.08$1,941.0021.3×
healthspring mcr replacement714$860.56$873.14$873.141.0×
smart health714$1,204.78$1,222.40$1,222.401.0×
point comfort underwriters714$774.50$785.83$785.831.0×
amerigroup mcr replacement714$860.56$873.14$899.331.0×
optum va714$860.56$873.14$873.141.0×
nhc advantage714$860.56$873.14$873.141.0×
centurion of tn714$860.56$873.14$873.141.0×
Medicaid112$250.00$667.25$677.162.7×
ascension complete612$860.56$866.85$873.141.0×
wellpoint39$874.13$874.13$1,259.811.4×
farm bureau47$66.53$796.64$796.6412.0×
TRICARE57$817.57$832.50$838.211.0×
Oscar Health77$1,204.78$1,222.40$1,222.401.0×
Self-Pay (Cash)77$860.56$873.14$873.141.0×
triwest va pccc36$873.14$873.14$873.141.0×
devoted health36$874.13$874.13$874.131.0×
Molina14$677.16$761.81$846.451.3×
WellCare44$65.23$874.13$874.1313.4×
community plan44$246.85$246.85$246.851.0×
correctional medical services33$60.00$60.00$60.001.0×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
beech street33$85.00$85.00$85.001.0×
optum33$832.50$832.50$832.501.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
usa managed care organization33$70.00$70.00$70.001.0×
community services network33$65.00$65.00$65.001.0×
initial group33$88.00$88.00$88.001.0×
ccn managed care33$85.00$85.00$85.001.0×
transplant optum tenncare [350013]12$581.00$581.00$581.001.0×
americhoice mcr replacement12$820.75$842.58$864.411.1×
va hospital [600005]12$834.85$834.85$834.851.0×
american health advantage mcr adv [450117]12$834.85$834.85$834.851.0×
generic hospice vbid [10940000101]12$834.85$834.85$834.851.0×
langston performance health [100405]12$2,439.00$2,439.00$2,439.001.0×
carecentrix [450200]12$834.85$834.85$834.851.0×
devoted health [450111]12$859.90$859.90$859.901.0×
amerigroup22$57.08$434.55$812.0214.2×
naphcare11$97.85$97.85$97.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Thomas Hickman HospitalCentervilleTN1$954.50$998.50$1,467.00
Roane County Medical CenterHarrimanTN24$45.00$874.13$2,244.00
Morristown-Hamblen HospitalMorristownTN24$45.00$874.13$2,244.00
Fort Loudoun Medical CenterLenoir CityTN24$45.00$874.13$2,244.00
Saint Thomas West HospitalNashvilleTN19$2,242.35$672.71$48.71$873.14$2,183.00
Saint Thomas Midtown HospitalNashvilleTN21$48.71$873.14$1,614.00
Saint Thomas Stones River HospitalWoodburyTN19$2,242.50$672.75$48.71$873.14$1,467.00
Saint Thomas Rutherford HospitalMurfreesboroTN19$2,242.35$672.71$48.71$873.14$2,183.00
St Thomas Dekalb HospitalSmithvilleTN19$2,242.50$672.75$48.71$860.56$1,467.00
Ascension St Thomas River ParkMcminnvilleTN20$2,242.35$672.71$48.71$860.56$1,467.00
Saint Thomas Highland HospitalSpartaTN19$2,242.50$672.75$48.71$860.56$1,467.00
Methodist H/C Memphis Hospt.MemphisTN16$10,116$2,225.48$250.00$834.85$2,439.00
Metro Nashville General HospitalNashvilleTN17$2,387.00$1,432.20$35.88$65.23$1,312.85

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.