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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in TX

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Hospitals
68
Min
$111.99
Median
$931.31
Max
$3,590.00
Range multiplier
32.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield53288$55.00$1,130.54$8,427.00153.2×
UnitedHealthcare50152$17.35$1,058.38$4,419.00254.7×
Aetna4699$61.41$895.00$3,901.0063.5×
Cigna4078$49.13$2,975.00$5,101.00103.8×
Humana4378$61.41$835.86$3,327.0054.2×
baylor scott & white health plan1872$765.62$1,021.59$1,421.061.9×
Medicaid2255$111.99$289.19$1,469.5213.1×
Medicare1136$464.17$814.27$953.582.1×
superior health plan1936$328.50$538.85$880.452.7×
Anthem BCBS326$69.69$69.69$2,243.0032.2×
prime health services1720$844.28$877.20$1,501.241.8×
american health plan1919$846.22$877.65$904.311.1×
triwest1818$805.92$835.86$861.251.1×
Ambetter1818$464.17$1,730.23$1,840.574.0×
procare advantage1818$846.22$877.65$904.311.1×
healthspring1515$846.22$877.65$880.451.0×
corvel1414$844.28$875.65$902.251.1×
healthcare highways [2210]412$354.00$959.16$1,469.524.2×
wellpoint (fka amerigroup)510$328.50$594.72$863.682.6×
Molina910$344.93$874.33$1,285.553.7×
wellpoint610$358.07$1,013.35$1,395.743.9×
Multiplan79$571.00$1,091.23$3,202.805.6×
commercial | entrust | all plans88$1,578.54$1,874.81$2,088.671.3×
Medicare Advantage38$310.59$464.17$464.171.5×
web tpa [2115]48$354.00$1,729.51$2,826.008.0×
wellmed77$61.41$856.08$871.0014.2×
commercial | community health choice | exchange77$803.08$1,191.25$1,191.971.5×
commercial | beechstreet | all plans66$1,241.00$1,241.00$1,241.001.0×
scott & white56$1,369.72$1,369.72$2,607.831.9×
sedgwick66$1,204.85$1,236.13$1,287.571.1×
commercial | phcs | all plans66$4,487.00$4,487.00$4,487.001.0×
healthscope benefits [2290]45$354.00$792.00$1,469.524.2×
healthsmart25$126.00$2,681.29$3,122.0524.8×
commercial | harris health | ers55$1,191.25$1,191.97$1,191.971.0×
First Health45$489.00$2,826.00$2,938.406.0×
commercial | renaissance | all plans55$571.80$572.15$572.151.0×
commercial | superior health plan | all plans55$1,191.25$1,191.97$1,191.971.0×
velocity provider ppo network35$866.25$866.25$1,029.421.2×
commercial | kelseycare | exchange55$1,072.13$1,072.78$1,072.781.0×
commercial | nxhealth | all plans55$2,565.13$2,581.05$2,582.611.0×
commercial | kelseycare | all plans55$942.30$942.30$942.301.0×
90 degree benefits55$871.00$2,140.19$2,140.192.5×
pdh/texas trust44$1,712.16$1,712.16$1,712.161.0×
care improvement44$856.08$856.08$856.081.0×
caprock44$2,140.19$2,140.19$2,140.191.0×
commercial | healthsmart | ap344$958.00$958.00$958.001.0×
txp optum health (transplant)14$1,946.69$2,277.26$2,754.751.4×
mhs care connect24$111.99$111.99$111.991.0×
patoka valley tier 124$69.69$69.69$69.691.0×
insurance services of lubbock44$1,395.41$1,395.41$1,395.411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor S&W Medical Center - IrvingIrvingTX15$328.50$982.14$4,042.00
Baylor University Medical CtrDallasTX16$328.50$961.24$4,042.00
St Lukes Hospital At The VintageHoustonTX18$287.68$937.17$4,487.00
Baylor Scott & White Mc- Lake PointeRowlettTX16$328.50$931.31$4,042.00
Centennial Medical CenterFriscoTX16$328.50$931.31$4,042.00
Baylor S&W All Saints Medical CenterFort WorthTX16$328.50$922.38$4,042.00
Chi St Lukes Health Baylor Med CtrHoustonTX17$287.68$919.15$4,487.00
St. Lukes Patients Medical CenterPasadenaTX14$2,451.00$857.85$273.30$895.00$4,487.00
Crane County Hospital DistrictCraneTX2$1,433.00$1,003.00$874.00$887.00$1,290.00
St. Lukes Sugar Land HospitalSugar LandTX16$287.68$874.12$4,487.00
St. Lukes The Woodlands HospitalThe WoodlandsTX17$287.68$873.59$4,487.00
St. Joseph Regional Health CenterBryanTX9$275.42$871.51$2,960.00
College Station Medical CenterCollege StationTX9$275.42$871.51$2,960.00
North Texas Medical CenterGainsvilleTX17$815.00$204.00$326.00$871.00$958.00
Corpus Christi Specialty HospitalCorpus ChristiTX8$1,155.00$1,155.00$808.50$866.25$1,039.50
Scott & White Cedar ParkCedar ParkTX1$858.40$858.40$858.40
Pam Squared At Corpus ChristiCorpus ChrstiTX26$1,155.00$1,155.00$65.84$857.85$1,501.24
St. Lukes Lakeside HospitalThe WoodlandsTX17$287.68$850.28$4,487.00
Brazosport Regional Health SystemLake JacksonTX10$287.68$803.08$3,348.00
Ut Health East Texas Specialty HospiTylerTX10$3,168.00$316.80$792.00$792.00$1,989.50
Chi St Lukes Health Memorial LufkinLufkinTX7$263.85$712.79$1,392.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$263.85$712.79$1,392.00
Limestone Medical CenterGroesbeckTX7$1,437.45$862.47$310.59$709.98$1,149.96
Grimes St. Joseph Health CenterNavasotaTX3$275.42$609.63$2,960.00
Madison St. Joseph Health CenterMadisonvilleTX3$275.42$609.63$2,960.00
Driscoll Childrens HospitalCorpus ChristiTX2$3,363.00$672.60$165.82$582.91$1,000.00
St Lukes Health Memorial San AugustSan AugustineTX4$275.42$368.24$1,392.00
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$3,590.00$8,427.00
Lifecare Spec Hosp Of North TexasDallasTX11$1,416.00$141.60$322.98$354.00$1,324.20
Burleson St. Joseph Health CenterCaldwellTX3$275.42$289.19$1,135.97
Baptist Saint Anthonys HospitalAmarilloTX80$3,768.00$376.80$1,122.07$2,637.60$3,202.80
Childrens Medical Center Of PlanoPlanoTX31$3,673.00$2,754.75$230.33$2,571.10$3,562.81
Heritage Park Surgical HospitalShermanTX2$1,928.00$1,156.80$832.67$2,252.00$3,361.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$4,333.00$2,599.80$832.67$2,252.00$3,361.00
Trinity Regional Hospital SachseSachseTX8$840.00$672.00$64.93$224.58$2,392.53
Glen Rose Medical CenterGlen RoseTX8$2,804.00$2,804.00$1,242.00$1,963.00$2,664.00
Falls Community Hospital And ClinicMarlinTX6$2,542.61$2,034.09$831.04$1,779.83$3,437.46
Clay County Memorial HospitalHenriettaTX5$630.00$441.00$126.00$158.00$202.00
San Angelo Community Medical CenterSan AngeloTX14$344.93$1,395.41$2,177.06
Shannon Medical CenterSan AngeloTX14$344.93$1,395.41$2,177.06
River Crest HospitalSan AngeloTX14$344.93$1,395.41$2,177.06
Big Spring State HospitalBig SpringsTX14$344.93$1,395.41$2,177.06
Wilson N Jones Regional Medical CtrShermanTX8$840.00$672.00$64.93$139.30$224.58
Scott & White Hospital BrenhamBrenhamTX4$1,130.54$1,340.61$3,500.00
Golden Plains Community HospitalBorgerTX6$267.00$186.90$49.13$125.49$181.56
Bsw Medical Center - AustinAustinTX11$328.50$1,130.54$4,419.00
Mid Coast Medical Center-CentralLlanoTX11$328.50$1,130.54$4,419.00
Hillcrest Baptist Medical CenterWacoTX14$328.50$1,130.54$3,500.00
Scott And White Hospital TaylorTaylorTX11$328.50$1,130.54$4,419.00
College Station HospitalCollege StationTX14$818.19$1,130.54$3,500.00
Scott And White Memorial HospitalTempleTX15$328.50$1,130.54$4,419.00
Seton Medical Center Harker HeightsHarker HeightsTX14$2,888.00$288.80$389.30$1,126.32$2,501.01
Ascension Seton Shoal CreekAustinTX18$17.35$111.99$464.17
Ascension Seton BastropBastropTX18$17.35$111.99$464.17
Baylor Scott & White PflugervillePflugervilleTX14$328.50$1,078.27$4,419.00
Baylor Scott & White - BudaBudaTX11$328.50$1,078.27$4,419.00
Baylor S&W Medical Center - MckinneyMckinneyTX14$328.50$1,026.02$4,042.00
Baylor S&W Medical Center - PlanoPlanoTX14$328.50$1,026.02$4,042.00
Round Rock HospitalRound RockTX16$328.50$1,025.99$4,419.00
Acuity Hospital Of South TexasSan AntonioTX11$1,364.04$1,364.04$68.61$1,023.03$1,227.64
Baylor Scott & White - Marble FallsMarble FallsTX14$328.50$1,011.43$3,500.00
Baylor Medical Center-GrapevineGrapevineTX14$328.50$1,006.22$4,042.00
Laredo Medical CenterLaredoTX0$10,264$2,463.34
Longview Regional Medical CenterLongviewTX0$20,951$3,771.20
Yoakum County HospitalDenver CityTX0$2,394.73$2,394.73
Navarro Regional HospitalCorsicanaTX0$15,233$3,655.90
St Joseph Medical CenterHoustonTX0$2,972.40$2,972.40
Nocona General HospitalNoconaTX0$2,406.00$27.85

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.