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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in WV

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Hospitals
15
Min
$1,114.51
Median
$1,114.51
Max
$1,114.51
Range multiplier
1.0×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield17$851.82$851.82$1,165.761.4×
UnitedHealthcare16$842.41$1,184.72$1,207.281.4×
harvard pilgrim [10701]16$492.45$492.45$492.451.0×
Aetna15$797.57$1,170.23$1,184.721.5×
Cigna14$705.11$1,121.41$1,128.301.6×
fallon mcr supp [20202]13$1,170.23$1,184.72$1,184.721.0×
commonwealth care alliance [10103]13$1,170.23$1,184.72$1,184.721.0×
mgb mcr [10124]13$1,114.51$1,128.30$1,128.301.0×
fallon mcr [10105]13$1,170.23$1,184.72$1,184.721.0×
tufts connectorcare [10507]13$1,895.77$1,919.24$1,919.241.0×
tufts mcr [10112]13$1,170.23$1,184.72$1,184.721.0×
institution [10406]13$1,114.51$1,128.30$1,128.301.0×
tufts us family [11203]12$1,128.30$1,128.30$1,128.301.0×
CHAMPVA12$1,082.71$1,082.71$1,082.711.0×
senior whole health [10110]12$1,207.28$1,207.28$1,207.281.0×
Medicaid12$55.58$285.71$515.849.3×
fallon connectorcare [10503]12$377.00$545.28$713.551.9×
hsno/free care [10801]12$680.81$680.81$680.811.0×
wellpoint [11112]12$627.22$627.22$627.221.0×
workers compensation [20501]11$483.90$483.90$483.901.0×
connecticare [11105]11$992.00$992.00$992.001.0×
evernorth behavioral health [27]11$793.60$793.60$793.601.0×
fallon carelon hlth [28]11$992.00$992.00$992.001.0×
fallon mcaid carelon hlth [29]11$992.00$992.00$992.001.0×
First Health11$744.00$744.00$744.001.0×
grants [20507]11$992.00$992.00$992.001.0×
hne [11108]11$645.59$645.59$645.591.0×
hp optum bh [32]11$992.00$992.00$992.001.0×
masshealth mcd mbhp [38]11$992.00$992.00$992.001.0×
tufts [11201]11$705.11$705.11$705.111.0×
wellsense mcaid carelon hlth [21]11$992.00$992.00$992.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV31$6,055.27$6,055.27$55.58$1,114.51$1,919.24
City Hospital Inc.MartinsburgWV0$1,160.00$580.00
Reynolds Memorial HospitalGlen DaleWV0$2,693.00$1,346.50
Jackson General HospitalRipleyWV0$5,642.00$2,821.00
Princeton Community HospitalPrincetonWV0$3,914.00$1,957.00
Wheeling HospitalWheelingWV0$4,223.00$2,111.50
Camden-Clark Memorial HospitalParkersburgWV0$1,798.00$899.00
Summersville Regional Med CenterSummersvilleWV0$1,342.00$671.00
Braxton County Memorial HospitalGassawayWV0$156.00$78.00
Potomac Valley HospitalKeyserWV0$156.00$78.00
Grant Memorial HospitalPetersburgWV0$756.00$604.80
Jackson General HospitalRipleyWV0$5,642.00$2,821.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$1,570.00$785.00
West Virginia University HospitalsMorgantownWV0$2,192.00$1,096.00
Summersville Regional Med CenterSummersvilleWV0$1,342.00$671.00

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.