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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$1,128.31.6×
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$1,128.3$1,128.31.0×
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$1,128.3$1,128.31.0×
tufts us family [11203]12$1,128.3$1,128.3$1,128.31.0×
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$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$483.9$483.9$483.91.0×
connecticare [11105]11$992$992$9921.0×
evernorth behavioral health [27]11$793.6$793.6$793.61.0×
fallon carelon hlth [28]11$992$992$9921.0×
fallon mcaid carelon hlth [29]11$992$992$9921.0×
First Health11$744$744$7441.0×
grants [20507]11$992$992$9921.0×
hne [11108]11$645.59$645.59$645.591.0×
hp optum bh [32]11$992$992$9921.0×
masshealth mcd mbhp [38]11$992$992$9921.0×
tufts [11201]11$705.11$705.11$705.111.0×
wellsense mcaid carelon hlth [21]11$992$992$9921.0×

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$580
REYNOLDS MEMORIAL HOSPITALGLEN DALEWV0$2,693$1,346.5
JACKSON GENERAL HOSPITALRIPLEYWV0$5,642$2,821
PRINCETON COMMUNITY HOSPITALPRINCETONWV0$3,914$1,957
WHEELING HOSPITALWHEELINGWV0$4,223$2,111.5
CAMDEN-CLARK MEMORIAL HOSPITALPARKERSBURGWV0$1,798$899
SUMMERSVILLE REGIONAL MED CENTERSUMMERSVILLEWV0$1,342$671
BRAXTON COUNTY MEMORIAL HOSPITALGASSAWAYWV0$156$78
POTOMAC VALLEY HOSPITALKEYSERWV0$156$78
GRANT MEMORIAL HOSPITALPETERSBURGWV0$756$604.8
JACKSON GENERAL HOSPITALRIPLEYWV0$5,642$2,821
ST. JOSEPHS HOSPITAL OF BUCKHANNONBUCKHANNONWV0$1,570$785
WEST VIRGINIA UNIVERSITY HOSPITALSMORGANTOWNWV0$2,192$1,096
SUMMERSVILLE REGIONAL MED CENTERSUMMERSVILLEWV0$1,342$671

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.