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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in CA

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Hospitals
38
Min
$413.44
Median
$1,220.57
Max
$5,603.00
Range multiplier
13.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield35183$1.15$2,179.77$10,8109400.4×
UnitedHealthcare27116$1.15$1,993.13$252,199219303.5×
Anthem BCBS29109$141.68$1,220.57$7,826.0055.2×
Aetna3290$141.68$2,176.49$23,444165.5×
Health Net1683$1.10$1,692.37$5,632.005120.0×
Medicaid2271$328.08$747.66$1,985.206.1×
Kaiser Permanente3061$141.68$1,060.48$2,706.4019.1×
Medicare3359$1.00$1,023.57$3,472.953472.9×
Cigna2356$251.83$2,551.20$10,55341.9×
Molina1239$5.60$1,190.22$5,873.001048.8×
Humana2327$141.68$1,120.59$5,786.0040.8×
ucsd [807]122$251.83$440.71$755.493.0×
First Health1015$566.72$1,977.18$5,435.009.6×
interplan513$1,420.86$2,614.98$2,614.981.8×
Multiplan713$603.68$2,455.53$2,455.534.1×
maximum negotiated charge510$3,125.22$3,745.61$4,366.001.4×
brand new day510$1,202.12$1,493.73$1,785.331.5×
choice care network510$2,551.20$2,551.20$2,551.201.0×
azga services canada510$2,168.52$2,168.52$2,168.521.0×
minimum negotiated charge510$195.42$460.21$725.003.7×
axa assistance510$2,232.30$2,232.30$2,232.301.0×
TRICARE59$1,190.22$1,190.22$1,190.221.0×
Empire BCBS28$614.05$1,190.22$1,487.782.4×
indian health council57$940.20$940.20$2,300.442.4×
san diego pace57$940.20$940.20$1,691.501.8×
california health and wellness57$279.45$279.45$2,706.409.7×
medi-cal56$195.42$195.42$2,283.5311.7×
citrus valley physicians group26$1,190.22$1,190.22$1,190.221.0×
county medical services36$1,708.41$2,368.10$2,774.061.6×
community health group36$507.45$2,114.38$3,044.706.0×
emanate health26$1,190.22$1,190.22$2,380.442.0×
managed health network45$1,190.22$2,114.38$2,368.102.0×
community health group medi-cal55$446.46$446.46$446.461.0×
community health group cal mediconnect55$940.20$940.20$940.201.0×
optum health commercial55$3,760.82$3,760.82$3,760.821.0×
traditional medi-cal55$423.48$423.48$423.481.0×
county of san diego55$195.42$195.42$195.421.0×
commercial | hill physicians | all plans55$1,120.59$1,120.59$1,120.591.0×
Bright Health44$889.00$1,113.25$1,225.481.4×
renal payer solutions44$1,190.22$1,190.22$1,190.221.0×
uh [819]14$254.83$442.21$749.502.9×
vantage care24$423.48$806.85$1,190.222.8×
employer direct healthcare44$1,666.31$1,666.31$1,666.311.0×
hn [815]14$266.82$451.95$740.502.8×
veba med grp [813]14$302.80$491.67$755.492.5×
commercial | connected care intel | all plans33$5,786.00$9,384.00$9,384.001.6×
la care health plan13$423.48$1,190.22$1,190.222.8×
alignment33$1,190.22$1,190.22$1,190.221.0×
imperial health plan of ca33$1,261.63$1,261.63$1,261.631.0×
aids healthcare foundation13$423.48$1,190.22$1,214.022.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Community Hospital Of San BernardinoSan BernardinoCA13$534.04$993.68$9,063.00
Mercy Medical Center MercedMercedCA9$347.39$966.09$12,552
St Elizabeth Community HosptialRed BluffCA7$588.64$964.55$1,693.91
St. Bernardine Medical CenterSan BernardinoCA11$534.04$954.00$19,284
St. Mary Medical CenterApple ValleyCA11$328.08$950.00$6,529.48
Pacifica Hospital Of The ValleySun ValleyCA13$5,873.00$5,873.00$678.00$868.00$5,873.00
Dominican HospitalSanta CruzCA9$534.04$5,603.00$23,444
Scripps Mercy HospitalSan DiegoCA11$2,997.98$749.49$251.83$503.66$1,196.08
Mark Twain Medical CenterSan AndreasCA12$616.00$431.20$141.68$438.26$603.68
Mercy Medical Center Mt. ShastaMt. ShastaCA7$413.44$413.44$1,693.91
Mercy Hospital Of FolsomFolsomCA10$534.04$3,393.68$10,296
Marian Medical CenterSanta MariaCA10$534.04$3,137.00$9,264.00
Methodist Hospital Of SacramentoSacramentoCA11$534.04$2,979.00$11,836
Woodland HealthcareWoodlandCA7$534.04$2,908.00$7,034.00
Central Valley Specialty HospitalModestoCA6$3,728.21$3,728.21$932.05$2,796.16$3,168.98
Glendale Memorial Hospital & Hlth CtGlendaleCA6$487.00$2,655.32$7,244.00
Mercy San Juan Medical CenterCarmichaelCA11$534.04$2,407.46$252,199
St. Johns Regional Medical CenterOxnardCA11$646.19$2,153.10$16,750
Sharp Memorial HospitalSan DiegoCA30$3,383.00$2,537.25$1.10$2,152.58$4,366.00
Sharp Chula Vista Medical CenterChula VistaCA29$3,383.00$2,537.25$1.00$1,993.13$4,366.00
Grossmont HospitalLa MesaCA28$3,383.00$2,537.25$195.42$1,993.13$4,366.00
St. Johns Pleasant Valley HospitalCamarilloCA11$534.04$1,985.20$16,750
Sharp Coronado HospitalCoronadoCA24$3,189.00$195.42$1,933.50$4,366.00
Sharp Mesa Vista HospitalSan DiegoCA24$3,189.00$195.42$1,933.50$4,366.00
Mercy General HospitalSacramentoCA11$534.04$1,693.91$18,443
Saint Francis Memorial HospitalSan FranciscoCA15$520.67$1,431.10$9,384.00
Bakersfield Memorial HospitalBakersfieldCA11$534.04$1,254.99$9,954.00
Sequoia HospitalRedwood CityCA12$433.27$1,220.57$7,377.00
St. Marys Medical CenterSan FranciscoCA13$433.27$1,211.72$9,384.00
Chino Valley Medical CenterChinoCA25$6,501.30$1,190.00$423.48$1,190.22$2,380.44
Encino HospitalEncinoCA27$6,490.30$1,190.00$423.48$1,190.22$1,785.33
Montclair Hospital Medical CenterMontclairCA25$9,928.60$1,190.00$423.48$1,190.22$2,380.44
Garden Grove Hospital Medical CenterGarden GroveCA19$6,238.32$1,190.00$423.48$1,190.22$1,844.84
Huntington Beach HospitalHuntington BeachCA16$6,238.32$1,190.00$423.48$1,190.22$1,785.33
Sierra Nevada Memorial HospitalGrass ValleyCA9$534.04$1,137.06$11,058
St. Josephs Medical CenterStocktonCA2$1,060.48$1,060.48$1,060.48
St. Josephs Behavioral Hlth CenterStocktonCA2$1,060.48$1,060.48$1,060.48
Northridge Medical Center - RoscoeNorthridgeCA12$508.17$1,013.65$11,879

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.