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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in GA

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Hospitals
7
Min
$400.05
Median
$928.2
Max
$2,051
Range multiplier
5.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna619$342.9$971.72$11,58433.8×
UnitedHealthcare618$1$867.63$3,2503250.0×
Blue Cross Blue Shield416$58.84$1,758.28$3,617.5161.5×
Cigna413$1$1,396.62$4,9174917.0×
Humana612$190.97$846.37$4,11321.5×
WellCare510$381$905.24$1,020.312.7×
First Health38$361.95$2,445.3$3,858.4510.7×
CareSource37$13.49$939.2$1,624.35120.4×
Health Net16$190.97$676.36$2,496.7813.1×
Medicaid14$1$245.21$827.89827.9×
Ambetter34$1,020.04$1,265.03$1,510.011.5×
banner health13$190.97$381$971.725.1×
Oscar Health23$1,206.66$1,464.26$1,464.261.2×
peach state13$12.84$956.05$1,113.8486.7×
devoted health23$403.86$956.05$1,030.032.6×
arizona medical network12$381$676.36$971.722.6×
alliant op rate22$2,051$2,051$2,0511.0×
blue mcr replacement12$915.16$915.16$915.161.0×
bridgeway health solutions12$381$676.36$971.722.6×
dodge cty op rate22$1,028.92$1,036.87$1,044.821.0×
facility billing - op12$915.16$915.16$915.161.0×
health choice pathway12$381$676.36$971.722.6×
health management network12$381$676.36$971.722.6×
healthspring mcr replacement12$924.31$928.89$933.461.0×
imperial insurance12$400.05$710.18$1,020.312.6×
Medicare Advantage12$915.16$915.16$915.161.0×
occunet12$1,693.05$1,876.08$2,059.111.2×
riverwood behavioral health12$928.2$1,044.23$1,160.251.3×
rural arizona network12$381$676.36$971.722.6×
secure health op rate22$2,260$2,260$2,2601.0×
smarthealth12$1,281.22$1,281.22$1,281.221.0×
sonder health plan12$974.61$974.61$974.611.0×
united mine workers of america12$381$676.36$971.722.6×
Medicare11$928.2$928.2$928.21.0×
TRICARE11$928.2$928.2$928.21.0×
mercy care11$200.52$200.52$200.521.0×
Multiplan11$928.2$928.2$928.21.0×
naphcare11$1,438.71$1,438.71$1,438.711.0×
novanet11$928.2$928.2$928.21.0×
americas choice provider network11$928.2$928.2$928.21.0×
acchs11$190.97$190.97$190.971.0×
arizona complete health11$190.97$190.97$190.971.0×
corvel11$928.2$928.2$928.21.0×
peach state hp op rate11$922.31$922.31$922.311.0×
employer direct healthcare11$1,299.48$1,299.48$1,299.481.0×
phcs op rate11$3,944.2$3,944.2$3,944.21.0×
clear spring health plan11$928.2$928.2$928.21.0×
georgia workers’ compensation11$928.2$928.2$928.21.0×
health choice11$200.52$200.52$200.521.0×
prime health services11$928.2$928.2$928.21.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. MARYS SACRED HEART HOSPITALLAVONIAGA12$915.16$942.61$11,584
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA26$4,052.4$928$12.84$928.2$2,297.2
PERRY HOSPITALPERRYGA10$1,639.36$728.6$888.9$3,768
DODGE COUNTY HOSPITALEASTMANGA6$1,551.8$1$810.95$1,700
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA22$2,574$1,909.91$190.97$400.05$2,496.78
HOUSTON MEDICAL CENTERWARNER ROBINSGA16$1,639.36$728.6$2,051$4,917
UNION GENERAL HOSPITALBLAIRSVILLEGA0

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.