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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in IL

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Hospitals
41
Min
$187.53
Median
$997.90
Max
$4,543.77
Range multiplier
24.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield31161$19.00$993.29$4,374.00230.2×
Aetna22152$25.40$950.38$5,685.00223.8×
UnitedHealthcare32144$50.20$1,052.29$6,181.00123.1×
Humana2474$19.00$950.38$6,690.00352.1×
Cigna2658$45.30$1,555.00$6,771.00149.5×
Medicare955$86.69$950.38$1,045.4212.1×
Molina2353$84.21$913.50$1,952.5723.2×
Medicare Advantage139$168.48$399.67$1,045.116.2×
Multiplan1325$75.00$1,806.75$5,128.8868.4×
Ambetter1624$82.56$1,530.12$1,539.6218.6×
healthlink817$216.71$1,565.85$2,865.3513.2×
meridian716$165.40$337.10$1,156.327.0×
WellCare713$174.51$639.45$996.565.7×
amerivantage412$86.69$172.90$997.9011.5×
smarthealth612$1,330.53$1,330.53$1,330.531.0×
Bright Health612$1,187.97$1,187.97$1,187.971.0×
health partners open network412$167.21$404.53$1,324.287.9×
ecoh111$428.42$788.17$2,902.926.8×
consociate [478]210$1,850.00$3,032.00$4,587.002.5×
allied benefits [498]210$58.00$1,257.44$5,685.0098.0×
hstechnology99$1,824.74$1,824.74$1,824.741.0×
Oscar Health99$1,425.58$1,425.58$1,425.581.0×
TRICARE48$950.38$950.38$950.381.0×
cox health systems insurance company [220]28$55.00$60.00$1,192.4021.7×
meridian health plan28$86.69$176.56$997.9011.5×
deaconess onecare37$174.51$950.38$2,186.0012.5×
Self-Pay (Cash)57$444.15$950.38$950.382.1×
First Health56$74.30$621.05$3,625.7848.8×
phcs [244]26$75.00$80.00$1,734.4023.1×
prime health services36$165.78$927.31$951.755.7×
hfn16$428.42$736.97$2,902.926.8×
med-pay [480]26$65.00$75.00$1,626.0025.0×
healthlink [225]26$48.50$65.00$75.501.6×
apwu health plan [216]25$2,769.00$4,506.00$6,771.002.4×
healthscope benefits [258]25$975.60$1,925.00$4,937.005.1×
mychoice wi medical adv15$168.48$363.34$950.105.6×
medica [662]25$978.03$2,018.11$2,919.153.0×
essence healthcare [221]25$931.46$1,922.01$2,780.143.0×
nalc health benefit plan [242]25$2,769.00$4,506.00$6,771.002.4×
devoted health plan [847]25$978.03$2,018.11$2,919.153.0×
sarah bush lincoln [636]25$1,850.00$3,032.00$4,587.002.5×
cox health [757]25$978.03$2,018.11$2,919.153.0×
health alliance25$82.56$969.39$1,989.0024.1×
priority health [648]25$2,769.00$4,506.00$6,771.002.4×
community partners health plan (cphp)34$992.40$1,445.40$1,983.502.0×
hope trust [806]24$58.00$657.72$1,257.4421.7×
fmh benefit service inc [222]24$2,281.00$3,497.00$5,685.002.5×
healthcare sol mercy [609]24$75.00$850.50$1,626.0021.7×
aarp24$902.86$902.86$902.861.0×
health's finest network [126]14$45.00$854.08$3,065.9568.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Presence St. Marys HospitalKankakeeIL9$950.38$997.90$1,539.62
Presence Saint Joseph Hospital ElginElginIL9$950.38$997.90$1,539.62
Presence Saint Joseph Hosp-ChicagoChicagoIL9$950.38$997.90$1,539.62
Presence Saint Francis HospitalEvanstonIL9$950.38$997.90$1,539.62
Carle Bromenn Medical CenterNormalIL11$2,409.00$2,409.00$82.00$996.56$1,806.75
St. Alexius Medical CenterHoffman EstatesIL12$902.86$978.89$1,682.17
Alexian Brothers Medical CenterElk Grove VillageIL12$902.86$978.89$1,663.16
Hoopeston Community Memorial HospitaHoopsetonIL10$3,045.00$3,045.00$82.00$913.50$2,649.15
Richland Memorial HospitalOlneyIL10$3,045.00$3,045.00$82.00$913.50$2,649.15
Red Bud Regional HospitalRed BudIL8$1,269.00$444.15$109.54$837.54$2,122.00
Heartland Regional Medical CenterMarionIL23$1,269.00$444.15$165.78$481.13$2,708.60
Trinity Rock IslandRock IslandIL13$1,017.00$813.60$82.56$478.47$2,586.80
Swedishamerican HospitalRockfordIL26$5,737.00$917.92$168.48$475.05$5,128.88
Warner Hospital And Health ServicesClintonIL17$6,036.44$6,036.44$3,874.17$4,543.77$5,734.62
Proctor HospitalPeoriaIL10$1,017.00$813.60$82.56$426.74$2,484.55
Pekin Memorial HospitalPekinIL10$1,017.00$813.60$82.56$426.74$2,484.55
Methodist Medical Ctr Of IllinoisPeoriaIL10$1,017.00$813.60$82.56$409.12$2,341.41
Kirby HospitalMonticelloIL9$2,652.00$1,591.20$134.13$399.33$2,386.80
Valley West Community HospitalSandwichIL16$6,132.24$4,292.57$19.00$270.70$3,607.00
Advocate Sherman HospitalElginIL7$1,378.06$1,954.00$4,256.00
Good Shepherd HospitalBarringtonIL7$1,378.06$1,890.00$6,181.00
Advocate Northside Health SystemChicagoIL7$1,378.06$1,890.00$6,181.00
South Suburban HospitalHazelcrestIL7$1,378.06$1,885.00$6,181.00
Advocate Southland HospitalChicagoIL7$1,378.06$1,879.00$6,181.00
Advocate Good Samaritan HospitalDowners GroveIL7$1,378.06$1,878.00$6,181.00
Union County Hospital DistrictAnnaIL22$1,269.00$444.15$165.78$187.53$2,186.00
Advocate Lutheran General HospitalPark RidgeIL7$1,378.06$1,860.00$6,181.00
Advocate Christ HospitalOak LawnIL7$1,378.06$1,833.00$6,181.00
Alton Memorial HospitalAltonIL36$9,600.23$5,760.14$25.00$1,734.40$6,771.00
Memorial Hospital EastShilohIL35$14,666$8,799.54$48.50$1,734.40$6,771.00
Condell Medical CenterLibertyvilleIL7$1,378.06$1,717.00$4,636.00
Marshall Browning HospitalDuquoinIL5$80.00$1,612.00$2,015.00
Presence Saints Mary & Elizabeth MedChicagoIL7$290.63$1,309.34$1,952.57
Hammond-Henry HospitalGeneseoIL5$90.00$1,170.00$1,300.00
Carle Eureka HospitalEurekaIL11$2,409.00$2,409.00$82.00$1,020.52$2,023.56
Carle Foundation HospitalUrbanaIL11$3,371.00$3,371.00$178.84$1,011.30$2,865.35
Jackson Park HospitalChicagoIL0$2,992.88$2,394.30
Washington County HospitalNashvilleIL0$2,415.00$1,932.00
Board Of Trustees Of The UniversityChicagoIL0$6,420.00$4,494.00
Midwest Medical CenterGalenaIL0$1,638.20$1,490.76
Anderson HospitalMaryvilleIL0

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.