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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in MA

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Hospitals
9
Min
$1,017.5
Median
$1,170.23
Max
$1,170.23
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield666$52.12$851.82$3,45566.3×
UnitedHealthcare649$22.71$1,192.52$4,584201.8×
institution [10406]434$1,114.51$1,128.3$3,4553.1×
harvard pilgrim [10701]430$744.89$744.89$1,798.912.4×
Cigna621$993.62$1,660$4,770.984.8×
Medicaid421$7.59$1,114.51$2,264.08298.3×
correctional care [11003]320$1,114.51$1,128.3$4,770.984.3×
Aetna619$24.88$2,252.66$5,350215.0×
tufts connectorcare [10507]412$1,895.77$1,907.51$1,919.241.0×
mgb mcr [10124]412$1,114.51$1,170.23$1,184.721.1×
tufts [11201]412$1,052.34$2,158.43$2,374.32.3×
tufts mcr supp [20209]210$585.12$1,170.23$1,184.722.0×
commonwealth care mcr [10115]39$1,170.23$1,170.23$1,184.721.0×
fallon mcr [10105]39$1,170.23$1,170.23$1,184.721.0×
tufts dual [10111]39$1,114.51$1,114.51$1,128.31.0×
Medicare38$1,114.51$1,121.41$1,128.31.0×
wellpoint [11112]48$1,523.08$1,523.08$1,523.081.0×
hsno/free care [10801]48$294.3$672.16$680.812.3×
senior whole health [10110]48$1,192.52$1,199.9$1,207.281.0×
tufts us family [11203]48$1,114.51$1,121.41$1,128.31.0×
CHAMPVA48$974.44$1,121.15$1,159.581.2×
tufts mcr [10112]27$585.12$1,184.72$1,184.722.0×
eternalhealth mcr replace [10116]26$1,170.23$1,170.23$1,184.721.0×
harvard pilgrim mcr supp [20203]26$1,170.23$1,170.23$1,184.721.0×
fallon connectorcare [10503]26$506$1,315.42$3,131.836.2×
fallon mcr supp [20202]26$1,170.23$1,184.72$1,184.721.0×
First Health55$60$2,591.25$3,265.554.4×
workers compensation [20501]45$395.43$1,382$1,444.383.7×
grants [20507]44$2,961$3,455$4,3541.5×
connecticare [11105]44$2,961$3,455$4,3541.5×
fallon mcaid carelon hlth [29]44$2,961$3,455$4,3541.5×
hne [11108]44$1,558.21$1,742.62$2,429.11.6×
upmc health plan13$252.7$361$1,003.174.0×
geisinger13$993.62$2,050$2,357.872.4×
evernorth behavioral health [27]33$2,368.8$2,764$2,7641.2×
Multiplan33$2,591.25$2,591.25$3,265.51.3×
pennsylvania health and wellness13$1,000$1,003.17$1,767.491.8×
commonwealth care alliance [10103]13$1,170.23$1,184.72$1,184.721.0×
masshealth mcd mbhp [38]33$2,961$3,455$3,4551.2×
amerihealth12$37.03$41.97$46.911.3×
Humana22$984.06$1,003.47$1,022.871.0×
health partners plans12$1,003.17$1,108.59$1,2141.2×
keystone first12$974.51$1,158.26$1,3421.4×
harvard pilgrim mcr [10106]12$1,184.72$1,184.72$1,184.721.0×
optum transplant [20601]22$3,455$3,455$3,4551.0×
qualcare inc12$87$1,852$3,61741.6×
fidelis care12$25.96$524.42$1,022.8739.4×
fallon carelon hlth [28]22$2,961$3,657.5$4,3541.5×
devon health12$4,113.06$4,113.06$4,113.061.0×
wellfleet [11106]22$3,109.5$3,109.5$3,109.51.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HEALTHALLIANCE-CLINTONLEOMINSTERMA32$7,770.94$7,770.94$294.3$1,170.23$4,409.2
MARLBOROUGH HOSPITALMARLBOROUGHMA36$12,060$12,060$55.58$1,170.23$4,770.98
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA36$12,060$12,060$55.58$1,170.23$4,770.98
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA32$10,584$10,584$7.59$1,165.76$2,961
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$4,881$22.71$1,022.87$4,908
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$4,197$252.7$1,017.5$5,350
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$2,673.58$2,539.9
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$2,673.58$2,539.9
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$2,673.58$2,539.9

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.