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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$254.89
Median
$882.75
Max
$1,014.11
Range multiplier
4.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1383$162.54$889.17$1,422.688.8×
Medicaid1380$116.72$498.71$2,134.918.3×
UnitedHealthcare2179$81.16$889.17$3,055.3437.6×
Aetna2265$73.12$942.61$11,584158.4×
Blue Cross Blue Shield1540$291.86$870.13$2,134.97.3×
Humana1940$162.54$889.17$1,045.426.4×
priority health op rate1018$389.64$951.36$1,638.724.2×
smarthealth816$1,281.22$1,281.22$1,330.531.0×
Ambetter816$1,510.01$1,510.01$1,539.621.0×
Medicare Advantage916$782.93$915.16$922.471.2×
First Health814$71.28$1,260.84$3,491.8249.0×
WellCare714$915.16$915.16$915.161.0×
Oscar Health714$1,464.26$1,464.26$1,464.261.0×
occunet714$1,693.05$1,876.08$2,059.111.2×
blue mcr replacement714$915.16$915.16$915.161.0×
facility billing - op714$915.16$915.16$915.161.0×
healthspring mcr replacement714$924.31$928.89$933.461.0×
TRICARE1011$803.95$893.28$2,054.792.6×
priority health910$40$276.42$494.4712.4×
hap - hmo op rate59$346.5$693$835.122.4×
hap preferred op rate49$414.17$889.65$1,741.924.2×
hp - ppo op rate48$426.98$859.05$1,290.893.0×
mclaren commercial ins88$349.72$349.72$349.721.0×
hap - hmo88$178.59$178.59$178.591.0×
mclaren health op rate48$242.55$735.35$1,221.55.0×
hp - hmo op rate48$307.73$632.1$970.043.2×
u of m health plan88$186.92$186.92$186.921.0×
mi amish medical board77$889.17$889.17$889.171.0×
cofinity - ppom op rate36$641.25$1,084.64$1,282.52.0×
cofinity - auto op rate46$857.89$1,148.66$1,325.771.5×
hap - ppo op rate36$480.75$912.83$1,229.922.6×
Cigna25$384.38$935.62$1,616.634.2×
hcap op rate35$450$900$1,198.732.7×
health plus hmo op rate25$458.06$1,114.95$1,926.484.2×
hap ahl op rate25$414.17$1,008.13$1,741.924.2×
hap hmo op rate25$381.44$928.45$1,604.244.2×
cofinity ppom op rate14$504.18$1,339.45$2,120.484.2×
detroit medical center op rate14$236.4$628.03$994.234.2×
health advantage - commercial op rate24$262.88$394.32$525.752.0×
harbor health plan14$494.47$543.91$922.471.9×
mhp - hmo op rate24$441.15$660.88$728.551.7×
health advantage - ppo op rate24$441.15$660.88$728.551.7×
total health care priority health13$494.47$907.98$922.471.9×
hap op rate23$1,402.1$1,542.51$2,396.751.7×
bsbs bcn op rate13$420.84$1,093.86$1,211.692.9×
Multiplan22$1,200$1,241.88$1,283.751.1×
cofinity op rate22$1,234.68$1,656.04$2,077.391.7×
cofinity wc op rate12$1,058.2$1,084.64$1,111.081.0×
cofinity-ppom op rate12$816.45$989.24$1,162.031.4×
com cofinity auto op rate12$84.37$1,630.31$3,176.2537.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TAWAS ST. JOSEPH HOSPITALTAWASMI9$950.38$997.9$1,539.62
BORGESS-PIPP HEALTH CENTERPLAINWELLMI12$915.16$942.61$11,584
ASCENSION ALLEGAN HOSPITALALLEGANMI12$915.16$942.61$11,584
ASCENSION BORGESS HOSPITALKALAMAZOOMI12$915.16$942.61$11,584
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI12$915.16$942.61$11,584
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI12$915.16$942.61$11,584
ASCENSION STANDISH HOSPITALSTANDISHMI12$915.16$942.61$11,584
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI12$915.16$942.61$11,584
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$7,470.56$922$30$922.47$1,429.83
MCLAREN MACOMBMT. CLEMENSMI20$811.2$469.76$882.75$1,500
MCLAREN FLINTFLINTMI26$5,145.15$2,572.58$116.72$835.12$1,927.38
MCLAREN LAPEER REGIONLAPEERMI24$5,521.53$2,760.77$116.72$804.07$2,134.9
MCLAREN PORT HURONPORT HURONMI29$3,847.07$1,923.54$116.72$774.03$1,598.3
MCLAREN OAKLANDPONTIACMI14$574.65$484.13$773.57$1,105.1
MCLAREN NORTHERN MICHIGANPETOSKEYMI15$3,239.93$1,619.97$116.72$679.5$2,019.88
MCLAREN BAY SPECIAL CAREBAY CITYMI17$780$262.88$639.38$1,282.5
MCLAREN CENTRAL MICHIGANMT PLEASANTMI17$6,169.84$3,084.92$116.72$506.19$2,492.86
BAY REGIONAL MEDICAL CENTERBAY CITYMI24$3,394.38$1,697.19$116.72$498.71$1,422.68
MCLAREN GREATER LANSINGLANSING MI 489100MI20$6,649.63$3,324.82$46.34$498.71$3,491.82
ASCENSION ST JOHN HOSPITALDETROITMI3$71.28$468.79$468.79
MCLAREN THUMB REGIONBAD AXEMI11$5,782.79$2,891.4$116.72$254.89$2,054.79
KARMANOS CANCER HOSPITALDETROITMI15$1,347.19$236.4$1,014.11$2,694.38
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$870$609
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$8,236$5,765.2
CARSON CITY HOSPITALCARSON CITYMI0$2,283$570.75
MCKENZIE HEALTH SYSTEMSANDUSYMI0$678$542.4
SPARROW CLINTON HOSPITALST. JOHNSMI0$1,888$472
SPARROW EATONCHARLOTTEMI0$1,763$440.75

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.