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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$281.35
Median
$736.51
Max
$2,569.3
Range multiplier
9.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield7110$79.66$502.99$5,290.0466.4×
UnitedHealthcare966$119.41$766.15$10,58888.7×
Aetna946$122.27$913.32$7,50161.3×
Emblem Health428$103.24$521.64$3,842.2837.2×
Medicaid226$87.75$249.38$949.8410.8×
mvp425$144.99$706.87$3,451.0223.8×
fidelis care425$104.69$179.11$1,154.411.0×
Empire BCBS325$93.52$1,092.76$5,36757.4×
Medicare224$90.8$274.84$1,276.9414.1×
capital district physicians' health plan324$213.06$313.32$3,418.0716.0×
Healthfirst318$83.13$378.87$2,955.635.6×
Cigna512$222.62$1,108.89$7,04131.6×
Humana610$144.99$920.9$1,160.858.0×
magnacare610$765.6$2,107.2$3,468.84.5×
amerihealth110$189.53$297.83$1,132.836.0×
choicecare28$187.64$703.03$2,296.812.2×
univera18$74.37$140.73$265.493.6×
Multiplan38$861.3$1,471.5$4,433.45.1×
mvp 290016$161.29$307.95$2,544.5915.8×
oxford26$981.17$1,467.38$8,4008.6×
VA Health36$170.58$573.13$1,113.956.5×
martins point36$313.32$644.5$1,193.043.8×
fidelis26$202.85$599.92$2,259.2911.1×
[magnacare]16$1,076.4$1,252$3,940.83.7×
Molina46$88.99$976.99$2,259.2925.4×
geisinger16$261.73$288.8$708.82.7×
independent health 515614$222.88$336.32$482.852.2×
st. regis24$975.68$997.6$1,113.951.1×
[metroplus]14$181.84$1,778.64$3,842.2821.1×
centers plan for healthy living24$104.69$602.68$1,078.8810.3×
wellpath24$238.81$937.64$1,670.927.0×
excellus 220114$144.99$393.45$663.324.6×
fidelis 515514$200.87$304.43$437.942.2×
First Health24$813.45$1,781.33$3,902.44.8×
harvard pilgrim24$765.6$1,647.2$3,468.84.5×
[oxford]14$986.47$4,759.47$10,03810.2×
Anthem BCBS14$88.99$133.05$177.112.0×
[fidelis]13$103.91$103.91$103.911.0×
[urn]13$1,166.1$1,275.3$3,497.463.0×
american health plans13$94.23$187.79$1,078.8811.4×
life pittsburgh13$85.66$170.72$1,078.8812.6×
pennsylvania health and wellness13$238.26$270.75$664.52.8×
Medicare Advantage12$985.56$2,543.28$4,1014.2×
capital district physicians health plan (cdphp) 514912$446.47$640.36$834.251.9×
emblemhealth12$1,024.94$1,323.47$1,6221.6×
vns12$997$1,000.57$1,004.131.0×
partners health plan12$997$997$9971.0×
jefferson health plans12$276.17$476.98$677.792.5×
elderplan 131611$1,160.85$1,160.85$1,160.851.0×
optum-commercial other11$911.63$911.63$911.631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$4,926$4,926$83.13$986.47$10,588
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$4,336$4,336$144.99$736.51$5,290.04
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$2,871$2,871$144.99$706.87$2,644.19
ALICE HYDE MEDICAL CENTERMALONENY12$3,049$3,049$144.99$482.66$9,020.04
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$512$112.64$74.37$290.37$2,071.45
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$2,967$1,484$85.86$281.35$3,216.83
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY18$4,741.97$4,741.97$209.91$2,569.3$6,696
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY12$3,259$2,281.3$88.99$1,078.88$3,498
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$4,275$997$997$1,004.13$3,303.1
NYU LANGONE HOSPITALSNEW YORKNY0$1,851.1$351.71
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$1,851.1$351.71

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.