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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in OH

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Hospitals
27
Min
$167.00
Median
$1,729.00
Max
$3,987.03
Range multiplier
23.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$532.00$1,678.51$4,292.328.1×
UnitedHealthcare20108$56.90$845.19$4,106.6472.2×
Aetna20103$82.46$1,504.44$4,511.0454.7×
Anthem BCBS1891$181.22$1,982.18$4,510.0024.9×
Cigna1970$98.00$1,868.72$3,924.3840.0×
ohio health choice1866$373.10$2,341.80$4,533.8212.2×
First Health1946$82.40$2,769.71$4,465.4854.2×
healthsmart1740$293.15$2,169.05$4,841.4016.5×
Medicare239$45.00$763.20$1,422.6831.6×
the health plan1837$181.22$1,755.60$3,987.0322.0×
Multiplan1734$2,341.80$3,003.30$5,410.972.3×
summacare1633$181.22$845.19$2,436.0113.4×
ohio preferred network1632$399.75$2,669.60$3,003.307.5×
immergrun1530$1,301.00$1,668.50$2,002.201.5×
amish aid community plan1530$1,196.92$1,535.02$1,668.501.4×
amish church fund and workers aid plan1530$1,196.92$1,535.02$1,668.501.4×
beech street1530$2,081.60$2,669.60$3,003.301.4×
buckeye plain ministries1530$1,196.92$1,535.02$1,668.501.4×
private healthcare system1530$2,237.72$2,869.82$2,869.821.3×
century health network1530$2,211.70$2,836.45$2,836.451.3×
christian healthcare ministries1530$1,301.00$1,668.50$1,668.501.3×
clarity1530$1,276.80$1,601.76$2,341.801.8×
configurenet1530$2,341.80$3,003.30$3,003.301.3×
fortified provider network1530$2,341.80$3,003.30$3,003.301.3×
Humana2028$53.10$845.19$5,410.97101.9×
medical mutual traditional/health ohio1122$1,821.40$2,335.90$2,335.901.3×
Medicaid222$100.00$243.36$1,696.0017.0×
aultcare1622$181.22$1,835.35$2,341.8012.9×
transplants-case rates [5750]122$35.00$338.03$1,398.5240.0×
Molina1821$181.22$845.19$2,568.7914.2×
CareSource1618$184.85$1,521.34$1,801.989.7×
jp farley1416$1,250.20$1,601.76$2,341.801.9×
Ambetter1516$957.60$1,521.34$1,868.722.0×
sunrise plan communities816$1,330.00$1,668.50$1,668.501.3×
perennial advantage of ohio1515$558.60$887.45$887.451.6×
primetime health plan1515$532.00$845.19$845.191.6×
valor health plans1515$558.60$887.45$887.451.6×
WellCare1515$532.00$845.19$845.191.6×
paramount1515$547.96$870.55$870.551.6×
university health employee plan (contigo)1314$1,668.50$1,857.44$1,857.441.1×
devoted health1414$532.00$845.19$845.191.6×
sunrise plain communities714$1,301.00$1,668.50$1,668.501.3×
Blue Cross Blue Shield212$98.00$1,321.08$1,662.0817.0×
enterprise group planning48$1,868.72$1,868.72$2,335.901.3×
commercial-contracted [8000]18$48.00$444.54$1,272.0026.5×
health ohio network48$1,935.46$1,935.46$2,235.791.2×
medical mutual15$181.22$362.44$389.092.1×
ohio ppo connect24$3,987.03$3,987.03$3,987.031.0×
integrated health plan12$5,410.97$5,410.97$5,410.971.0×
medical mutual of ohio supermed12$4,292.32$4,292.32$4,292.321.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Lukes HospitalMaumeeOH12$3,394.38$1,697.19$116.72$450.00$1,422.68
Twin City HospitalDennisonOH16$533.00$264.37$181.22$399.75$4,510.00
Adena Regional Medical CenterChillicotheOH21$5,695.76$2,847.88$868.77$3,987.03$5,410.97
Fayette County Memorial HospWashington Court HouseOH18$5,695.76$2,847.88$1,936.56$3,776.29$6,436.21
Uh Samaritan Medical CenterAshlandOH38$2,602.00$1,951.50$790.35$2,185.68$2,578.58
Rainbow Babies & Childrens HospitalClevelandOH40$3,337.00$2,502.75$845.19$2,112.32$3,003.30
University Hospitals Rehab HospitalBeachwoodOH40$3,337.00$2,502.75$845.19$1,868.72$3,003.30
University Hospitals Avon Rehab HospAvonOH40$3,337.00$2,502.75$845.19$1,868.72$3,003.30
Uh Cleveland Medical CenterClevelandOH40$3,337.00$2,502.75$845.19$1,868.72$3,003.30
Uh Ahuja Medical CenterBeachwoodOH38$3,337.00$2,502.75$770.85$1,735.24$3,601.91
Uh Geneva Medical CenterGenevaOH37$2,660.00$1,995.00$532.00$1,729.00$3,601.91
Uh Conneaut Medical CenterConneautOH38$2,660.00$1,995.00$824.60$1,729.00$3,601.91
Uh Regional HospitalsRichmond HeightsOH37$3,337.00$2,502.75$845.19$1,701.87$3,601.91
Uh Geauga Medical CenterChardonOH37$3,337.00$2,502.75$845.19$1,701.87$3,601.91
Uh St. John Medical CenterWestlakeOH38$3,337.00$2,502.75$845.19$1,676.85$3,601.91
Adams County Regional Medical CenterSeamanOH10$4,319.60$2,591.76$35.00$167.00$1,696.00
Uh Portage Medical CenterRavennaOH37$3,337.00$2,502.75$800.88$1,668.50$3,601.91
Lake Hospital SystemConcordOH36$3,337.00$2,502.75$845.19$1,668.50$3,003.30
Uh Elyria Medical CenterElyriaOH38$3,337.00$2,502.75$845.19$1,668.50$3,601.91
Uh Parma Medical CenterParmaOH37$3,337.00$2,502.75$845.19$1,668.50$3,601.91
Harrison Community HospitalCadizOH0$457.00$228.50
Barnesville HospitalBarnesvilleOH0$3,807.00$1,903.50
Trumbull Memorial HospitalWarrenOH0$3,500.00$2,800.00
Wayne Hospital CompanyGreenvilleOH0$4,763.80$3,572.85
Bethesda HospitalCincinnatiOH0$2,466.00$1,849.50
Good Samaritan HospitalCincinnatiOH0$2,466.00$1,849.50
Henry County Hospital (Cah)NapoleonOH0$431.00$323.25

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.