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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in SD

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Hospitals
3
Min
$2,522.97
Median
$2,864.52
Max
$5,688
Range multiplier
2.3×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE227$783.68$933$1,220.651.6×
Blue Cross Blue Shield315$746.49$2,314.89$5,6887.6×
UnitedHealthcare315$728.28$2,548.98$5,6887.8×
healthpartners [3081368]29$933$2,548.98$2,548.982.7×
medica (commercial) 94265 [3081118]29$2,548.98$2,548.98$3,943.71.5×
govt employees health assn [3081090]29$2,548.98$2,548.98$2,864.521.1×
Cigna29$2,574.99$2,574.99$4,561.391.8×
risk admin svs [3081167]26$503.8$503.8$1,205.282.4×
national telephone cooperative assn 52103 [3081149]26$2,548.98$2,548.98$2,864.521.1×
Meritain Health26$2,574.99$2,574.99$4,561.391.8×
Humana35$933$2,601$5,6886.1×
Aetna25$2,470.95$4,276.29$4,276.291.7×
midlands choice 47080 [3081136]23$2,574.99$2,574.99$4,561.391.8×
allied benefit systems inc [3081320]23$2,574.99$2,574.99$4,561.391.8×
avera health plans 46045 [3081018]23$2,522.97$2,522.97$3,492.331.4×
coresource 38225 [3081146]23$2,340.9$2,340.9$3,088.441.3×
employee benefit management 12x44 [3081079]23$2,340.9$2,340.9$4,038.731.7×
fedmed inc [3081283]23$2,522.97$2,522.97$4,513.881.8×
health partners sx009 [3081102]23$2,541.23$2,548.98$2,548.981.0×
key benefit administrators [3081332]23$2,574.99$2,574.99$4,561.391.8×
Medicare33$728.28$933$5,6887.8×
pacificsource health plans [3081333]23$2,340.9$2,340.9$4,038.731.7×
preferred one 41147 [3081160]23$2,574.99$2,574.99$4,561.391.8×
rocky mountain admin llc 83028 [3081168]23$2,340.9$2,340.9$3,801.151.6×
sanford health plan 91184 [3081174]23$2,522.97$2,522.97$4,276.291.7×
surest [3081369]23$2,548.98$2,548.98$2,864.521.1×
tlc advantage llc [3081189]23$2,444.94$2,444.94$4,466.351.8×
va black hills health care system 12115 [3081206]22$728.28$830.64$9331.3×
va ccn optum [3081339]22$728.28$830.64$9331.3×
Health Net11$728.28$728.28$728.281.0×
Multiplan11$3,738.82$3,738.82$3,738.821.0×
triwest healthcare alliance [3081322]11$728.28$728.28$728.281.0×
group and pension administrators inc [3081098]11$3,738.82$3,738.82$3,738.821.0×
minnesota health care programs 12k16 [3081295]11$1,439.69$1,439.69$1,439.691.0×
va black hills health care system 12115 [3081207]11$728.28$728.28$728.281.0×
VA Health11$728.28$728.28$728.281.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD4$4,493.86$4,493.86$2,997$5,688$5,688
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$4,751.44$4,751.44$933$2,864.52$4,561.39
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$2,601$2,601$503.8$2,522.97$2,601

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.