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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in TX

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Hospitals
75
Min
$80.00
Median
$1,049.00
Max
$4,338.60
Range multiplier
54.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield60329$55.00$1,135.97$9,245.00168.1×
UnitedHealthcare57173$50.85$1,659.00$6,185.00121.6×
Aetna52118$70.00$1,076.00$5,303.0075.8×
Cigna4490$80.00$3,421.00$18,490231.1×
baylor scott & white health plan2184$765.62$1,021.59$1,421.061.9×
Humana4784$65.00$835.86$4,958.0076.3×
Medicaid2255$263.85$289.19$2,417.229.2×
superior health plan2241$328.50$712.22$880.452.7×
Medicare1136$464.17$814.27$953.582.1×
Anthem BCBS326$268.05$297.75$2,831.0010.6×
prime health services2125$844.28$875.97$12,01914.2×
healthsmart1923$193.00$3,417.00$3,417.0017.7×
american health plan2222$846.22$877.65$904.311.1×
triwest2121$805.84$835.86$861.251.1×
procare advantage2121$846.22$877.65$904.311.1×
Ambetter2020$464.17$1,730.23$1,840.574.0×
healthspring1818$846.22$877.65$880.451.0×
corvel1717$844.28$875.65$902.251.1×
healthcare highways [2210]412$541.25$658.79$2,417.224.5×
Multiplan710$405.00$3,087.67$5,268.3013.0×
Molina910$344.93$874.33$1,249.503.6×
wellpoint610$358.07$1,013.35$1,356.603.8×
wellpoint (fka amerigroup)510$328.50$594.72$863.682.6×
wellmed99$65.00$856.08$871.0013.4×
commercial | entrust | all plans88$1,578.54$1,874.81$2,088.671.3×
Medicare Advantage38$359.31$464.17$565.761.6×
web tpa [2115]48$541.25$1,476.27$4,648.508.6×
commercial | community health choice | exchange77$803.08$1,191.25$1,191.971.5×
sedgwick66$1,204.85$1,236.13$1,287.571.1×
scott & white56$1,369.72$1,369.72$2,534.701.9×
commercial | beechstreet | all plans66$1,655.00$1,655.00$1,655.001.0×
First Health46$347.00$2,856.00$4,648.5013.4×
commercial | phcs | all plans66$5,185.00$5,185.00$5,185.001.0×
health partners open network25$167.21$404.53$1,443.608.6×
commercial | harris health | ers55$1,191.25$1,191.97$1,191.971.0×
healthscope benefits [2290]45$357.84$542.25$2,417.226.8×
commercial | superior health plan | all plans55$1,191.25$1,191.97$1,191.971.0×
commercial | nxhealth | all plans55$2,565.13$2,581.05$2,582.611.0×
velocity provider ppo network35$1,029.42$2,944.54$2,944.542.9×
commercial | kelseycare | all plans55$1,361.70$1,361.70$1,361.701.0×
commercial | kelseycare | exchange55$1,072.13$1,072.78$1,072.781.0×
90 degree benefits55$871.00$2,140.19$2,140.192.5×
commercial | renaissance | all plans55$571.80$572.15$572.151.0×
patoka valley tier 224$297.75$297.75$297.751.0×
patoka valley tier 124$297.75$297.75$297.751.0×
care improvement44$856.08$856.08$856.081.0×
caprock44$2,140.19$2,140.19$2,140.191.0×
pdh/texas trust44$1,712.16$1,712.16$1,712.161.0×
kempton group44$1,712.16$1,712.16$1,712.161.0×
insurance services of lubbock44$1,395.41$1,395.41$1,395.411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor University Medical CtrDallasTX17$328.50$982.14$5,016.00
Baylor S&W All Saints Medical CenterFort WorthTX17$328.50$964.30$5,016.00
Centennial Medical CenterFriscoTX17$328.50$961.24$5,016.00
Baylor Scott & White Mc- Lake PointeRowlettTX17$328.50$961.24$5,016.00
St. Lukes Sugar Land HospitalSugar LandTX16$287.68$937.17$5,185.00
St. Lukes The Woodlands HospitalThe WoodlandsTX17$287.68$937.17$5,185.00
St. Lukes Lakeside HospitalThe WoodlandsTX17$287.68$874.12$5,185.00
St. Joseph Regional Health CenterBryanTX9$275.42$871.51$4,168.00
College Station Medical CenterCollege StationTX9$275.42$871.51$4,168.00
North Texas Medical CenterGainsvilleTX17$6,723.00$1,681.00$231.00$871.00$6,185.00
Scott & White Cedar ParkCedar ParkTX1$858.40$858.40$858.40
Brazosport Regional Health SystemLake JacksonTX10$287.68$803.08$2,431.00
Baylor County Hospital DistrictSeymourTX9$1,858.00$1,300.60$65.00$80.00$805.84
Seton Medical Center Harker HeightsHarker HeightsTX14$1,988.00$198.80$267.98$775.32$1,721.61
Limestone Medical CenterGroesbeckTX7$1,950.90$1,170.54$359.31$765.70$1,560.72
Chi St Lukes Health Memorial LufkinLufkinTX7$263.85$712.79$2,007.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$263.85$712.79$2,007.00
Grimes St. Joseph Health CenterNavasotaTX3$275.42$609.63$4,168.00
Madison St. Joseph Health CenterMadisonvilleTX3$275.42$609.63$4,168.00
Ut Health East Texas Specialty HospiTylerTX10$2,169.00$216.90$542.25$542.25$1,362.13
Lifecare Spec Hosp Of North TexasDallasTX11$2,165.00$216.50$493.81$541.25$2,024.64
Clay County Memorial HospitalHenriettaTX5$3,859.00$2,701.00$193.00$540.00$1,235.00
Trinity Regional Hospital SachseSachseTX8$1,017.00$813.60$82.56$459.12$2,392.53
Baptist Saint Anthonys HospitalAmarilloTX80$6,198.00$619.80$1,845.69$4,338.60$5,268.30
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$3,886.00$8,427.00
St Lukes Health Memorial San AugustSan AugustineTX4$275.42$368.24$2,007.00
Golden Plains Community HospitalBorgerTX6$767.00$536.90$141.13$360.49$521.56
Ascension Seton BastropBastropTX18$50.85$297.75$464.17
Ascension Seton Shoal CreekAustinTX18$50.85$297.75$464.17
Corpus Christi Specialty HospitalCorpus ChristiTX8$3,926.05$3,926.05$2,748.24$2,944.54$3,533.45
Burleson St. Joseph Health CenterCaldwellTX3$275.42$289.19$1,135.97
Eastland Memorial HospitalEastlandTX3$3,800.00$1,900.00$2,356.00$2,717.00$3,420.00
Childrens Medical Center Of PlanoPlanoTX31$3,570.00$2,677.50$283.10$2,499.00$3,462.90
Heritage Park Surgical HospitalShermanTX2$1,928.00$1,156.80$832.67$2,370.00$3,538.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$4,333.00$2,599.80$832.67$2,370.00$3,538.00
Crescent Medical Center LancasterLancasterTX12$18,490$12,019$710.00$2,308.00$118,591
Glen Rose Medical CenterGlen RoseTX8$3,539.00$3,539.00$1,403.00$2,300.00$3,362.00
Falls Community Hospital And ClinicMarlinTX6$3,279.11$2,623.29$831.04$2,295.38$3,437.46
Acuity Hospital Of South TexasSan AntonioTX11$2,364.12$2,364.12$176.62$1,773.09$2,127.71
Wilson N Jones Regional Medical CtrShermanTX8$1,471.83$1,177.47$82.56$172.90$582.44
Crane County Hospital DistrictCraneTX2$2,315.00$1,621.00$1,412.00$1,433.50$2,084.00
San Angelo Community Medical CenterSan AngeloTX14$344.93$1,395.41$2,177.06
Big Spring State HospitalBig SpringsTX14$344.93$1,395.41$2,177.06
River Crest HospitalSan AngeloTX14$344.93$1,395.41$2,177.06
Shannon Medical CenterSan AngeloTX14$344.93$1,395.41$2,177.06
Scott & White Hospital BrenhamBrenhamTX5$1,130.54$1,374.98$4,025.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$5,269.00$3,161.00$198.00$1,250.50$5,058.00
Baylor Heart And Vascular HospitalDallasTX10$794.07$1,135.61$5,303.00
College Station HospitalCollege StationTX15$818.19$1,130.54$4,958.00
Scott And White Hospital TaylorTaylorTX11$328.50$1,130.54$4,958.00
Mid Coast Medical Center-CentralLlanoTX11$328.50$1,130.54$4,958.00
Hillcrest Baptist Medical CenterWacoTX15$328.50$1,130.54$4,958.00
Bsw Medical Center - AustinAustinTX11$328.50$1,130.54$4,958.00
Scott And White Memorial HospitalTempleTX16$328.50$1,130.54$4,958.00
Baylor Scott & White PflugervillePflugervilleTX15$328.50$1,130.54$4,958.00
Baylor Scott & White - BudaBudaTX11$328.50$1,078.27$4,958.00
Round Rock HospitalRound RockTX17$328.50$1,078.27$4,958.00
St. Lukes Patients Medical CenterPasadenaTX14$2,927.00$1,024.45$273.30$1,076.00$5,185.00
Pam Squared At Corpus ChristiCorpus ChrstiTX26$3,926.05$3,926.05$169.49$1,072.32$3,337.14
Baylor Scott & White - Marble FallsMarble FallsTX15$328.50$1,070.99$4,958.00
The Heart Hospital Baylor PlanoPlanoTX15$328.50$1,049.00$5,303.00
Baylor S&W Medical Center - MckinneyMckinneyTX15$328.50$1,049.00$5,016.00
Baylor Scott & White Wmc - BrenhamBrenhamTX15$328.50$1,049.00$5,303.00
Baylor S&W Medical Center - PlanoPlanoTX15$328.50$1,049.00$5,016.00
Baylor Medical Center-GrapevineGrapevineTX15$328.50$1,029.28$5,016.00
St Lukes Hospital At The VintageHoustonTX18$287.68$1,022.37$5,185.00
Chi St Lukes Health Baylor Med CtrHoustonTX17$287.68$1,012.57$5,185.00
Baylor S&W Medical Center - IrvingIrvingTX16$328.50$1,003.03$5,016.00
Laredo Medical CenterLaredoTX0$12,145$2,914.86
St Joseph Medical CenterHoustonTX0$4,579.71$4,579.71
Nocona General HospitalNoconaTX0$2,406.00$27.85
Longview Regional Medical CenterLongviewTX0$10,611$1,909.95
Yoakum County HospitalDenver CityTX0$2,234.63$2,234.63
The Medical Ctr Of Southeast TexasPort ArthurTX0$4,833.92$4,833.92
Navarro Regional HospitalCorsicanaTX0$12,303$2,952.78

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.