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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in WI

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Hospitals
35
Min
$424.20
Median
$1,354.53
Max
$6,159.00
Range multiplier
14.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2374$82.94$2,976.00$8,190.0098.7×
Anthem BCBS2059$82.94$1,979.00$6,159.0074.3×
wisconsin physician service1236$2,883.00$3,035.00$3,035.001.1×
common ground1236$2,450.00$2,727.00$2,727.001.1×
Medicare1432$199.17$885.29$1,401.007.0×
Molina1823$867.13$2,568.00$2,568.003.0×
VA Health1122$876.48$885.29$926.481.1×
Cigna1315$225.96$6,800.00$6,800.0030.1×
smart health714$1,239.41$1,239.41$1,297.071.0×
Humana614$87.09$1,309.34$1,309.3415.0×
trilogy1212$4,387.00$4,387.00$4,387.001.0×
Aetna1212$3,119.00$3,119.00$3,119.001.0×
aurora caregiver1212$2,450.00$2,450.00$2,450.001.0×
Blue Cross Blue Shield412$202.09$1,326.91$3,937.0019.5×
centivo1212$3,169.00$3,169.00$3,169.001.0×
hs technology1212$3,152.00$3,152.00$3,152.001.0×
everpointe elite1212$2,153.00$2,153.00$2,153.001.0×
quartz one1212$2,790.00$2,790.00$2,790.001.0×
quartz group1212$3,260.00$3,260.00$3,260.001.0×
health payment systems1212$3,350.00$3,350.00$3,350.001.0×
aspirus19$82.94$282.45$880.6410.6×
wps77$1,371.04$1,371.04$1,371.041.0×
network health plan57$290.63$867.13$4,326.4114.9×
Medicaid26$214.39$1,111.08$2,329.5510.9×
prevea 36016$82.94$783.30$1,716.1520.7×
medica [900156]35$1,197.51$2,531.39$3,340.712.8×
First Health35$1,206.90$2,417.40$3,366.902.8×
security health plan24$242.10$484.65$867.133.6×
centivo nw324$430.88$814.22$1,197.562.8×
smarthealth24$1,227.07$1,227.07$1,227.071.0×
WellCare24$920.30$920.30$920.301.0×
cchp24$314.54$600.23$885.922.8×
centivo nw124$430.88$814.22$1,197.562.8×
healthpartners [900713]33$1,471.61$2,134.06$2,600.091.8×
alliance33$1,330.60$1,330.60$1,330.601.0×
illinicare13$82.94$165.46$880.6410.6×
ma wisconsin replacement [950271]23$1,662.00$2,686.00$3,106.001.9×
mercy care13$282.45$424.20$706.652.5×
meridiancare13$87.09$173.73$880.6410.1×
icare22$867.13$898.50$929.871.1×
medical associates health plan12$275.36$412.35$549.332.0×
health partners open network12$167.21$285.87$404.532.4×
unitedhealth group of wi12$869.04$2,797.52$4,726.005.4×
security health plan (shp)11$869.04$869.04$869.041.0×
managed health services11$869.04$869.04$869.041.0×
group health cooperative of eau claire11$921.18$921.18$921.181.0×
quartz11$869.04$869.04$869.041.0×
veteran's administration (va ccn)11$869.04$869.04$869.041.0×
health partners11$867.13$867.13$867.131.0×
allwell11$884.47$884.47$884.471.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Wheaton Franciscan Healthcare - AllRacineWI4$926.48$926.48$1,371.04
All Saints - St. Luke S HospitalRacineWI4$926.48$926.48$1,371.04
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI4$885.29$885.29$1,371.04
MoshFranklinWI4$885.29$885.29$1,371.04
Wheaton Franciscan - FranklinFranklinWI4$885.29$885.29$1,371.04
Wfhc - Elmbrook MemorialBrookfieldWI4$885.29$885.29$1,371.04
Ascension Se Wisconsin Hospital IncMilwaukeeWI4$885.29$885.29$1,371.04
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$189.87$876.48$1,840.61
Mercy Medical CenterOshkoshWI9$189.87$876.48$1,840.61
Holy Family Memorial IncManitowocWI10$867.13$875.80$6,312.00
Beaver Dam Community HospitalsBeaver DamWI11$869.04$869.04$5,571.00
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$5,749.00$6,159.00$8,190.00
Ssh - Fox ValleyOshkoshWI2$5,749.00$6,159.00$8,190.00
Childrens WisconsinMilwaukeeWI2$5,749.00$6,159.00$8,190.00
Meriter Hospital Inc.MadisonWI13$2,019.00$1,615.20$82.94$424.20$5,169.00
Aurora Medical Center - Bay AreaMarinetteWI15$2,020.00$2,976.00$6,800.00
Memorial Hospital Of BurlingtonBurlingtonWI15$1,979.00$2,976.00$6,800.00
Aurora Health Care Metro Inc.MilwaukeeWI15$1,979.00$2,976.00$6,800.00
West Allis Memorial HospitalWest AllisWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center KenoshaKenoshaWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center Of OshkoshOshkoshWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center - HartfordHartfordWI15$1,979.00$2,976.00$6,800.00
Sheboygan Memorial HospitalSheboyganWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center - SummitSummitWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center GraftonGraftonWI15$1,979.00$2,976.00$6,800.00
Aurora Lakeland Medical CenterElkhornWI15$1,979.00$2,976.00$6,800.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI15$1,979.00$2,976.00$6,800.00
Hudson HospitalHudsonWI8$2,686.00$1,211.65$881.01$1,421.38$3,912.00
Westfields HospitalNew RichmondWI8$3,106.00$1,633.76$199.17$1,354.53$3,106.00
Amery Regional Medical CenterAmeryWI6$3,741.00$1,950.56$199.17$1,351.90$3,627.27
Ascension Columbia St Marys OzaukeeMequonWI7$3,833.00$2,031.49$290.63$1,309.34$1,952.57
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$3,833.00$2,031.49$290.63$1,309.34$1,330.60
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$290.63$1,309.34$1,952.57
University Of Wi Hospitals & ClinicsMadisonWI0$3,873.00$2,323.80
Uw Health Rehabilitation HospitalMadisonWI0$3,873.00$2,323.80

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.