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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in CA

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Hospitals
37
Min
$525.77
Median
$1,583.36
Max
$5,603.00
Range multiplier
10.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield33153$169.97$3,290.91$61,772363.4×
Anthem BCBS28108$169.97$1,656.46$7,826.0046.0×
UnitedHealthcare27106$1.21$2,356.07$252,199208428.9×
Medicaid2271$431.31$836.30$2,593.826.0×
Aetna3170$169.97$2,362.13$30,886181.7×
Health Net1566$1.00$2,158.24$5,632.005632.0×
Kaiser Permanente3058$169.97$1,331.03$2,768.8016.3×
Medicare3254$169.97$1,329.44$4,538.1226.7×
Cigna2349$639.24$2,768.80$10,55316.5×
Molina1129$212.42$648.00$61,772290.8×
Humana2224$169.97$1,329.44$5,786.0034.0×
First Health1015$679.88$2,145.82$5,435.008.0×
Multiplan611$724.22$2,664.97$2,664.973.7×
interplan511$1,837.50$2,838.02$2,838.021.5×
choice care network510$2,768.80$2,768.80$2,768.801.0×
minimum negotiated charge510$212.42$468.71$725.003.4×
axa assistance510$2,422.70$2,422.70$2,422.701.0×
azga services canada510$2,353.48$2,353.48$2,353.481.0×
maximum negotiated charge510$3,391.78$4,285.21$5,178.631.5×
brand new day48$1,546.86$1,922.09$2,297.311.5×
Empire BCBS28$686.84$1,531.54$1,914.432.8×
TRICARE47$1,531.54$1,531.54$1,531.541.0×
indian health council57$1,224.26$1,224.26$2,480.632.0×
california health and wellness57$1.30$303.76$2,333.631795.1×
citrus valley physicians group26$1,531.54$1,531.54$1,531.541.0×
emanate health26$1,531.54$1,531.54$3,063.082.0×
optum health commercial55$4,897.05$4,897.05$4,897.051.0×
commercial | hill physicians | all plans55$1,464.28$1,464.28$1,464.281.0×
san diego pace55$1,224.26$1,224.26$1,224.261.0×
community health group cal mediconnect55$1,224.26$1,224.26$1,224.261.0×
medi-cal55$212.42$212.42$212.421.0×
community health group medi-cal55$484.54$484.54$484.541.0×
county of san diego55$212.42$212.42$212.421.0×
vantage care24$473.68$1,002.61$1,531.543.2×
Bright Health44$1,148.00$1,454.69$1,601.341.4×
traditional medi-cal44$473.68$473.68$473.681.0×
renal payer solutions33$1,531.54$1,531.54$1,531.541.0×
employer direct healthcare33$2,144.16$2,144.16$2,144.161.0×
imperial health plan of ca33$1,623.43$1,623.43$1,623.431.0×
naphcare23$2,373.89$2,373.89$2,373.891.0×
commercial | mhn | all plans33$1,324.55$1,583.36$1,583.361.2×
epic americas23$1,470.00$2,315.25$2,756.251.9×
commercial | connected care intel | all plans33$5,786.00$9,384.00$9,384.001.6×
central health plan33$1,531.54$1,531.54$1,531.541.0×
workers compensation22$2,017.57$2,017.57$2,017.571.0×
alignment22$1,531.54$1,531.54$1,531.541.0×
caloptima22$473.68$473.68$473.681.0×
care 1st health plan12$1,094.00$1,094.00$1,094.001.0×
choice physicians network22$1,531.54$1,531.54$1,531.541.0×
commercial | epic health | all plans22$1,727.60$1,727.60$1,727.601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Scripps Mercy HospitalSan DiegoCA9$3,887.40$971.85$653.08$960.19$1,539.08
Dominican HospitalSanta CruzCA9$597.36$5,603.00$23,444
Mercy Medical Center Mt. ShastaMt. ShastaCA7$537.67$537.67$1,894.73
Mark Twain Medical CenterSan AndreasCA12$739.00$517.30$169.97$525.77$724.22
Mercy Hospital Of FolsomFolsomCA10$597.36$3,393.68$10,296
Marian Medical CenterSanta MariaCA10$597.36$3,137.00$9,264.00
Methodist Hospital Of SacramentoSacramentoCA11$597.36$2,979.00$11,836
Woodland HealthcareWoodlandCA7$597.36$2,908.00$7,034.00
Glendale Memorial Hospital & Hlth CtGlendaleCA6$544.73$2,655.32$7,244.00
Mercy San Juan Medical CenterCarmichaelCA11$597.36$2,652.32$252,199
St. Johns Regional Medical CenterOxnardCA11$722.81$2,457.41$16,750
Sharp Memorial HospitalSan DiegoCA26$3,675.00$2,756.25$212.42$2,336.18$5,178.63
St. Johns Pleasant Valley HospitalCamarilloCA11$597.36$2,321.00$16,750
Sharp Mesa Vista HospitalSan DiegoCA24$3,461.00$212.42$2,264.89$5,178.63
Mercy General HospitalSacramentoCA11$597.36$2,183.64$18,443
Sharp Coronado HospitalCoronadoCA24$3,461.00$212.42$2,163.13$5,178.63
Grossmont HospitalLa MesaCA24$3,675.00$2,756.25$1.30$2,163.13$5,178.63
Sharp Chula Vista Medical CenterChula VistaCA27$3,675.00$2,756.25$1.00$2,163.13$5,178.63
Central Valley Specialty HospitalModestoCA6$2,592.00$2,592.00$648.00$1,944.00$2,203.20
Saint Francis Memorial HospitalSan FranciscoCA15$582.40$1,870.02$9,384.00
Sequoia HospitalRedwood CityCA12$569.45$1,594.92$7,377.00
St. Marys Medical CenterSan FranciscoCA13$569.45$1,583.36$9,384.00
Chino Valley Medical CenterChinoCA25$7,723.01$1,531.00$473.68$1,531.54$3,063.08
Huntington Beach HospitalHuntington BeachCA16$8,129.02$1,531.00$473.68$1,531.54$2,297.31
Montclair Hospital Medical CenterMontclairCA25$9,591.67$1,531.00$473.68$1,531.54$3,063.08
Garden Grove Hospital Medical CenterGarden GroveCA19$7,892.25$1,531.00$473.68$1,531.54$2,373.89
Sierra Nevada Memorial HospitalGrass ValleyCA9$597.36$1,464.28$11,058
Bakersfield Memorial HospitalBakersfieldCA11$597.36$1,403.80$9,954.00
St. Josephs Medical CenterStocktonCA2$1,385.74$1,385.74$1,385.74
St. Josephs Behavioral Hlth CenterStocktonCA2$1,385.74$1,385.74$1,385.74
Northridge Medical Center - RoscoeNorthridgeCA12$568.41$1,324.55$11,879
St Elizabeth Community HosptialRed BluffCA7$658.42$1,260.26$1,894.73
Mercy Medical Center MercedMercedCA9$456.69$1,259.03$12,552
St. Mary Medical CenterApple ValleyCA11$431.31$1,241.37$6,529.48
St. Bernardine Medical CenterSan BernardinoCA11$597.36$1,239.71$19,284
Community Hospital Of San BernardinoSan BernardinoCA13$597.36$1,232.79$9,063.00
Pacifica Hospital Of The ValleySun ValleyCA13$61,772$61,772$875.00$1,121.00$61,772

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.