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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in MA

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Hospitals
9
Min
$1,290.85
Median
$1,505.82
Max
$1,505.82
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid454$1.98$9.41$2,299.711161.5×
UnitedHealthcare649$22.71$1,553.49$4,584201.8×
Blue Cross Blue Shield648$52.12$1,120.45$3,917.0575.2×
institution [10406]438$1.98$1,451.86$3,4551744.9×
harvard pilgrim [10701]424$752.76$979.79$979.791.3×
Cigna621$1,052.34$1,660$4,770.984.5×
correctional care [11003]320$1,434.11$1,451.86$4,770.983.3×
Aetna619$24.88$2,252.66$6,366.36255.9×
tufts connectorcare [10507]412$2,439.42$2,454.52$3,911.811.6×
tufts [11201]412$1,052.34$2,158.43$2,374.32.3×
mgb mcr [10124]412$1,434.11$1,505.82$2,414.71.7×
tufts us family [11203]410$1,434.11$1,451.86$2,299.711.6×
tufts mcr supp [20209]210$752.91$1,505.82$2,414.73.2×
senior whole health [10110]410$1,534.5$1,553.49$2,460.691.6×
CHAMPVA410$1,260.21$1,499.64$2,412.741.9×
commonwealth care mcr [10115]39$1,505.82$1,505.82$2,414.71.6×
Medicare39$1,434.11$1,434.11$2,299.711.6×
tufts dual [10111]39$1,434.11$1,434.11$2,299.711.6×
fallon mcr [10105]39$1,505.82$1,505.82$2,414.71.6×
grants [20507]48$6.52$1,484.87$4,354667.8×
hsno/free care [10801]48$294.3$672.16$680.812.3×
wellpoint [11112]48$1,523.08$1,523.08$1,523.081.0×
tufts mcr [10112]26$752.91$1,524.46$1,524.462.0×
eternalhealth mcr replace [10116]26$1,505.82$1,505.82$2,414.71.6×
fallon connectorcare [10503]26$506$1,315.42$3,131.836.2×
harvard pilgrim mcr supp [20203]26$1,505.82$1,505.82$2,414.71.6×
fallon mcr supp [20202]26$1,505.82$1,524.46$1,524.461.0×
workers compensation [20501]45$395.43$1,382$1,444.383.7×
First Health55$60$2,591.25$3,265.554.4×
masshealth [20302]24$1.98$4.79$7.593.8×
hne [11108]44$1,558.21$1,742.62$2,429.11.6×
connecticare [11105]44$2,961$3,455$4,3541.5×
fallon mcaid carelon hlth [29]44$2,961$3,455$4,3541.5×
evernorth behavioral health [27]33$2,368.8$2,764$2,7641.2×
Multiplan33$2,591.25$2,591.25$3,265.51.3×
commonwealth care alliance [10103]13$1,505.82$1,524.46$1,524.461.0×
pennsylvania health and wellness13$1,000$1,290.85$2,274.352.3×
geisinger13$1,278.56$2,050$3,930.353.1×
upmc health plan13$315.59$450.84$1,290.854.1×
masshealth mcd mbhp [38]33$2,961$3,455$3,4551.2×
harvard pilgrim mcr [10106]12$1,524.46$1,524.46$1,524.461.0×
health partners plans12$1,214$1,252.43$1,290.851.1×
hp optum bh [32]22$2,961$3,657.5$4,3541.5×
Humana22$1,266.26$1,294.55$1,322.831.0×
fallon carelon hlth [28]22$2,961$3,657.5$4,3541.5×
keystone first12$1,253.97$1,297.99$1,3421.1×
optum transplant [20601]22$3,455$3,455$3,4551.0×
qualcare inc12$87$1,852$3,61741.6×
devon health12$6,856.08$6,856.08$6,856.081.0×
automobile [10401]22$3,455$3,455$3,4551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA31$9,786.37$9,786.37$2.89$1,505.82$2,961
HEALTHALLIANCE-CLINTONLEOMINSTERMA32$13,178$13,178$55.58$1,505.82$4,409.2
MARLBOROUGH HOSPITALMARLBOROUGHMA37$26,228$26,228$1.98$1,505.82$4,770.98
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA37$26,228$26,228$1.98$1,505.82$4,770.98
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$4,881$22.71$1,322.83$4,908
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$6,996$315.59$1,290.85$6,856.08
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$3,483.86$3,309.67
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$3,483.86$3,309.67
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$3,483.86$3,309.67

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.