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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in MO

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Hospitals
13
Min
$471.10
Median
$1,198.57
Max
$1,872.78
Range multiplier
4.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield876$23.32$1,594.00$3,682.70157.9×
Aetna855$22.00$75.00$2,281.00103.7×
Cigna754$49.20$1,425.71$6,771.00137.6×
cox health systems insurance company [220]735$55.00$65.00$2,846.8051.8×
allied benefits [498]735$58.00$74.30$3,002.0851.8×
Humana833$22.20$1,198.57$6,690.00301.4×
UnitedHealthcare833$22.40$1,061.10$6,278.00280.3×
consociate [478]730$54.20$1,850.00$4,587.0084.6×
phcs [244]728$75.00$511.60$4,140.8055.2×
med-pay [480]728$65.00$479.63$3,882.0059.7×
healthscope benefits [258]727$65.00$1,368.25$6,278.0096.6×
healthcare sol mercy [609]721$75.00$1,578.75$3,882.0051.8×
medica [661]721$80.00$1,684.00$4,140.8051.8×
hope trust [806]721$58.00$1,220.90$3,002.0851.8×
healthlink [225]721$48.50$65.00$75.501.6×
health alliance [224]721$55.00$1,157.75$3,623.2065.9×
priority health [648]719$54.30$1,475.60$6,771.00124.7×
nalc health benefit plan [242]719$54.30$1,475.60$6,771.00124.7×
apwu health plan [216]719$54.30$1,475.60$6,771.00124.7×
sarah bush lincoln [636]718$54.20$1,850.00$4,587.0084.6×
unicare [568]714$65.00$70.25$75.501.2×
medica [662]712$23.54$990.80$1,347.8657.3×
cox health [757]712$23.10$972.28$1,347.8658.3×
essence healthcare [221]711$22.00$925.98$1,283.6758.3×
devoted health plan [847]610$24.15$1,016.47$1,347.8655.8×
Workers Comp19$1,117.22$1,872.78$1,872.781.7×
Multiplan88$75.00$75.00$3,016.5140.2×
First Health77$74.30$74.30$74.301.0×
fmh benefit service inc [222]77$60.30$60.30$2,281.0037.8×
health systems inc [620]77$75.00$75.00$75.001.0×
detego health [868]77$75.00$75.00$75.001.0×
hfn [563]77$80.00$80.00$85.001.1×
coresource [497]77$60.30$60.30$2,281.0037.8×
mail handlers [495]77$60.30$60.30$2,281.0037.8×
beechstreet [551]77$75.00$75.00$75.001.0×
preferred health professionals [561]77$75.50$75.50$75.501.0×
mercy behavioral health [573]44$25.00$25.00$25.001.0×
Medicare23$1,117.22$1,139.57$1,208.771.1×
6 degrees health [503999050]12$2,178.59$2,485.83$2,793.061.3×
gallagher bassett [5032000103]12$1,872.78$1,872.78$1,872.781.0×
centivo [5032000982]12$2,122.73$2,122.73$2,122.731.0×
mh magellan health services [270]22$100.00$100.00$100.001.0×
occunet [503999930]11$2,346.17$2,346.17$2,346.171.0×
oscar [503201609]11$2,122.73$2,122.73$2,122.731.0×
Ambetter11$1,899.28$1,899.28$1,899.281.0×
fort hays state student athletes [5032000960]11$2,346.17$2,346.17$2,346.171.0×
prime health services [503999912]11$1,872.78$1,872.78$1,872.781.0×
alt wppa [5032000964]11$2,234.45$2,234.45$2,234.451.0×
alt bnsf railway co [503301503]11$1,872.78$1,872.78$1,872.781.0×
sedgwick claims management services [53201618]11$1,872.78$1,872.78$1,872.781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Missouri Baptist Hospital SullivanSullivanMO36$18,029$10,818$22.00$471.52$4,587.00
Missouri Baptist Sullivan HospitalSullivanMO36$18,029$10,818$22.00$471.52$4,587.00
St. Louis Childrens HospitalSt. LouisMO34$20,310$12,186$48.50$471.10$6,278.00
North Kansas City HospitalNorth Kansas CityMO29$10,786$2,157.29$1,117.22$1,872.78$3,351.67
Parkland Health Center - FarmingtonFarmingtonMO36$13,416$8,049.53$25.00$1,220.90$4,587.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO37$14,101$8,460.50$25.00$1,208.77$4,402.00
Barnes Jewish St. Peters HospitalSt. PetersMO36$7,268.06$4,360.84$48.50$1,198.57$6,771.00
Progress West HospitalOfallonMO36$6,807.68$4,084.61$48.50$1,198.57$6,771.00
Ranken JordanMaryland HeightsMO0$1,556.50$1,245.20
Moberly Regional Medical CenterMoberlyMO0$26,694$7,207.28
Missouri Delta Medical CenterSikestonMO0$6,035.48$1,508.87
Harrison County Community HospitalBethanyMO0$434.00$217.00
Northeast Regional Medical CenterKirksvilleMO0$29,750$7,140.08

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.