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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$351.24
Median
$921.53
Max
$1,614.1
Range multiplier
4.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield7106$134.4$650.13$6,841.3650.9×
UnitedHealthcare961$129.87$512$10,58881.5×
Aetna948$157.7$1,170.16$9,78462.0×
Emblem Health442$161.6$988.73$3,98024.6×
Empire BCBS329$202.48$1,652.32$7,29036.0×
Healthfirst329$179.98$888.36$2,259.2912.6×
Medicaid226$137.36$321.21$969.817.1×
mvp425$157.7$910.41$3,959.625.1×
capital district physicians' health plan324$269.35$396.11$3,921.7914.6×
fidelis care422$157.7$208.72$1,492.959.5×
Medicare222$157.7$380.54$1,643.1210.4×
Cigna411$241.4$1,216.98$7,04129.2×
Humana711$157.7$1,191.36$1,493.759.5×
magnacare511$975.2$2,364$3,9804.1×
amerihealth110$236.69$371.94$1,465.046.2×
fidelis29$220.61$1,299.17$2,475.6411.2×
Multiplan38$1,097.1$2,256.75$4,726.254.3×
choicecare28$204.08$870.85$2,792.2513.7×
martins point36$396.11$793.74$1,542.93.9×
[fidelis]16$224.98$1,050.29$2,250.5810.0×
VA Health36$185.53$688.45$1,440.627.8×
geisinger16$326.86$360.67$5121.6×
oxford26$1,057.82$1,520.09$8,4007.9×
mvp 290016$174.9$396.62$3,274.318.7×
Molina45$192.62$1,004.13$2,259.2911.7×
wellpath24$259.74$1,044.72$2,160.938.3×
[magnacare]14$1,299.6$1,704.5$2,6202.0×
[metroplus]14$393.72$1,449.09$2,554.56.5×
[oxford]14$1,063.54$4,805.63$10,0389.4×
excellus 220114$157.7$436.11$746.114.7×
fidelis 515514$218.36$365.77$557.852.6×
First Health24$1,036.15$2,018.55$4,477.54.3×
harvard pilgrim24$975.2$1,865.6$3,9804.1×
independent health 515614$242.4$402.14$610.692.5×
st. regis24$1,163.2$1,177.28$1,440.621.2×
univera14$161.4$191.49$288.611.8×
emblemhealth13$396.57$1,325.51$1,6224.1×
pennsylvania health and wellness13$297.55$338.13$4801.6×
centers plan for healthy living23$226.61$1,299.17$1,395.286.2×
Medicare Advantage13$1,109.32$1,284.27$2,6352.4×
Anthem BCBS12$192.62$192.62$192.621.0×
life pittsburgh12$185.71$790.5$1,395.287.5×
american health plans12$204.28$799.78$1,395.286.8×
6 degrees health12$1,444$2,076.08$2,708.161.9×
[urn]12$1,407.9$1,866.58$2,325.251.7×
urn12$1,407.9$1,936.51$2,465.121.8×
metroplus12$220.61$1,238.7$2,256.810.2×
capital district physicians health plan (cdphp) 514912$485.53$776.18$1,066.822.2×
vns12$1,004.13$1,151.65$1,299.171.3×
jefferson health plans12$344.89$417.25$489.61.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$4,975$4,975$157.7$921.53$6,841.36
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$3,210$3,210$157.7$910.41$2,956.41
ALICE HYDE MEDICAL CENTERMALONENY12$3,723$3,723$157.7$624.2$9,020.04
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$557$122.54$161.4$388.65$2,678.93
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$1,323$788.9$129.87$351.24$4,139.33
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY19$4,420.54$4,420.54$425.71$1,614.1$6,050
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY10$1,682$1,177.4$192.62$1,339.72$1,714
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$4,914$1,299.17$1,004.13$1,299.17$3,796.95
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$3,472$3,472$161.6$1,274.26$10,588
NYU LANGONE HOSPITALSNEW YORKNY0$2,206.1$419.16
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$2,206.1$419.16

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.