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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in PA

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Hospitals
56
Min
$405.14
Median
$1,254.60
Max
$4,691.70
Range multiplier
11.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield35231$121.00$1,362.24$6,300.0052.1×
Aetna35205$108.90$1,804.50$6,316.0058.0×
upmc health plan33119$123.42$1,127.15$2,854.2523.1×
UnitedHealthcare31105$236.69$1,202.80$6,368.0026.9×
Cigna33104$127.05$1,659.12$5,035.0039.6×
Multiplan1156$471.90$4,228.38$5,774.4012.2×
pa health & wellness2554$130.68$384.16$2,315.5217.7×
amerihealth caritas3052$247.96$351.90$2,208.328.9×
intergroup1546$544.50$3,530.63$6,135.3011.3×
geisinger2443$247.96$350.91$3,750.3315.1×
First Health1334$1,932.70$2,867.71$5,679.102.9×
Humana1829$342.75$2,484.90$6,896.0520.1×
upmc work partners2727$841.35$878.80$896.001.1×
private health care systems1326$596.00$2,843.20$6,490.4010.9×
keystone first517$277.27$628.92$2,634.169.5×
health partners plans (jefferson health plan)1717$307.02$339.93$339.931.1×
america's choice514$544.50$4,336.80$4,878.909.0×
wirerope works514$336.38$3,014.08$3,014.089.0×
preferred healthcare system612$1,470.50$1,470.50$4,691.703.2×
Medicaid211$247.96$403.50$449.461.8×
health partners plans39$1,253.97$1,670.00$1,670.001.3×
selectcare48$2,484.90$4,909.60$6,490.402.6×
three rivers provider network48$940.11$2,909.51$4,878.905.2×
pennsylvania health and wellness37$503.25$1,352.32$2,834.495.6×
health coalition partners46$2,484.90$2,723.89$5,774.402.3×
ibc26$1,729.00$2,036.00$3,508.342.0×
gateway health plan35$270.50$1,068.14$1,572.215.8×
health plan of upper ohio valley35$1,124.11$1,146.59$1,704.781.5×
pa health_wellness chc24$293.05$354.52$416.001.4×
health payors organization24$5,024.70$5,580.00$6,135.301.2×
keystone autism services44$1,802.21$1,806.84$1,811.941.0×
national provider network24$3,631.76$4,104.91$4,578.061.3×
prime health services33$1,956.93$2,002.12$2,002.121.0×
jup geisinger commercial13$401.30$449.68$529.371.3×
keystone health plan33$2,200.80$2,200.80$2,581.951.2×
fidelis23$1,297.37$5,413.50$5,413.504.2×
Medicare13$222.96$250.43$297.331.3×
elder health33$1,475.26$1,509.32$1,509.321.0×
Anthem BCBS13$699.00$1,407.31$1,881.912.7×
innovage33$1,282.93$1,282.93$1,487.551.2×
occunet33$1,517.55$2,075.32$2,075.321.4×
Oscar Health33$1,844.07$1,886.65$1,886.651.0×
clover health33$1,303.14$1,333.24$1,333.241.0×
jup health partners chip13$322.15$348.17$406.781.3×
univera13$774.75$1,704.45$2,272.602.9×
naphcare22$1,886.65$1,886.65$1,886.651.0×
city of washington22$2,248.22$2,248.22$2,248.221.0×
community care behavioral health12$535.57$803.35$1,071.132.0×
galaxy health plan12$969.60$969.60$969.601.0×
independent health12$1,634.95$1,743.96$1,852.971.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Charles Cole Memorial HospitalCoudersportPA13$1,212.00$727.20$236.69$909.00$2,321.75
Upmc ShadysidePittsburghPA20$7,218.00$4,330.80$247.96$4,691.70$6,135.30
Aria HealthPhiladelphiaPA14$5,037.00$1,350.43$210.89$405.14$3,508.34
Muncy Valley HospitalMuncyPA15$5,421.00$3,252.60$247.96$2,715.92$5,149.95
Lock Haven HospitalLock HavenPA15$5,421.00$3,252.60$247.96$2,585.82$4,878.90
Divine Providence HospitalWilliamsportPA15$5,421.00$3,252.60$247.96$2,585.82$4,878.90
Williamsport Hospital & Medical CtrWilliamsportPA15$5,421.00$3,252.60$247.96$2,585.82$4,878.90
Upmc St MargaretPittsburghPA12$8,113.00$4,867.80$247.96$2,271.64$6,896.05
Upmc Mercy HospitalPittsburghPA16$5,583.00$3,349.80$247.96$2,121.54$5,024.70
Upmc MckeesportMckeesportPA13$5,056.00$3,033.60$247.96$1,964.26$4,297.60
Upmc East HospitalMonroevillePA13$5,092.00$3,055.20$247.96$1,945.14$4,393.81
Upmc Northwest HospitalSenecaPA13$3,554.00$2,132.40$247.96$1,894.12$3,704.00
Upmc Bedford Memorial HospitalEverettPA17$2,761.00$1,656.60$236.69$1,711.82$2,493.18
Thomas Jefferson Univ. HospitalPhiladelphiaPA8$3,411.00$1,413.79$293.05$1,617.90$6,300.00
Upmc Horizon HospitalGreenvillePA17$4,127.00$2,476.20$247.96$1,609.53$3,507.95
Temple University HospitalPhiladelphiaPA20$6,996.00$315.59$1,572.21$6,368.00
Upmc HamotEriePA16$5,165.00$3,099.00$247.96$1,549.50$4,132.00
American Oncologic HospialPhiladelphiaPA16$6,996.00$362.52$1,499.84$6,316.00
Jeanes HospitalPhiladelphiaPA18$6,996.00$425.03$1,383.55$4,300.00
Upmc PassavantPittsburghPA14$3,690.00$2,214.00$247.96$1,254.60$4,393.81
Upmc Pinnacle HospitalsHarrisburgPA12$304.32$1,229.43$3,485.00
Community General Osteopathic Hosp.HarrisburgPA12$304.32$1,229.43$3,485.00
Upmc Childrens Hospital Of PghPittsburghPA12$2,941.00$1,764.60$225.42$1,214.04$2,504.97
Altoona Regional Health SystemAltoonaPA12$2,941.00$1,764.60$225.42$1,214.04$2,504.97
The Childrens Home Of PittsburghPittsburghPA12$2,941.00$1,764.60$225.42$1,214.04$2,504.97
Upmc Magee-Womens HospitalPittsburghPA12$2,941.00$1,764.60$225.42$1,214.04$2,504.97
Upmc JamesonNew CastlePA13$4,127.00$2,476.20$247.96$1,193.87$3,631.76
Memorial HospitalYorkPA11$286.28$1,187.15$5,035.00
Upmc LititzLititzPA10$286.28$1,185.12$5,035.00
Upmc CarlisleCarlislePA12$286.28$1,152.18$5,035.00
Upmc HanoverHanoverPA12$286.28$1,150.60$5,035.00
WellsboroWellsboroPA14$5,421.00$3,933.60$108.90$1,149.25$5,149.95
Whs - GreeneWaynesburgPA8$259.23$1,146.59$2,592.42
The Washington HospitalWashingtonPA8$259.23$1,146.59$2,592.42
Curahealth Heritage ValleyBeaverPA9$1,694.08$457.40$225.42$1,039.59$1,694.08
Holy Spirit HospitalCamp HillPA0$7,664.00$1,830.93
Clarion HospitalClarionPA0
St. Joseph Medical CenterReadingPA0$7,664.00$1,993.41
Hospital Of The Univ Of PennaPhiladelphiaPA0$4,399.00$4,399.00
Windber Hospital Inc.WindberPA0$703.00$597.55
Uniontown HospitalUniontownPA0$2,549.44$1,274.72
Wayne Memorial HospitalHonesdalePA0$2,050.00$1,435.00
Miners HospitalHastingsPA0$2,999.06$1,199.62
Westmoreland Regional HospitalGreensburgPA0$2,500.00$1,500.00
Butler Memorial HospitalButlerPA0
Doylestown HospitalDoylestownPA0$4,686.50$4,686.50
Frick HospitalMount PleasantPA0$2,500.00$1,500.00
Latrobe Area HospitalLatrobePA0$2,500.00$1,500.00
Presbyterian Medical CenterPhiladelphiaPA0$5,689.00$5,689.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$4,399.00$4,399.00
Milton S. Hershey Medical CenterHersheyPA0$7,664.00$2,539.08
Physicians Care Surgical HospitalRoyersfordPA0$5,781.00$10,218
Hampden Medical CenterEnolaPA0$7,664.00$2,411.86
Meyersdale Community HospitalMeyersdalePA0$2,845.19$1,138.07
Miners HospitalHastingsPA0$2,999.06$1,199.62
Penn State Hershey Rehabilitation LlHummelstownPA0$7,664.00$1,993.41

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.