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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$4,256.08
Median
$5,689
Max
$5,689
Range multiplier
1.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE19$1,205$1,205$1,2051.0×
Blue Cross Blue Shield28$1,205$2,995$5,6894.7×
UnitedHealthcare26$1,205$4,256.08$5,6894.7×
medica (commercial) 94265 [3081118]13$5,880.87$5,880.87$5,880.871.0×
Humana23$1,205$5,689$6,376.865.3×
healthpartners [3081368]13$1,205$1,205$1,2051.0×
govt employees health assn [3081090]13$4,256.08$4,256.08$4,256.081.0×
Cigna13$6,801.99$6,801.99$6,801.991.0×
Aetna13$6,376.86$6,376.86$6,376.861.0×
Meritain Health12$6,801.99$6,801.99$6,801.991.0×
Medicare22$1,205$3,447$5,6894.7×
national telephone cooperative assn 52103 [3081149]12$4,256.08$4,256.08$4,256.081.0×
risk admin svs [3081167]12$3,509.29$3,509.29$3,509.291.0×
key benefit administrators [3081332]11$6,801.99$6,801.99$6,801.991.0×
employee benefit management 12x44 [3081079]11$6,022.6$6,022.6$6,022.61.0×
allied benefit systems inc [3081320]11$6,801.99$6,801.99$6,801.991.0×
coresource 38225 [3081146]11$4,605.52$4,605.52$4,605.521.0×
midlands choice 47080 [3081136]11$6,801.99$6,801.99$6,801.991.0×
minnesota health care programs 12k16 [3081295]11$2,146.88$2,146.88$2,146.881.0×
Multiplan11$5,593.74$5,593.74$5,593.741.0×
va black hills health care system 12115 [3081206]11$1,205$1,205$1,2051.0×
pacificsource health plans [3081333]11$6,022.6$6,022.6$6,022.61.0×
preferred one 41147 [3081160]11$6,801.99$6,801.99$6,801.991.0×
va ccn optum [3081339]11$1,205$1,205$1,2051.0×
rocky mountain admin llc 83028 [3081168]11$5,668.32$5,668.32$5,668.321.0×
sanford health plan 91184 [3081174]11$5,499.36$5,499.36$5,499.361.0×
surest [3081369]11$4,256.08$4,256.08$4,256.081.0×
tlc advantage llc [3081189]11$6,660.26$6,660.26$6,660.261.0×
avera health plans 46045 [3081018]11$4,491.14$4,491.14$4,491.141.0×
health partners sx009 [3081102]11$3,860.11$3,860.11$3,860.111.0×
group and pension administrators inc [3081098]11$5,593.74$5,593.74$5,593.741.0×
fedmed inc [3081283]11$6,731.14$6,731.14$6,731.141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD4$7,052.84$5,559.27$2,997$5,689$5,689
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$7,085.4$7,085.4$1,205$4,256.08$6,801.99

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.