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Colonoscopy with biopsy

CPT 45380 · negotiated-rate distribution across hospitals in TX

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Hospitals
75
Min
$80.00
Median
$1,295.08
Max
$4,771.20
Range multiplier
59.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield60326$55.00$1,496.29$9,525.00173.2×
UnitedHealthcare56169$61.03$1,912.00$6,368.00104.3×
Aetna55116$70.00$1,159.50$5,303.0075.8×
Cigna4587$80.00$3,421.00$19,050238.1×
baylor scott & white health plan2184$988.54$1,319.04$1,834.821.9×
Humana4780$65.00$1,079.23$4,958.0076.3×
Medicaid2255$319.37$385.20$2,658.248.3×
superior health plan2241$429.26$1,040.57$1,155.902.7×
Medicare1136$599.32$1,063.91$1,245.922.1×
prime health services2126$1,090.10$1,132.62$12,38311.4×
Anthem BCBS325$319.37$358.77$2,931.009.2×
healthsmart1923$230.00$3,417.00$4,924.9021.4×
american health plan2222$1,092.60$1,133.19$1,167.611.1×
procare advantage2121$1,092.60$1,133.19$1,167.611.1×
triwest2121$1,040.57$1,079.23$1,112.011.1×
Ambetter2020$599.32$2,234.01$2,380.334.0×
healthspring1818$1,092.60$1,133.19$1,136.801.0×
corvel1717$1,090.10$1,130.60$1,164.941.1×
Multiplan1215$486.00$1,320.00$5,793.6011.9×
healthcare highways [2210]515$541.25$1,019.66$2,658.244.9×
Molina910$450.72$1,128.60$2,027.904.5×
web tpa [2115]510$541.25$2,072.27$5,112.009.4×
wellpoint610$467.89$1,309.32$2,201.724.7×
wellpoint (fka amerigroup)510$429.26$770.44$1,115.152.6×
wellmed99$65.00$1,107.13$1,124.0017.3×
commercial | entrust | all plans88$2,062.48$2,449.58$2,728.991.3×
commercial | phcs | all plans88$525.30$5,185.00$5,185.009.9×
Medicare Advantage38$443.41$599.32$710.791.6×
commercial | community health choice | exchange77$1,055.76$1,556.46$1,557.401.5×
healthscope benefits [2290]56$470.61$1,164.88$2,658.245.6×
scott & white56$1,771.41$1,771.41$4,113.742.3×
sedgwick66$1,555.65$1,596.05$1,662.451.1×
commercial | beechstreet | all plans66$1,655.00$1,655.00$1,655.001.0×
First Health46$417.00$4,394.10$5,112.0012.3×
velocity provider ppo network35$1,237.50$1,237.50$1,773.091.4×
commercial | nxhealth | all plans55$3,351.53$3,372.33$3,374.381.0×
commercial | renaissance | all plans55$747.10$747.55$747.551.0×
commercial | kelseycare | exchange55$1,400.81$1,401.66$1,401.661.0×
commercial | kelseycare | all plans55$1,361.70$1,361.70$1,361.701.0×
commercial | harris health | ers55$1,556.46$1,557.40$1,557.401.0×
90 degree benefits55$1,124.00$2,767.83$2,767.832.5×
commercial | superior health plan | all plans55$1,556.46$1,557.40$1,557.401.0×
mhs care connect24$319.37$319.37$319.371.0×
amerigroup commercial [5055]44$541.25$1,164.88$2,658.244.9×
care improvement44$1,107.13$1,107.13$1,107.131.0×
caprock44$2,767.83$2,767.83$2,767.831.0×
quik trip34$1,237.50$1,237.50$1,773.091.4×
black lung [6055]44$541.25$1,164.88$2,658.244.9×
provider network of america34$1,237.50$1,237.50$1,773.091.4×
lucent health [6000]44$541.25$1,164.88$2,658.244.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Limestone Medical CenterGroesbeckTX7$2,451.00$1,470.60$443.41$944.92$1,960.80
Chi St Lukes Health Mem LivingstonLivingstonTX8$353.30$931.31$2,007.00
Chi St Lukes Health Memorial LufkinLufkinTX7$353.30$931.31$2,007.00
Ut Health East Texas Specialty HospiTylerTX10$3,269.00$326.90$817.25$817.25$2,052.93
Baylor County Hospital DistrictSeymourTX9$1,858.00$1,300.60$65.00$80.00$1,050.07
Clay County Memorial HospitalHenriettaTX5$5,404.00$3,783.00$230.00$724.50$1,729.00
Trinity Regional Hospital SachseSachseTX8$1,309.00$1,047.20$179.10$664.10$3,094.18
Lifecare Spec Hosp Of North TexasDallasTX11$2,165.00$216.50$493.81$541.25$2,024.64
Grimes St. Joseph Health CenterNavasotaTX4$618.00$216.30$368.78$525.30$4,168.00
St Lukes Health Memorial San AugustSan AugustineTX4$368.78$488.58$2,007.00
Baptist Saint Anthonys HospitalAmarilloTX80$6,816.00$681.60$2,029.72$4,771.20$5,793.60
Madison St. Joseph Health CenterMadisonvilleTX7$618.00$216.30$368.78$460.41$4,168.00
Golden Plains Community HospitalBorgerTX6$916.00$641.20$168.54$430.52$622.88
Childrens Medical Center Of PlanoPlanoTX31$5,794.00$4,345.50$356.59$4,055.80$5,620.18
Burleson St. Joseph Health CenterCaldwellTX7$618.00$216.30$368.78$395.52$1,498.22
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$3,886.00$8,427.00
Wilson N Jones Regional Medical CtrShermanTX8$1,690.25$1,352.20$179.10$382.50$695.60
Crescent Medical Center LancasterLancasterTX12$19,050$12,383$936.00$3,681.50$153,120
Ascension Seton BastropBastropTX18$61.03$358.77$599.32
Ascension Seton Shoal CreekAustinTX18$61.03$358.77$599.32
Glen Rose Medical CenterGlen RoseTX8$3,664.00$3,664.00$1,685.00$2,565.00$3,481.00
Falls Community Hospital And ClinicMarlinTX6$3,437.00$2,749.60$1,082.91$2,405.90$4,518.99
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$5,715.00$3,429.00$1,075.12$2,370.00$3,538.00
Heritage Park Surgical HospitalShermanTX2$5,170.00$3,102.00$1,075.12$2,370.00$3,538.00
Crane County Hospital DistrictCraneTX2$3,134.00$2,194.00$1,912.00$1,940.50$2,821.00
Scott & White Hospital BrenhamBrenhamTX5$1,486.25$1,807.60$4,025.00
Big Spring State HospitalBig SpringsTX14$450.72$1,804.63$2,862.03
San Angelo Community Medical CenterSan AngeloTX14$450.72$1,804.63$2,862.03
River Crest HospitalSan AngeloTX14$450.72$1,804.63$2,862.03
Shannon Medical CenterSan AngeloTX14$450.72$1,804.63$2,862.03
Texas Rehabilitation Hospital Of KelKellerTX13$6,050.00$605.00$1,512.50$1,778.70$3,091.55
Acuity Hospital Of South TexasSan AntonioTX11$2,364.12$2,364.12$192.01$1,773.09$2,127.71
Mid Coast Medical Center-CentralLlanoTX11$429.26$1,486.25$4,958.00
Scott And White Hospital TaylorTaylorTX11$429.26$1,486.25$4,958.00
Bsw Medical Center - AustinAustinTX11$429.26$1,486.25$4,958.00
Scott And White Memorial HospitalTempleTX16$429.26$1,486.25$4,958.00
College Station HospitalCollege StationTX15$1,056.41$1,486.25$4,958.00
Hillcrest Baptist Medical CenterWacoTX15$429.26$1,486.25$4,958.00
Baylor Scott & White PflugervillePflugervilleTX15$429.26$1,486.25$4,958.00
Baylor Heart And Vascular HospitalDallasTX10$1,025.27$1,480.59$5,303.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$1,592.00$955.00$605.00$1,456.50$1,528.00
Round Rock HospitalRound RockTX17$429.26$1,405.49$4,958.00
Baylor Scott & White - BudaBudaTX11$429.26$1,405.49$4,958.00
Baylor Scott & White - Marble FallsMarble FallsTX15$429.26$1,396.09$4,958.00
The Heart Hospital Baylor PlanoPlanoTX15$429.26$1,354.43$5,303.00
Baylor S&W Medical Center - MckinneyMckinneyTX15$429.26$1,354.43$5,016.00
Baylor S&W Medical Center - PlanoPlanoTX15$429.26$1,354.43$5,016.00
Baylor Scott & White Wmc - BrenhamBrenhamTX15$429.26$1,354.43$5,303.00
Baylor Medical Center-GrapevineGrapevineTX15$429.26$1,328.98$5,016.00
Baylor S&W Medical Center - IrvingIrvingTX16$429.26$1,295.08$5,016.00
Baylor University Medical CtrDallasTX17$429.26$1,268.10$5,016.00
Baylor S&W All Saints Medical CenterFort WorthTX17$429.26$1,245.07$5,016.00
Baylor Scott & White Mc- Lake PointeRowlettTX17$429.26$1,241.11$5,016.00
Centennial Medical CenterFriscoTX17$429.26$1,241.11$5,016.00
Corpus Christi Specialty HospitalCorpus ChristiTX8$1,650.00$1,650.00$1,155.00$1,237.50$1,485.00
St Lukes Hospital At The VintageHoustonTX18$385.20$1,236.03$5,185.00
Chi St Lukes Health Baylor Med CtrHoustonTX17$385.20$1,220.09$5,185.00
St. Lukes Patients Medical CenterPasadenaTX14$3,190.00$1,116.50$365.94$1,195.00$5,185.00
Pam Squared At Corpus ChristiCorpus ChrstiTX26$1,650.00$1,650.00$184.25$1,155.00$1,938.35
St. Lukes Sugar Land HospitalSugar LandTX16$385.20$1,142.10$5,185.00
St. Lukes The Woodlands HospitalThe WoodlandsTX17$385.20$1,141.40$5,185.00
North Texas Medical CenterGainsvilleTX17$6,922.00$1,731.00$278.00$1,124.00$6,368.00
St. Lukes Lakeside HospitalThe WoodlandsTX17$385.20$1,110.95$5,185.00
Scott & White Cedar ParkCedar ParkTX1$1,108.33$1,108.33$1,108.33
St. Joseph Regional Health CenterBryanTX10$618.00$216.30$368.78$1,062.18$4,168.00
College Station Medical CenterCollege StationTX10$618.00$216.30$368.78$1,062.18$4,168.00
Brazosport Regional Health SystemLake JacksonTX10$385.20$1,055.76$2,448.83
Seton Medical Center Harker HeightsHarker HeightsTX14$2,614.50$261.45$352.43$1,019.66$2,264.16
Yoakum County HospitalDenver CityTX0$2,264.30$2,264.30
Longview Regional Medical CenterLongviewTX0$15,647$2,816.43
Nocona General HospitalNoconaTX0$3,163.00$27.85
The Medical Ctr Of Southeast TexasPort ArthurTX0$5,211.41$5,211.41
Navarro Regional HospitalCorsicanaTX0$17,392$4,174.17
St Joseph Medical CenterHoustonTX0$4,241.79$4,241.79
Laredo Medical CenterLaredoTX0$12,872$3,089.37

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.