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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in CA

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Hospitals
37
Min
$554.09
Median
$1,594.92
Max
$5,603.00
Range multiplier
10.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield33152$1.30$3,486.75$61,77247516.9×
Anthem BCBS28108$201.25$1,656.46$7,826.0038.9×
UnitedHealthcare27102$1.00$2,943.50$252,199252199.0×
Aetna3176$201.25$3,003.00$30,886153.5×
Medicaid2271$431.31$1,013.54$2,593.826.0×
Health Net1564$51.00$2,203.67$5,632.00110.4×
Kaiser Permanente3057$201.25$1,337.51$3,520.0017.5×
Medicare3253$201.25$1,337.51$4,538.1222.5×
Cigna2347$756.88$3,520.00$10,55313.9×
Molina1132$269.52$1,374.73$61,772229.2×
Humana2123$201.25$1,321.37$5,786.0028.8×
First Health1015$805.00$2,728.00$5,435.006.8×
Multiplan612$857.50$3,388.00$3,388.004.0×
interplan511$2,282.66$3,608.00$3,608.001.6×
minimum negotiated charge510$269.52$497.26$725.002.7×
axa assistance510$3,080.00$3,080.00$3,080.001.0×
maximum negotiated charge510$4,312.00$4,745.32$5,178.631.2×
choice care network510$3,520.00$3,520.00$3,520.001.0×
azga services canada510$2,992.00$2,992.00$2,992.001.0×
brand new day48$1,546.86$1,922.09$2,297.311.5×
Empire BCBS28$832.42$1,531.54$1,914.432.3×
san diego pace57$375.07$1,224.26$3,084.158.2×
TRICARE47$1,531.54$1,531.54$1,531.541.0×
california health and wellness56$385.41$385.41$2,928.877.6×
emanate health26$1,531.54$1,531.54$3,063.082.0×
citrus valley physicians group26$1,531.54$1,531.54$1,531.541.0×
medi-cal56$269.52$269.52$3,719.2013.8×
commercial | hill physicians | all plans55$1,464.28$1,464.28$1,464.281.0×
optum health commercial55$4,897.05$4,897.05$4,897.051.0×
county of san diego55$269.52$269.52$269.521.0×
indian health council55$1,224.26$1,224.26$1,224.261.0×
community health group medi-cal55$616.00$616.00$616.001.0×
community health group cal mediconnect55$1,224.26$1,224.26$1,224.261.0×
Bright Health44$1,148.00$1,454.69$1,601.341.4×
vantage care24$574.08$1,052.81$1,531.542.7×
traditional medi-cal44$574.08$574.08$574.081.0×
naphcare23$2,373.89$2,373.89$2,373.891.0×
commercial | connected care intel | all plans33$5,786.00$9,384.00$9,384.001.6×
community health group13$2,626.68$2,952.12$3,161.321.2×
imperial health plan of ca33$1,623.43$1,623.43$1,623.431.0×
renal payer solutions33$1,531.54$1,531.54$1,531.541.0×
central health plan33$1,531.54$1,531.54$1,531.541.0×
commercial | mhn | all plans33$1,324.55$1,583.36$1,583.361.2×
employer direct healthcare33$2,144.16$2,144.16$2,144.161.0×
commercial | epic health | all plans22$1,727.60$1,727.60$1,727.601.0×
caloptima22$574.08$574.08$574.081.0×
neighborhood22$1,562.17$1,562.17$1,562.171.0×
alignment22$1,531.54$1,531.54$1,531.541.0×
commercial | valley care ipa | all plans22$1,266.26$1,266.26$1,266.261.0×
commercial | sutter health | all plans22$4,909.34$4,950.63$4,991.911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Scripps Mercy HospitalSan DiegoCA9$3,385.34$846.33$768.47$846.34$1,539.08
Mark Twain Medical CenterSan AndreasCA12$875.00$612.50$201.25$622.53$857.50
Dominican HospitalSanta CruzCA9$723.96$5,603.00$23,444
Mercy Medical Center Mt. ShastaMt. ShastaCA7$554.09$554.09$2,296.30
Central Valley Specialty HospitalModestoCA6$4,871.68$4,871.68$1,217.92$3,653.76$4,140.93
Mercy Hospital Of FolsomFolsomCA10$723.96$3,393.68$10,296
Marian Medical CenterSanta MariaCA10$723.96$3,137.00$9,264.00
Methodist Hospital Of SacramentoSacramentoCA11$723.96$2,979.00$11,836
Woodland HealthcareWoodlandCA7$723.96$2,908.00$7,034.00
Sharp Memorial HospitalSan DiegoCA28$4,649.00$3,486.75$269.52$2,792.95$5,178.63
Sharp Chula Vista Medical CenterChula VistaCA25$4,649.00$3,486.75$1.00$2,750.00$5,178.63
Mercy San Juan Medical CenterCarmichaelCA11$723.96$2,708.65$252,199
Glendale Memorial Hospital & Hlth CtGlendaleCA6$660.19$2,655.32$7,244.00
Sharp Mesa Vista HospitalSan DiegoCA24$4,400.00$269.52$2,607.00$5,178.63
Sharp Coronado HospitalCoronadoCA24$4,400.00$269.52$2,607.00$5,178.63
Grossmont HospitalLa MesaCA24$4,649.00$3,486.75$1.30$2,486.00$5,178.63
St. Johns Regional Medical CenterOxnardCA11$875.99$2,457.41$16,750
St. Johns Pleasant Valley HospitalCamarilloCA11$723.96$2,321.00$16,750
Mercy General HospitalSacramentoCA11$723.96$2,296.30$18,443
Saint Francis Memorial HospitalSan FranciscoCA15$705.84$1,870.02$9,384.00
Bakersfield Memorial HospitalBakersfieldCA11$723.96$1,672.53$9,954.00
Sequoia HospitalRedwood CityCA12$579.62$1,594.92$7,377.00
St. Marys Medical CenterSan FranciscoCA13$579.62$1,583.36$9,384.00
Chino Valley Medical CenterChinoCA25$8,495.31$1,531.00$51.00$1,531.54$3,063.08
Huntington Beach HospitalHuntington BeachCA16$7,892.25$1,531.00$574.08$1,531.54$2,297.31
Garden Grove Hospital Medical CenterGarden GroveCA19$7,892.25$1,531.00$574.08$1,531.54$2,373.89
Montclair Hospital Medical CenterMontclairCA25$10,781$1,531.00$574.08$1,531.54$3,063.08
Sierra Nevada Memorial HospitalGrass ValleyCA9$723.96$1,514.02$11,058
St. Josephs Medical CenterStocktonCA2$1,385.74$1,385.74$1,385.74
St. Josephs Behavioral Hlth CenterStocktonCA2$1,385.74$1,385.74$1,385.74
Northridge Medical Center - RoscoeNorthridgeCA12$688.89$1,324.55$11,879
Community Hospital Of San BernardinoSan BernardinoCA13$723.96$1,321.70$9,063.00
St. Bernardine Medical CenterSan BernardinoCA11$715.00$1,288.65$19,284
Mercy Medical Center MercedMercedCA9$456.69$1,262.40$12,552
St Elizabeth Community HosptialRed BluffCA7$797.97$1,260.26$2,296.30
St. Mary Medical CenterApple ValleyCA11$431.31$1,241.37$6,529.48
Pacifica Hospital Of The ValleySun ValleyCA13$61,772$61,772$875.00$1,121.00$61,772

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.