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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in GA

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Hospitals
8
Min
$550.20
Median
$1,194.38
Max
$8,688.00
Range multiplier
15.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna617$471.60$1,520.81$11,58424.6×
UnitedHealthcare516$1.00$993.99$3,250.003250.0×
Blue Cross Blue Shield416$58.84$1,981.22$4,890.3783.1×
Cigna413$1.00$1,824.98$4,917.004917.0×
Humana510$262.85$997.74$4,113.0015.6×
First Health38$497.80$3,216.70$5,216.0910.5×
WellCare48$524.00$1,100.20$1,319.532.5×
CareSource37$13.49$1,230.21$2,090.17155.0×
Health Net16$262.85$890.35$3,284.4212.5×
Medicaid14$1.00$333.79$1,081.801081.8×
banner health13$262.85$524.00$1,256.694.8×
peach state13$12.84$1,230.21$1,433.26111.6×
devoted health23$555.44$1,230.21$1,332.102.4×
secure health op rate22$2,949.00$2,949.00$2,949.001.0×
alliant op rate22$2,051.00$2,051.00$2,051.001.0×
Ambetter22$1,332.76$1,332.76$1,332.761.0×
arizona medical network12$524.00$890.35$1,256.692.4×
bridgeway health solutions12$524.00$890.35$1,256.692.4×
dodge cty op rate22$1,390.96$1,394.71$1,398.451.0×
health choice pathway12$524.00$890.35$1,256.692.4×
health management network12$524.00$890.35$1,256.692.4×
imperial insurance12$550.20$934.87$1,319.532.4×
riverwood behavioral health12$1,194.38$1,343.68$1,492.981.3×
rural arizona network12$524.00$890.35$1,256.692.4×
sonder health plan12$1,254.10$1,254.10$1,254.101.0×
united mine workers of america12$524.00$890.35$1,256.692.4×
centurion11$1,791.57$1,791.57$1,791.571.0×
care 1st11$262.85$262.85$262.851.0×
three rivers11$1,194.38$1,194.38$1,194.381.0×
beech street op rate11$5,216.09$5,216.09$5,216.091.0×
Medicare11$1,194.38$1,194.38$1,194.381.0×
mercy care11$276.00$276.00$276.001.0×
Multiplan11$1,194.38$1,194.38$1,194.381.0×
naphcare11$1,851.29$1,851.29$1,851.291.0×
novanet11$1,194.38$1,194.38$1,194.381.0×
Oscar Health11$1,552.69$1,552.69$1,552.691.0×
arizona complete health11$262.85$262.85$262.851.0×
peach state hp op rate11$1,246.84$1,246.84$1,246.841.0×
phcs op rate11$5,332.00$5,332.00$5,332.001.0×
prime health services11$1,194.38$1,194.38$1,194.381.0×
provider select11$1,194.38$1,194.38$1,194.381.0×
TRICARE11$1,194.38$1,194.38$1,194.381.0×
corvel11$1,194.38$1,194.38$1,194.381.0×
americas choice provider network11$1,194.38$1,194.38$1,194.381.0×
employer direct healthcare11$1,672.13$1,672.13$1,672.131.0×
clear spring health plan11$1,194.38$1,194.38$1,194.381.0×
georgia workers’ compensation11$1,194.38$1,194.38$1,194.381.0×
health choice11$276.00$276.00$276.001.0×
acchs11$262.85$262.85$262.851.0×
amerigroup op rate11$1,232.00$1,232.00$1,232.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Marys Sacred Heart HospitalLavoniaGA1$5,792.00$8,688.00$11,584
West Central Ga Regional HospitalColumbusGA22$3,386.00$2,512.42$262.85$550.20$3,284.42
Houston Medical CenterWarner RobinsGA16$2,141.93$951.97$2,051.00$5,332.00
Southern Regional Medical CenterRiverdaleGA26$4,194.75$1,194.00$12.84$1,194.38$2,490.55
Perry HospitalPerryGA10$2,141.93$951.97$1,161.41$3,768.00
Dodge County HospitalEastmanGA6$2,027.75$1.00$1,036.00$1,824.98
Southwell MedicalAdelGA0
Union General HospitalBlairsvilleGA0

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.