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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in MA

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Hospitals
9
Min
$1,290.85
Median
$1,505.82
Max
$1,528.79
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare649$22.71$1,553.49$4,584.00201.8×
Blue Cross Blue Shield648$52.12$1,120.45$3,917.0575.2×
institution [10406]434$1,434.11$1,641.51$3,455.002.4×
Medicaid425$27.79$1,140.15$3,326.48119.7×
harvard pilgrim [10701]424$752.76$979.79$979.791.3×
Cigna621$1,052.34$1,660.00$4,770.984.5×
correctional care [11003]320$1,434.11$1,451.86$4,770.983.3×
Aetna619$24.88$2,252.66$6,088.81244.7×
mgb mcr [10124]412$1,434.11$1,505.82$3,492.812.4×
tufts connectorcare [10507]412$2,439.42$2,454.52$5,658.352.3×
tufts [11201]412$1,052.34$2,158.43$2,374.302.3×
senior whole health [10110]410$1,534.50$1,553.49$3,559.342.3×
CHAMPVA410$1,260.21$1,499.64$3,487.982.8×
tufts us family [11203]410$1,434.11$1,451.86$3,326.482.3×
tufts mcr supp [20209]210$752.91$1,505.82$3,492.814.6×
Medicare39$1,434.11$1,434.11$3,326.482.3×
fallon mcr [10105]39$1,505.82$1,505.82$3,492.812.3×
commonwealth care mcr [10115]39$1,505.82$1,505.82$3,492.812.3×
tufts dual [10111]39$1,434.11$1,434.11$3,326.482.3×
hsno/free care [10801]48$294.30$672.16$680.812.3×
wellpoint [11112]48$1,523.08$1,523.08$1,523.081.0×
tufts mcr [10112]27$752.91$1,524.46$1,524.462.0×
fallon mcr supp [20202]26$1,505.82$1,524.46$1,524.461.0×
eternalhealth mcr replace [10116]26$1,505.82$1,505.82$3,492.812.3×
harvard pilgrim mcr supp [20203]26$1,505.82$1,505.82$3,492.812.3×
workers compensation [20501]45$395.43$1,382.00$1,526.483.9×
First Health55$60.00$2,591.25$3,483.0058.0×
fallon connectorcare [10503]25$506.00$1,064.92$3,340.436.6×
grants [20507]44$2,961.00$3,455.00$4,644.001.6×
connecticare [11105]44$2,961.00$3,455.00$4,644.001.6×
fallon mcaid carelon hlth [29]44$2,961.00$3,455.00$4,644.001.6×
hne [11108]44$1,558.21$1,742.62$2,590.891.7×
upmc health plan13$375.31$536.16$1,290.853.4×
commonwealth care alliance [10103]13$1,505.82$1,524.46$1,524.461.0×
evernorth behavioral health [27]33$2,368.80$2,764.00$2,764.001.2×
geisinger13$1,278.56$2,050.00$3,759.002.9×
masshealth mcd mbhp [38]33$2,961.00$3,455.00$3,455.001.2×
Multiplan33$2,591.25$2,591.25$3,483.001.3×
pennsylvania health and wellness13$1,000.00$1,290.85$2,274.352.3×
Humana22$1,266.26$1,294.55$1,322.831.0×
hp optum bh [32]22$2,961.00$3,802.50$4,644.001.6×
amerihealth12$37.03$41.97$46.911.3×
qualcare inc12$87.00$1,852.00$3,617.0041.6×
health partners plans12$1,214.00$1,252.43$1,290.851.1×
harvard pilgrim mcr [10106]12$1,524.46$1,524.46$1,524.461.0×
fidelis care12$25.96$674.40$1,322.8351.0×
fallon carelon hlth [28]22$2,961.00$3,802.50$4,644.001.6×
devon health12$6,557.18$6,557.18$6,557.181.0×
wellfleet [11106]22$3,109.50$3,109.50$3,109.501.0×
wellpoint12$1,322.83$2,294.42$3,266.002.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Marlborough HospitalMarlboroughMA36$24,449$24,449$27.79$1,528.79$5,658.35
Umass Memorial Medical CenterWorcesterMA36$24,449$24,449$27.79$1,528.79$5,658.35
Harrington Memorial HospitalSouthbridgeMA31$10,998$10,998$27.79$1,505.82$2,961.00
Healthalliance-ClintonLeominsterMA32$23,918$23,918$27.79$1,505.82$4,644.00
Beth Israel Deaconess - PlymouthPlymouthMA13$4,881.00$22.71$1,322.83$4,908.00
Chestnut Hill Benevolent AssociationChestnut HillMA19$6,691.00$375.31$1,290.85$6,557.18
North Adams Regional HospitalNorth AdamsMA0$3,483.86$3,309.67
Fairview HospitalGreat BarringtonMA0$3,483.86$3,309.67
Berkshire Medical CenterPittsfieldMA0$3,483.86$3,309.67

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.