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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$350.39
Median
$1,187.01
Max
$8,688.00
Range multiplier
24.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1378$159.96$644.96$3,467.6021.7×
Medicare1276$220.65$1,071.59$1,839.898.3×
UnitedHealthcare1357$159.96$644.96$3,398.2321.2×
Aetna2140$291.15$2,462.86$11,58439.8×
Blue Cross Blue Shield1434$399.98$808.73$3,467.608.7×
Humana1121$220.65$993.53$1,187.015.4×
priority health op rate1014$628.51$1,972.74$2,470.703.9×
priority health910$40.00$379.88$636.2715.9×
First Health89$361.68$3,467.60$3,883.6910.7×
TRICARE99$1,039.72$1,124.23$2,422.842.3×
hap - hmo88$245.56$245.56$245.561.0×
u of m health plan88$253.75$253.75$253.751.0×
mclaren commercial ins88$497.92$497.92$497.921.0×
hap preferred op rate47$668.09$1,464.93$2,180.423.3×
mclaren health op rate47$391.24$955.52$1,684.364.3×
mi amish medical board77$1,149.93$1,149.93$1,149.931.0×
hap - hmo op rate56$1,192.16$1,539.30$2,055.581.7×
cofinity - auto op rate45$1,767.26$2,153.38$2,347.231.3×
hp - ppo op rate45$1,997.68$2,357.59$2,532.991.3×
hp - hmo op rate45$1,499.74$1,771.61$1,825.551.2×
harbor health plan14$636.27$699.89$1,187.011.9×
health plus hmo op rate24$738.87$1,188.51$2,411.453.3×
hap hmo op rate24$615.28$1,030.22$2,008.083.3×
hap ahl op rate24$668.09$1,080.85$2,180.423.3×
Cigna24$620.03$1,117.47$2,023.593.3×
cofinity - ppom op rate34$1,932.61$2,916.68$3,804.162.0×
cofinity ppom op rate13$813.28$1,385.86$2,654.283.3×
detroit medical center op rate13$381.32$649.78$1,244.513.3×
hap - ppo op rate33$1,997.68$2,852.01$2,852.011.4×
hap op rate23$1,734.62$2,217.10$3,304.941.9×
hcap op rate33$1,510.73$2,669.59$2,669.591.8×
health advantage - ppo op rate23$1,019.82$1,267.24$1,330.571.3×
mhp - hmo op rate23$1,019.82$1,267.24$1,330.571.3×
total health care priority health13$636.27$1,168.36$1,187.011.9×
Multiplan22$1,617.89$1,796.93$1,975.971.2×
hurley medical center op rate12$1,104.35$1,131.95$1,159.541.0×
health advantage - commercial op rate22$1,559.48$1,559.48$1,559.481.0×
hap/ahl op rate12$1,452.61$1,488.91$1,525.201.0×
mclaren health advantage op rate22$896.84$1,128.76$1,360.681.5×
bcn op rate22$754.72$1,182.27$1,609.812.1×
bsbs bcn op rate12$678.83$966.62$1,254.401.8×
mclaren health plan12$636.27$911.64$1,187.011.9×
mclaren health plan op rate22$526.37$526.37$526.371.0×
blue care network op rate22$838.24$838.24$838.241.0×
cofinity op rate22$1,556.04$2,210.30$2,864.561.8×
Medicare Advantage22$1,022.96$1,104.99$1,187.011.2×
cofinity - wc/auto op rate12$2,235.52$2,291.38$2,347.231.0×
cofinity wc op rate12$1,932.61$1,980.90$2,029.191.0×
mi amish medical board op rate22$1,191.57$1,191.57$1,191.571.0×
cofinity - wc op rate11$1,884.29$1,884.29$1,884.291.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Port HuronPort HuronMI29$4,938.25$2,469.13$159.96$980.20$2,014.30
Borgess-Pipp Health CenterPlainwellMI1$5,792.00$8,688.00$11,584
Ascension Allegan HospitalAlleganMI1$5,792.00$8,688.00$11,584
Ascension Borgess HospitalKalamazooMI1$5,792.00$8,688.00$11,584
Genesys Regional Medical Ctr.Grand BlancMI1$5,792.00$8,688.00$11,584
Ascension Standish HospitalStandishMI1$5,792.00$8,688.00$11,584
Ascension Providence Rochester HospiRochesterMI1$5,792.00$8,688.00$11,584
Ascension Borgess-Lee HospitalDowagiacMI1$5,792.00$8,688.00$11,584
Bay Regional Medical CenterBay CityMI24$3,459.83$2,224.66$159.96$838.24$3,804.16
Mclaren Northern MichiganPetoskeyMI15$3,744.37$1,872.19$159.96$779.22$2,903.23
Ascension St John HospitalDetroitMI3$291.15$664.57$664.57
Mclaren Central MichiganMt PleasantMI17$6,493.92$3,246.96$159.96$654.64$3,437.48
Mclaren Thumb RegionBad AxeMI11$6,818.61$3,409.31$159.96$350.39$2,422.84
Mclaren Bay Special CareBay CityMI17$2,224.66$526.37$1,825.55$3,804.16
Mclaren OaklandPontiacMI14$1,289.99$616.99$1,553.40$2,579.97
Mclaren MacombMt. ClemensMI20$1,234.98$613.77$1,453.57$2,469.96
Garden City Hospital OsteopathicGarden CityMI19$7,526.16$1,187.00$40.00$1,187.01$1,839.87
Mclaren FlintFlintMI26$4,758.41$2,379.21$159.96$1,149.93$3,520.02
Karmanos Cancer HospitalDetroitMI15$1,686.33$381.32$1,071.00$3,319.00
Mclaren Lapeer RegionLapeerMI24$5,094.79$2,547.40$159.96$1,046.86$3,467.60
Mclaren Greater LansingLansingMI20$6,595.42$3,297.71$159.96$1,007.47$3,883.69
Mckenzie Health SystemSanduskyMI0$906.00$724.80
Southeast Michigan Surgical HospitalWarrenMI0$5,693.00$4,554.40
Sparrow Clinton HospitalSt. JohnsMI0$896.00$448.00
Sparrow EatonCharlotteMI0$896.00$448.00
Carson City HospitalCarson CityMI0$896.00$448.00
North Ottawa Community HospitalGrand HavenMI0$20,420$14,294
Mackinac Straits Health System IncSt. IgnaceMI0$1,159.00$811.30

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.