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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in MO

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Hospitals
12
Min
$85.00
Median
$1,283.67
Max
$1,872.78
Range multiplier
22.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield878$23.32$1,607.00$4,659.44199.8×
Aetna861$22.00$79.00$5,685.00258.4×
Cigna755$49.20$1,693.00$6,771.00137.6×
allied benefits [498]737$58.00$79.00$5,685.0098.0×
Humana836$22.20$1,203.67$6,690.00301.4×
cox health systems insurance company [220]735$55.00$65.00$3,587.1065.2×
UnitedHealthcare835$22.40$1,188.10$6,278.00280.3×
consociate [478]730$54.20$1,850.00$4,587.0084.6×
med-pay [480]728$65.00$594.75$4,891.5075.3×
phcs [244]728$75.00$634.40$5,217.6069.6×
healthscope benefits [258]727$65.00$1,729.00$6,278.0096.6×
medica [661]721$80.00$2,121.60$5,217.6065.2×
hope trust [806]721$58.00$1,538.16$3,782.7665.2×
health alliance [224]721$55.00$1,458.60$4,565.4083.0×
healthlink [225]721$48.50$65.00$75.501.6×
healthcare sol mercy [609]721$75.00$1,989.00$4,891.5065.2×
priority health [648]719$54.30$1,867.32$6,771.00124.7×
nalc health benefit plan [242]719$54.30$1,867.32$6,771.00124.7×
apwu health plan [216]719$54.30$1,867.32$6,771.00124.7×
sarah bush lincoln [636]718$54.20$1,850.00$4,587.0084.6×
essence healthcare [221]714$22.00$1,172.31$3,861.70175.5×
cox health [757]714$23.10$1,225.22$4,054.78175.5×
medica [662]714$23.54$1,242.60$4,054.78172.3×
unicare [568]714$65.00$70.25$75.501.2×
devoted health plan [847]613$24.15$1,258.50$4,054.78167.9×
Workers Comp19$1,117.22$1,872.78$1,872.781.7×
coresource [497]79$60.30$79.00$5,685.0094.3×
fmh benefit service inc [222]79$60.30$79.00$5,685.0094.3×
mail handlers [495]79$60.30$79.00$5,685.0094.3×
Multiplan88$75.00$75.00$3,016.5140.2×
beechstreet [551]77$75.00$75.00$75.001.0×
preferred health professionals [561]77$75.50$75.50$75.501.0×
health systems inc [620]77$75.00$75.00$75.001.0×
detego health [868]77$75.00$75.00$75.001.0×
hfn [563]77$80.00$80.00$85.001.1×
First Health77$74.30$74.30$74.301.0×
Medicare24$604.39$1,128.40$1,208.772.0×
mh magellan health services [270]22$100.00$100.00$100.001.0×
gallagher bassett [5032000103]12$1,872.78$1,872.78$1,872.781.0×
centivo [5032000982]12$2,122.73$2,122.73$2,122.731.0×
mercy behavioral health [573]22$25.00$25.00$25.001.0×
6 degrees health [503999050]12$2,178.59$2,485.83$2,793.061.3×
claimdoc [503301509]11$3,016.51$3,016.51$3,016.511.0×
Ambetter11$1,899.28$1,899.28$1,899.281.0×
occunet [503999930]11$2,346.17$2,346.17$2,346.171.0×
oscar [503201609]11$2,122.73$2,122.73$2,122.731.0×
lasso healthcare [503999926]11$1,117.22$1,117.22$1,117.221.0×
devoted [503200068]11$1,117.22$1,117.22$1,117.221.0×
prime health services [503999912]11$1,872.78$1,872.78$1,872.781.0×
alt bnsf railway co [503301503]11$1,872.78$1,872.78$1,872.781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Louis Childrens HospitalSt. LouisMO34$18,130$10,878$48.50$85.00$6,278.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO36$12,740$7,643.81$45.60$604.39$4,659.44
Missouri Baptist Sullivan HospitalSullivanMO36$25,079$15,048$22.00$594.05$4,614.48
Missouri Baptist Hospital SullivanSullivanMO36$25,079$15,048$22.00$594.05$4,614.48
North Kansas City HospitalNorth Kansas CityMO29$9,866.76$1,973.35$1,117.22$1,872.78$3,351.67
Barnes Jewish St. Peters HospitalSt. PetersMO36$15,467$9,279.98$48.50$1,336.95$6,771.00
Progress West HospitalOfallonMO36$9,601.63$5,760.98$48.50$1,336.95$6,771.00
Parkland Health Center - FarmingtonFarmingtonMO35$10,891$6,534.65$45.60$1,283.67$4,614.48
Moberly Regional Medical CenterMoberlyMO0$26,589$7,178.92
Harrison County Community HospitalBethanyMO0$546.00$273.00
Missouri Delta Medical CenterSikestonMO0$9,992.96$2,498.24
Northeast Regional Medical CenterKirksvilleMO0$27,232$6,535.69

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.