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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in NV

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Hospitals
7
Min
$1,218.24
Median
$1,425.22
Max
$4,332.05
Range multiplier
3.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare514$1,205$2,298.49$4,332.053.6×
TRICARE312$1,205$1,205$1,301.61.1×
Aetna411$1,125.99$1,842$6,556.685.8×
Blue Cross Blue Shield29$1,205$2,523.1$2,9932.5×
Medicare58$1,125.99$1,176.76$1,301.61.2×
Anthem BCBS37$332.71$1,301.6$3,686.4411.1×
Cigna46$2,893.3$6,059.4$6,993.792.4×
Medicaid45$329.38$332.71$3801.2×
Humana45$978.69$1,125.99$6,556.686.7×
pa health & wellness14$1,223.36$2,343.53$3,5002.9×
silver summit13$332.71$1,301.6$2,082.566.3×
govt employees health assn [3081090]13$4,332.05$4,332.05$4,332.051.0×
health partners plan13$1,223.36$1,582$1,835.041.5×
healthpartners [3081368]13$1,205$1,205$1,2051.0×
imperial insurance companies13$1,952.4$1,952.4$2,407.961.2×
keystone13$284.2$1,272.29$3,63412.8×
medica (commercial) 94265 [3081118]13$6,046.72$6,046.72$6,046.721.0×
Molina23$332.71$1,255.7$1,301.63.9×
sierra health12$585.22$585.22$585.221.0×
intermountain healthcare (hcp)12$1,301.6$1,822.24$2,342.881.8×
risk admin svs [3081167]12$2,530.65$2,530.65$2,530.651.0×
Meritain Health12$6,993.79$6,993.79$6,993.791.0×
commercial | teachers health trust | all plans22$2,691.73$2,691.73$2,691.731.0×
commercial | health plan of nv | all plans22$1,729$1,729$1,7291.0×
commercial | health services coalition | all plans22$1,435$1,435$1,4351.0×
national telephone cooperative assn 52103 [3081149]12$4,332.05$4,332.05$4,332.051.0×
employer direct healthcare22$1,712.7$1,767.47$1,822.241.1×
Multiplan22$1,299.46$3,270.83$5,242.24.0×
naphcare22$1,896.21$1,956.85$2,017.481.1×
rocky mountain admin llc 83028 [3081168]11$5,828.15$5,828.15$5,828.151.0×
sanford health plan 91184 [3081174]11$5,885.44$5,885.44$5,885.441.0×
spartan11$1,284.53$1,284.53$1,284.531.0×
surest [3081369]11$4,332.05$4,332.05$4,332.051.0×
three rivers11$1,508.3$1,508.3$1,508.31.0×
three rivers provider network11$1,380.67$1,380.67$1,380.671.0×
tlc advantage llc [3081189]11$6,848.09$6,848.09$6,848.091.0×
triwest11$1,288.58$1,288.58$1,288.581.0×
usa managed care organization11$1,218.24$1,218.24$1,218.241.0×
va black hills health care system 12115 [3081206]11$1,205$1,205$1,2051.0×
va ccn optum [3081339]11$1,205$1,205$1,2051.0×
velocity provider ppo network11$1,218.24$1,218.24$1,218.241.0×
worker compensation11$1,382.4$1,382.4$1,382.41.0×
6 degrees health11$2,603.2$2,603.2$2,603.21.0×
Workers Comp11$1,554.95$1,554.95$1,554.951.0×
alignment11$1,327.63$1,327.63$1,327.631.0×
allied benefit systems inc [3081320]11$6,993.79$6,993.79$6,993.791.0×
america's choice11$1,137.02$1,137.02$1,137.021.0×
Auto Insurance11$1,345.7$1,345.7$1,345.71.0×
avera health plans 46045 [3081018]11$4,806.45$4,806.45$4,806.451.0×
commercial | sierra health options | prime11$2,535$2,535$2,5351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ORTHOPEDIC SPECIALTY HOSPITALLAS VEGASNV32$7,285.2$7,285.2$1,205$4,332.05$6,993.79
ST. ROSE DOMINICAN - DELIMAHENDERSONNV12$332.71$1,729$5,125
ST. ROSE DOMINICAN - SAN MARTINLAS VEGASNV10$332.71$1,435$5,125
MT. GRANT GENERAL HOSPITALHAWTHORNENV16$6,843$1,223$284.2$1,425.22$3,634
NORTH VISTA HOSPITALNORTH LAS VEGASNV22$3,686.44$1,301$329.38$1,327.63$3,686.44
PAM REHAB HOSP OF CENTENNIAL HILLSLAS VEGASNV1$1,255.7$1,255.7$1,255.7
PAM SPECIALTY HOSPITAL OF LAS VEGASLAS VEGASNV11$1,624.32$1,624.32$1,137.02$1,218.24$1,380.67

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.