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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$1,205.00$2,298.49$4,332.053.6×
TRICARE312$1,205.00$1,205.00$1,301.601.1×
Aetna411$1,125.99$1,842.00$6,556.685.8×
Blue Cross Blue Shield29$1,205.00$2,523.10$2,993.002.5×
Medicare58$1,125.99$1,176.76$1,301.601.2×
Anthem BCBS37$332.71$1,301.60$3,686.4411.1×
Cigna46$2,893.30$6,059.40$6,993.792.4×
Medicaid45$329.38$332.71$380.001.2×
Humana45$978.69$1,125.99$6,556.686.7×
pa health & wellness14$1,223.36$2,343.53$3,500.002.9×
silver summit13$332.71$1,301.60$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$1,582.00$1,835.041.5×
healthpartners [3081368]13$1,205.00$1,205.00$1,205.001.0×
imperial insurance companies13$1,952.40$1,952.40$2,407.961.2×
keystone13$284.20$1,272.29$3,634.0012.8×
medica (commercial) 94265 [3081118]13$6,046.72$6,046.72$6,046.721.0×
Molina23$332.71$1,255.70$1,301.603.9×
sierra health12$585.22$585.22$585.221.0×
intermountain healthcare (hcp)12$1,301.60$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$1,729.00$1,729.00$1,729.001.0×
commercial | health services coalition | all plans22$1,435.00$1,435.00$1,435.001.0×
national telephone cooperative assn 52103 [3081149]12$4,332.05$4,332.05$4,332.051.0×
employer direct healthcare22$1,712.70$1,767.47$1,822.241.1×
Multiplan22$1,299.46$3,270.83$5,242.204.0×
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$1,508.30$1,508.30$1,508.301.0×
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$1,205.00$1,205.00$1,205.001.0×
va ccn optum [3081339]11$1,205.00$1,205.00$1,205.001.0×
velocity provider ppo network11$1,218.24$1,218.24$1,218.241.0×
worker compensation11$1,382.40$1,382.40$1,382.401.0×
6 degrees health11$2,603.20$2,603.20$2,603.201.0×
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$1,345.70$1,345.70$1,345.701.0×
avera health plans 46045 [3081018]11$4,806.45$4,806.45$4,806.451.0×
commercial | sierra health options | prime11$2,535.00$2,535.00$2,535.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Orthopedic Specialty HospitalLas VegasNV32$7,285.20$7,285.20$1,205.00$4,332.05$6,993.79
St. Rose Dominican - DelimaHendersonNV12$332.71$1,729.00$5,125.00
St. Rose Dominican - San MartinLas VegasNV10$332.71$1,435.00$5,125.00
Mt. Grant General HospitalHawthorneNV16$6,843.00$1,223.00$284.20$1,425.22$3,634.00
North Vista HospitalNorth Las VegasNV22$3,686.44$1,301.00$329.38$1,327.63$3,686.44
Pam Rehab Hosp Of Centennial HillsLas VegasNV1$1,255.70$1,255.70$1,255.70
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.