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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$375.11
Median
$956.58
Max
$2,281.75
Range multiplier
6.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield7106$122.15$674.48$6,841.3656.0×
UnitedHealthcare960$163.9$577.75$10,58864.6×
Aetna945$199.02$1,191.36$7,50137.7×
Emblem Health428$146.87$1,044$4,00427.3×
Medicaid226$124.84$334.82$935.317.5×
mvp425$199.02$952.15$3,983.4820.0×
Empire BCBS325$256.03$1,445.53$7,29028.5×
capital district physicians' health plan324$283.42$416.79$3,945.4413.9×
fidelis care422$199.02$263.41$1,492.957.5×
Medicare222$199.02$399.24$1,643.128.3×
Healthfirst318$227.58$623.68$2,259.299.9×
Cigna411$306.55$1,538.84$7,04123.0×
Humana711$199.02$1,120.13$1,493.757.5×
amerihealth110$281.48$442.33$1,465.045.2×
magnacare59$1,023.2$2,412$4,0043.9×
Multiplan38$1,151.1$2,119.5$4,754.754.1×
choicecare28$257.55$866.27$2,792.2510.8×
geisinger16$388.72$428.93$6081.6×
[magnacare]16$1,540.8$1,798$2,917.61.9×
fidelis26$277.19$640.66$2,259.298.2×
VA Health36$234.14$689.92$1,440.626.2×
oxford26$1,299.17$1,686.66$8,4006.5×
mvp 290016$222.1$414.8$3,274.314.7×
martins point36$416.78$781.24$1,542.93.7×
Molina45$241.77$1,004.13$2,259.299.3×
wellpath24$327.8$1,023.18$2,160.936.6×
[metroplus]14$497.84$1,671.74$2,844.665.7×
[oxford]14$1,348.9$4,976.58$10,0387.4×
excellus 220114$199.02$469.21$766.793.9×
fidelis 515514$276.37$411.39$585.012.1×
First Health24$1,087.15$1,951.43$4,504.54.1×
harvard pilgrim24$1,023.2$1,801.6$4,0043.9×
independent health 515614$305.89$452.87$642.22.1×
st. regis24$1,191.2$1,191.28$1,440.621.2×
univera14$204.27$242.36$365.291.8×
centers plan for healthy living23$284.43$1,299.17$1,395.284.9×
pennsylvania health and wellness13$353.87$402.12$5701.6×
emblemhealth13$497.75$1,325.51$1,6223.3×
[fidelis]13$284.48$284.48$284.481.0×
[urn]13$1,669.2$1,836.9$2,589.371.6×
life pittsburgh12$234.17$814.73$1,395.286.0×
vns12$1,004.13$1,151.65$1,299.171.3×
jefferson health plans12$410.16$495.78$581.41.4×
Anthem BCBS12$241.77$241.77$241.771.0×
capital district physicians health plan (cdphp) 514912$614.53$864.93$1,115.331.8×
partners health plan12$1,299.17$1,299.17$1,299.171.0×
american health plans12$257.59$826.44$1,395.285.4×
Medicare Advantage12$1,150.9$3,600.45$6,0505.3×
fidelis-commercial other11$1,234.79$1,234.79$1,234.791.0×
urn11$1,836.9$1,836.9$1,836.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$5,005$5,005$199.02$956.58$6,841.36
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$3,015$3,015$199.02$952.15$2,776.82
ALICE HYDE MEDICAL CENTERMALONENY12$3,867$3,867$199.02$624.2$9,020.04
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$703$154.66$204.27$493.58$2,678.93
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$3,837$1,918$122.15$375.11$4,139.33
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY19$6,445.25$6,445.25$618.44$2,281.75$6,050
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$3,647$3,647$146.87$1,445.53$10,588
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY10$1,757$1,229.9$241.77$1,339.72$1,714
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$5,438$1,299.17$1,004.13$1,299.17$3,957
NYU LANGONE HOSPITALSNEW YORKNY0$2,625.26$498.8
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$2,625.26$498.8

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.