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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$163.90$577.75$10,58864.6×
Aetna945$199.02$1,191.36$7,501.0037.7×
Emblem Health428$146.87$1,044.00$4,004.0027.3×
Medicaid226$124.84$334.82$935.317.5×
mvp425$199.02$952.15$3,983.4820.0×
Empire BCBS325$256.03$1,445.53$7,290.0028.5×
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$7,041.0023.0×
Humana711$199.02$1,120.13$1,493.757.5×
amerihealth110$281.48$442.33$1,465.045.2×
magnacare59$1,023.20$2,412.00$4,004.003.9×
Multiplan38$1,151.10$2,119.50$4,754.754.1×
choicecare28$257.55$866.27$2,792.2510.8×
geisinger16$388.72$428.93$608.001.6×
[magnacare]16$1,540.80$1,798.00$2,917.601.9×
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$8,400.006.5×
mvp 290016$222.10$414.80$3,274.3014.7×
martins point36$416.78$781.24$1,542.903.7×
Molina45$241.77$1,004.13$2,259.299.3×
wellpath24$327.80$1,023.18$2,160.936.6×
[metroplus]14$497.84$1,671.74$2,844.665.7×
[oxford]14$1,348.90$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$4,504.504.1×
harvard pilgrim24$1,023.20$1,801.60$4,004.003.9×
independent health 515614$305.89$452.87$642.202.1×
st. regis24$1,191.20$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$570.001.6×
emblemhealth13$497.75$1,325.51$1,622.003.3×
[fidelis]13$284.48$284.48$284.481.0×
[urn]13$1,669.20$1,836.90$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$581.401.4×
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$1,150.90$3,600.45$6,050.005.3×
fidelis-commercial other11$1,234.79$1,234.79$1,234.791.0×
urn11$1,836.90$1,836.90$1,836.901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Champlain Valley Physicians HospitalPlattsburghNY16$5,005.00$5,005.00$199.02$956.58$6,841.36
Elizabethtown Community HospitalElizabethtownNY16$3,015.00$3,015.00$199.02$952.15$2,776.82
Alice Hyde Medical CenterMaloneNY12$3,867.00$3,867.00$199.02$624.20$9,020.04
Westfield Memorial HospitalWestfieldNY15$703.00$154.66$204.27$493.58$2,678.93
Fredrick Ferris Thompson HospitalCanandaiguaNY13$3,837.00$1,918.00$122.15$375.11$4,139.33
Stony Brook University HospitalStony BrookNY19$6,445.25$6,445.25$618.44$2,281.75$6,050.00
Memorial Hospital For Cancer And AllNew YorkNY18$3,647.00$3,647.00$146.87$1,445.53$10,588
Nassau University Medical CenterEast MeadowNY10$1,757.00$1,229.90$241.77$1,339.72$1,714.00
St. Josephs Medical CenterYonkersNY15$5,438.00$1,299.17$1,004.13$1,299.17$3,957.00
Nyu Langone HospitalsNew YorkNY0$2,625.26$498.80
Eastern Long Island HospitalGreenportNY0$2,625.26$498.80

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.