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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in PA

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Hospitals
56
Min
$472.48
Median
$1,499.84
Max
$4,691.70
Range multiplier
9.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield35227$298.91$1,369.50$6,300.0021.1×
Aetna35200$268.08$1,846.13$8,609.0032.1×
upmc health plan33117$294.89$1,146.37$2,852.449.7×
UnitedHealthcare31103$281.48$1,202.80$6,368.0022.6×
Cigna33102$422.77$1,739.10$5,461.8012.9×
pa health & wellness2553$434.85$456.86$2,315.525.3×
amerihealth caritas3052$294.89$418.50$2,208.327.5×
Multiplan1150$1,150.40$4,228.38$7,293.066.3×
intergroup1544$1,150.40$4,234.00$7,057.806.1×
geisinger2442$294.89$403.91$3,750.3312.7×
First Health1334$1,844.50$3,564.40$6,372.103.5×
Humana1829$406.67$2,371.50$7,737.5519.0×
upmc work partners2727$1,152.55$1,219.01$1,263.691.1×
private health care systems1326$596.00$2,843.20$7,293.0612.2×
health partners plans (jefferson health plan)1717$365.12$404.26$404.261.1×
keystone first517$329.74$747.94$2,634.168.0×
america's choice512$4,336.80$4,336.80$4,878.901.1×
Medicaid212$294.89$468.66$534.521.8×
preferred healthcare system612$1,470.50$1,470.50$4,691.703.2×
wirerope works512$2,733.85$3,014.08$3,014.081.1×
health partners plans39$1,253.97$1,670.00$1,670.001.3×
pennsylvania health and wellness38$598.49$1,367.94$2,834.494.7×
selectcare48$2,371.50$5,844.80$7,282.403.1×
three rivers provider network48$1,326.83$3,102.87$4,878.903.7×
health coalition partners46$2,371.50$2,723.89$5,774.402.4×
ibc26$1,729.00$2,594.14$3,508.342.0×
health plan of upper ohio valley35$1,124.11$1,146.59$3,623.003.2×
gateway health plan35$456.00$1,068.14$1,572.213.4×
keystone autism services44$1,802.21$1,806.84$1,811.941.0×
national provider network24$3,631.76$4,104.91$4,578.061.3×
health payors organization24$5,024.70$5,580.00$6,135.301.2×
univera13$774.60$1,704.12$2,272.162.9×
fidelis23$1,297.37$5,413.50$5,413.504.2×
keystone health plan33$2,200.80$2,200.80$2,581.951.2×
elder health33$1,475.26$1,509.32$1,509.321.0×
Medicare13$264.52$297.11$352.751.3×
clover health33$1,303.14$1,333.24$1,333.241.0×
Anthem BCBS13$699.00$1,407.31$1,881.912.7×
occunet33$1,517.55$2,075.32$2,075.321.4×
Oscar Health33$1,844.07$1,886.65$1,886.651.0×
prime health services33$1,956.93$2,002.12$2,002.121.0×
pa health_wellness chc23$348.50$494.00$494.001.4×
innovage33$1,282.93$1,282.93$1,487.551.2×
jup geisinger commercial13$476.10$533.50$628.051.3×
jup health partners chip13$365.14$439.98$457.451.3×
naphcare22$1,886.65$1,886.65$1,886.651.0×
city of washington22$2,248.22$2,248.22$2,248.221.0×
community care behavioral health12$535.57$803.35$1,071.132.0×
galaxy health plan12$1,150.40$1,150.40$1,150.401.0×
independent health12$1,634.95$1,743.96$1,852.971.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Aria HealthPhiladelphiaPA14$4,828.00$1,350.43$264.52$472.48$3,508.34
Upmc ShadysidePittsburghPA20$7,218.00$4,330.80$294.89$4,691.70$6,135.30
WellsboroWellsboroPA14$5,421.00$3,933.60$294.89$3,607.11$5,149.95
Upmc MckeesportMckeesportPA13$9,103.00$5,461.80$294.89$3,459.14$7,737.55
Muncy Valley HospitalMuncyPA15$5,421.00$3,252.60$294.89$2,715.92$5,149.95
Williamsport Hospital & Medical CtrWilliamsportPA15$5,421.00$3,252.60$294.89$2,585.82$4,878.90
Divine Providence HospitalWilliamsportPA15$5,421.00$3,252.60$294.89$2,585.82$4,878.90
Lock Haven HospitalLock HavenPA15$5,421.00$3,252.60$294.89$2,585.82$4,878.90
Upmc Mercy HospitalPittsburghPA16$5,583.00$3,349.80$294.89$2,121.54$5,024.70
Upmc St MargaretPittsburghPA12$7,394.00$4,436.40$294.89$2,116.15$6,284.90
Upmc East HospitalMonroevillePA13$5,092.00$3,055.20$294.89$1,945.14$4,393.81
Upmc Northwest HospitalSenecaPA13$3,554.00$2,132.40$294.89$1,894.12$3,704.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA8$3,411.00$1,413.79$348.50$1,892.60$8,609.00
Upmc PassavantPittsburghPA14$7,842.00$4,705.20$294.89$1,640.37$7,293.06
Upmc Bedford Memorial HospitalEverettPA17$2,635.00$1,581.00$281.48$1,633.70$2,493.18
Upmc Horizon HospitalGreenvillePA17$4,127.00$2,476.20$294.89$1,609.53$3,507.95
Temple University HospitalPhiladelphiaPA20$6,691.00$375.31$1,572.21$6,368.00
Upmc HamotEriePA16$5,164.00$3,098.40$294.89$1,549.20$4,131.20
American Oncologic HospialPhiladelphiaPA16$6,691.00$431.13$1,499.84$6,316.00
Jeanes HospitalPhiladelphiaPA18$6,691.00$505.46$1,383.55$4,300.00
Community General Osteopathic Hosp.HarrisburgPA12$361.91$1,230.02$3,485.00
Upmc Pinnacle HospitalsHarrisburgPA12$361.91$1,230.02$3,485.00
Upmc Childrens Hospital Of PghPittsburghPA12$2,941.00$1,764.60$268.08$1,214.04$2,503.39
Altoona Regional Health SystemAltoonaPA12$2,941.00$1,764.60$268.08$1,214.04$2,503.39
Upmc Magee-Womens HospitalPittsburghPA12$2,941.00$1,764.60$268.08$1,214.04$2,503.39
The Childrens Home Of PittsburghPittsburghPA12$2,941.00$1,764.60$268.08$1,214.04$2,503.39
Memorial HospitalYorkPA11$340.46$1,198.46$5,035.00
Upmc JamesonNew CastlePA13$4,127.00$2,476.20$294.89$1,193.87$3,631.76
Upmc LititzLititzPA10$340.46$1,189.08$5,035.00
Upmc CarlisleCarlislePA12$340.46$1,180.38$5,035.00
Upmc HanoverHanoverPA12$340.46$1,178.76$5,035.00
Whs - GreeneWaynesburgPA8$308.29$1,146.59$2,592.42
The Washington HospitalWashingtonPA8$308.29$1,146.59$2,592.42
Charles Cole Memorial HospitalCoudersportPA13$1,438.00$862.80$281.48$1,078.50$2,433.54
Curahealth Heritage ValleyBeaverPA9$1,604.07$433.10$268.08$1,039.59$1,604.07
Wayne Memorial HospitalHonesdalePA0$1,864.00$1,304.80
Frick HospitalMount PleasantPA0$2,500.00$1,500.00
Latrobe Area HospitalLatrobePA0$2,500.00$1,500.00
Presbyterian Medical CenterPhiladelphiaPA0$6,402.00$6,402.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$6,195.00$6,195.00
Windber Hospital Inc.WindberPA0$734.00$623.90
Milton S. Hershey Medical CenterHersheyPA0$7,664.00$2,539.08
Physicians Care Surgical HospitalRoyersfordPA0$5,781.00$10,218
Hospital Of The Univ Of PennaPhiladelphiaPA0$6,195.00$6,195.00
Hampden Medical CenterEnolaPA0$7,664.00$2,411.86
St. Joseph Medical CenterReadingPA0$7,664.00$1,993.41
Meyersdale Community HospitalMeyersdalePA0$2,937.69$1,175.07
Clarion HospitalClarionPA0
Miners HospitalHastingsPA0$2,958.04$1,183.22
Penn State Hershey Rehabilitation LlHummelstownPA0$7,664.00$1,993.41
Uniontown HospitalUniontownPA0$2,751.00$1,375.50
Butler Memorial HospitalButlerPA0
Holy Spirit HospitalCamp HillPA0$7,664.00$1,830.93
Westmoreland Regional HospitalGreensburgPA0$2,500.00$1,500.00
Miners HospitalHastingsPA0$2,958.04$1,183.22
Doylestown HospitalDoylestownPA0$4,686.50$4,686.50

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.