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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$421.3
Median
$1,159.29
Max
$2,520.32
Range multiplier
6.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$146.87$228.31$433.343.0×
Blue Cross Blue Shield572$146.87$490.34$3,387.2823.1×
UnitedHealthcare958$168.22$481.79$12,53874.5×
Medicare144$236.37$353.33$508.972.2×
Aetna837$29.1$65.5$1,169.6940.2×
no fault [114001]128$1,004.55$1,004.55$1,004.551.0×
Molina424$330.47$1,041.58$1,947.75.9×
Humana820$252.34$1,176.09$1,339.055.3×
univera healthcare [100169]118$207.28$377.99$854.914.1×
Cigna415$25.2$433.34$8,104321.6×
independent health [100165]114$439.38$615.83$792.271.8×
select health312$1,168.62$1,253.84$2,493.052.1×
absolute total care312$1,112.97$1,259.49$1,836.41.6×
WellCare110$252.34$359.68$476.671.9×
fidelis essential [100163]16$264.35$327.18$5202.0×
amerigroup [350102]16$146.87$284.09$421.32.9×
beacon essential [350122]16$216.29$288.38$288.381.3×
clover insurance company36$1,157.49$1,157.49$1,157.491.0×
federal workers compensation [500100]16$1,004.55$1,004.55$1,004.551.0×
independent health essential [100166]16$146.87$284.09$421.32.9×
TRICARE16$240.32$336.83$433.341.8×
univera healthcare essential [100170]16$207.28$291.74$376.21.8×
VA Health16$216.29$324.82$433.342.0×
devoted health24$1,112.97$1,112.97$1,112.971.0×
fidelis dual advantage [450120]14$252.34$353.67$4551.8×
hospice [550001]14$240.32$336.83$433.341.8×
iha first choice [800001]14$439.38$615.83$792.271.8×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60$60$601.0×
Multiplan33$90$90$901.0×
phcs33$90$90$901.0×
fidelis exchange [100164]12$288.39$404.2$5201.8×
devoted health plan12$1,112.97$1,112.97$1,112.971.0×
upmc health plan [100181]12$432.58$496.06$559.541.3×
crime victims [100176]12$146.87$284.09$421.32.9×
covid19 hrsa [45013]12$240.32$336.83$433.341.8×
champ va [700002]12$240.32$336.83$433.341.8×
mvp healthcare [100168]12$317.36$431.01$544.661.7×
catholic health life pace [400005]12$240.32$336.83$433.341.8×
tuscarora nation [550120]12$146.87$284.09$421.32.9×
blue choice12$1,660.42$2,075.53$2,490.631.5×
beacon health options [100023]12$288.38$288.38$288.381.0×
fallon health [450115]12$240.32$336.83$433.341.8×
vna option mltc [350110]12$146.87$284.09$421.32.9×
excellus rochester mcd [350117]12$146.87$284.09$421.32.9×
ghi [100153]12$264.35$370.51$476.671.8×
seneca nation [450119]12$240.32$336.83$433.341.8×
nhc advantage11$2,550$2,550$2,5501.0×
Meritain Health11$433.34$433.34$433.341.0×
pruitt health11$2,550$2,550$2,5501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC39$1,054.78$1,054.78$146.87$421.3$1,004.55
COLLETON MEDICAL CENTERWALTERBOROSC8$814.62$2,520.32$6,342
ROPER HOSPITAL INC.CHARLESTONSC3$14,146$8,487.89$1,130.13$1,169.69$1,186.64
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC3$14,146$8,487.89$1,130.13$1,169.69$1,186.64
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC3$19,830$11,898$1,120.09$1,159.29$1,176.09
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC3$19,830$11,898$1,120.09$1,159.29$1,176.09
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$832.93$36.9$1,140.8$8,579
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$832.93$25.2$1,124.1$12,403
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$832.93$32.2$1,124.1$12,538
MCLEOD HEALTH CHERAWCHERAWSC0
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD MEDICAL CENTER - DILLONDILLONSC0

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.