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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$228.86
Median
$1,217.75
Max
$1,588.27
Range multiplier
6.9×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna1382$228.86$1,369.25$3,63815.9×
UnitedHealthcare549$125.87$1,277$2,38318.9×
Blue Cross Blue Shield839$436.51$1,130.47$2,8056.4×
Medicaid112$250$870.64$874.333.5×
Humana512$228.86$1,108.94$1,108.944.8×
wellpoint39$1,130.47$1,130.47$1,3911.2×
Aetna48$228.86$1,357.79$1,722.167.5×
farm bureau47$233.44$1,028.59$1,028.594.4×
Medicare27$228.86$1,079.68$1,079.684.7×
devoted health36$1,130.47$1,130.47$1,130.471.0×
TRICARE45$1,055.62$1,076.64$1,076.641.0×
community plan44$394.93$394.93$394.931.0×
Molina14$874.33$983.62$1,092.911.2×
Ambetter44$320.4$1,941$1,9416.1×
WellCare44$228.86$1,130.47$1,130.474.9×
correctional medical services33$60$60$601.0×
community services network33$65$65$651.0×
ccn managed care33$85$85$851.0×
direct care america33$80$80$801.0×
ehn33$45$45$451.0×
national provider network33$80$80$801.0×
galaxy health network33$90$90$901.0×
beech street33$85$85$851.0×
usa managed care organization33$70$70$701.0×
initial group33$88$88$881.0×
novanet33$75$75$751.0×
optum33$1,076.64$1,076.64$1,076.641.0×
medsave usa33$80$80$801.0×
langston performance health [100405]12$3,463$3,463$3,4631.0×
carecentrix [450200]12$1,079.68$1,079.68$1,079.681.0×
devoted health [450111]12$1,112.07$1,112.07$1,112.071.0×
generic hospice vbid [10940000101]12$1,079.68$1,079.68$1,079.681.0×
Medicare Advantage12$1,079.68$1,079.68$1,079.681.0×
transplant optum tenncare [350013]12$732$732$7321.0×
american health advantage mcr adv [450117]12$1,079.68$1,079.68$1,079.681.0×
va hospital [600005]12$1,079.68$1,079.68$1,079.681.0×
corecivic11$251.75$251.75$251.751.0×
blue11$228.86$228.86$228.861.0×
corizon11$149.67$149.67$149.671.0×
upmc11$228.86$228.86$228.861.0×
amerivantage11$200.25$200.25$200.251.0×
naphcare11$343.29$343.29$343.291.0×
amerigroup11$200.25$200.25$200.251.0×
provider network of america11$389.06$389.06$389.061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
METRO NASHVILLE GENERAL HOSPITALNASHVILLETN17$2,882$1,729.2$125.87$228.86$1,585.1
SAINT THOMAS MIDTOWN HOSPITALNASHVILLETN2$1,492$1,588.27$3,284
SAINT THOMAS RUTHERFORD HOSPITALMURFREESBOROTN2$4,204.35$1,261.31$1,185$1,441.53$3,638
SAINT THOMAS WEST HOSPITALNASHVILLETN2$4,204.35$1,261.31$1,185$1,441.53$3,638
SAINT THOMAS STONES RIVER HOSPITALWOODBURYTN2$4,204.35$1,261.31$394.93$1,239$2,984
ST THOMAS HICKMAN HOSPITALCENTERVILLETN1$1,185$1,239$2,984
ST THOMAS DEKALB HOSPITALSMITHVILLETN2$4,204.35$1,261.31$394.93$1,217.75$2,984
SAINT THOMAS HIGHLAND HOSPITALSPARTATN2$4,204.35$1,261.31$394.93$1,217.75$2,984
ASCENSION ST THOMAS RIVER PARKMCMINNVILLETN2$5,076.65$1,523$394.93$1,217.75$2,984
MORRISTOWN-HAMBLEN HOSPITALMORRISTOWNTN24$45$1,130.47$2,805
ROANE COUNTY MEDICAL CENTERHARRIMANTN24$45$1,130.47$2,805
FORT LOUDOUN MEDICAL CENTERLENOIR CITYTN24$45$1,130.47$2,805
METHODIST H/C MEMPHIS HOSPT.MEMPHISTN16$8,981.56$1,975.94$250$1,079.68$3,463
BIG SOUTH FORK MEDICAL CENTERONEIDATN0$2,940$882
ST THOMAS ASCENSIONNASHVILLETN0$10,755$2,656.47

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.