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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$3,638.0015.9×
UnitedHealthcare549$125.87$1,277.00$2,383.0018.9×
Blue Cross Blue Shield839$436.51$1,130.47$2,805.006.4×
Medicaid112$250.00$870.64$874.333.5×
Humana512$228.86$1,108.94$1,108.944.8×
wellpoint39$1,130.47$1,130.47$1,391.001.2×
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$320.40$1,941.00$1,941.006.1×
WellCare44$228.86$1,130.47$1,130.474.9×
correctional medical services33$60.00$60.00$60.001.0×
community services network33$65.00$65.00$65.001.0×
ccn managed care33$85.00$85.00$85.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
national provider network33$80.00$80.00$80.001.0×
galaxy health network33$90.00$90.00$90.001.0×
beech street33$85.00$85.00$85.001.0×
usa managed care organization33$70.00$70.00$70.001.0×
initial group33$88.00$88.00$88.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$1,076.64$1,076.64$1,076.641.0×
medsave usa33$80.00$80.00$80.001.0×
langston performance health [100405]12$3,463.00$3,463.00$3,463.001.0×
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$732.00$732.00$732.001.0×
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$2,882.00$1,729.20$125.87$228.86$1,585.10
Saint Thomas Midtown HospitalNashvilleTN2$1,492.00$1,588.27$3,284.00
Saint Thomas Rutherford HospitalMurfreesboroTN2$4,204.35$1,261.31$1,185.00$1,441.53$3,638.00
Saint Thomas West HospitalNashvilleTN2$4,204.35$1,261.31$1,185.00$1,441.53$3,638.00
Saint Thomas Stones River HospitalWoodburyTN2$4,204.35$1,261.31$394.93$1,239.00$2,984.00
St Thomas Hickman HospitalCentervilleTN1$1,185.00$1,239.00$2,984.00
St Thomas Dekalb HospitalSmithvilleTN2$4,204.35$1,261.31$394.93$1,217.75$2,984.00
Saint Thomas Highland HospitalSpartaTN2$4,204.35$1,261.31$394.93$1,217.75$2,984.00
Ascension St Thomas River ParkMcminnvilleTN2$5,076.65$1,523.00$394.93$1,217.75$2,984.00
Morristown-Hamblen HospitalMorristownTN24$45.00$1,130.47$2,805.00
Roane County Medical CenterHarrimanTN24$45.00$1,130.47$2,805.00
Fort Loudoun Medical CenterLenoir CityTN24$45.00$1,130.47$2,805.00
Methodist H/C Memphis Hospt.MemphisTN16$8,981.56$1,975.94$250.00$1,079.68$3,463.00
Big South Fork Medical CenterOneidaTN0$2,940.00$882.00
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.