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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in TX

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Hospitals
71
Min
$80.00
Median
$1,268.10
Max
$5,295.50
Range multiplier
66.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield58315$80.00$1,496.29$9,821.00122.8×
UnitedHealthcare54164$65.00$1,590.45$6,912.00106.3×
Aetna51110$70.00$1,159.50$5,673.7581.1×
Cigna4485$80.00$3,421.00$19,641245.5×
baylor scott & white health plan2080$988.54$1,319.04$1,834.821.9×
Humana4679$65.00$1,079.23$4,958.0076.3×
Medicaid2255$353.30$385.20$2,950.358.4×
superior health plan2241$429.26$989.52$1,136.802.6×
Medicare1136$599.32$1,063.91$1,245.922.1×
Anthem BCBS325$360.71$425.99$2,931.008.1×
healthsmart1923$273.00$3,417.00$4,216.0015.4×
triwest2121$1,040.57$1,079.23$1,112.011.1×
american health plan2121$1,092.60$1,133.19$1,167.611.1×
procare advantage2020$1,092.60$1,133.19$1,167.611.1×
Ambetter1919$599.32$2,234.01$2,380.334.0×
prime health services1819$1,090.10$1,130.60$12,76711.7×
healthspring1717$1,092.60$1,133.19$1,136.801.0×
corvel1616$1,090.10$1,130.60$1,164.941.1×
healthcare highways [2210]515$541.25$1,034.22$2,950.355.5×
wellpoint610$467.89$1,309.32$1,884.804.0×
Molina910$450.72$1,128.60$1,736.003.9×
wellpoint (fka amerigroup)510$429.26$770.44$1,115.152.6×
web tpa [2115]510$541.25$2,087.21$5,673.7510.5×
commercial | entrust | all plans88$2,062.48$2,449.58$2,728.991.3×
Medicare Advantage38$478.07$599.32$746.331.6×
wellmed88$65.00$1,107.13$1,124.0017.3×
Multiplan57$460.00$4,216.00$6,430.2514.0×
commercial | community health choice | exchange77$1,055.76$1,556.46$1,557.401.5×
healthscope benefits [2290]56$477.33$1,206.25$2,950.356.2×
First Health46$394.00$3,968.00$5,673.7514.4×
commercial | beechstreet | all plans66$1,655.00$1,655.00$1,655.001.0×
scott & white56$1,771.41$1,771.41$3,521.602.0×
commercial | phcs | all plans66$5,185.00$5,185.00$5,185.001.0×
sedgwick66$1,555.65$1,596.05$1,662.451.1×
commercial | harris health | ers55$1,556.46$1,557.40$1,557.401.0×
commercial | superior health plan | all plans55$1,556.46$1,557.40$1,557.401.0×
commercial | nxhealth | all plans55$3,351.53$3,372.33$3,374.381.0×
commercial | kelseycare | all plans55$1,361.70$1,361.70$1,361.701.0×
90 degree benefits55$1,124.00$2,767.83$2,767.832.5×
commercial | kelseycare | exchange55$1,400.81$1,401.66$1,401.661.0×
commercial | renaissance | all plans55$747.10$747.55$747.551.0×
patoka valley tier 224$425.99$425.99$425.991.0×
amerigroup commercial [5055]44$541.25$1,206.25$2,950.355.5×
pdh/texas trust44$2,214.27$2,214.27$2,214.271.0×
care improvement44$1,107.13$1,107.13$1,107.131.0×
patoka valley tier 124$425.99$425.99$425.991.0×
caprock44$2,767.83$2,767.83$2,767.831.0×
commercial | healthsmart | ap344$1,285.00$1,285.00$1,285.001.0×
black lung [6055]44$541.25$1,206.25$2,950.355.5×
kempton group44$2,214.27$2,214.27$2,214.271.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi St Lukes Health Memorial LufkinLufkinTX7$353.30$931.31$2,007.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$353.30$931.31$2,007.00
Clay County Memorial HospitalHenriettaTX5$6,313.00$4,419.00$273.00$850.00$2,020.00
Ut Health East Texas Specialty HospiTylerTX10$3,269.00$326.90$817.25$817.25$2,052.93
Trinity Regional Hospital SachseSachseTX8$1,371.00$1,096.80$226.39$814.61$3,094.18
Grimes St. Joseph Health CenterNavasotaTX3$368.78$806.95$4,168.00
Madison St. Joseph Health CenterMadisonvilleTX3$368.78$806.95$4,168.00
Baylor County Hospital DistrictSeymourTX9$1,849.00$1,294.30$65.00$80.00$1,050.07
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$774.00$464.00$294.00$708.00$743.00
Lifecare Spec Hosp Of North TexasDallasTX11$2,165.00$216.50$493.81$541.25$2,024.64
Baptist Saint Anthonys HospitalAmarilloTX80$7,565.00$756.50$2,252.77$5,295.50$6,430.25
Golden Plains Community HospitalBorgerTX6$1,090.00$763.00$200.56$512.30$741.20
St Lukes Health Memorial San AugustSan AugustineTX4$368.78$488.58$2,007.00
Wilson N Jones Regional Medical CtrShermanTX8$2,009.19$1,607.36$226.39$482.00$825.61
Pam Squared At Corpus ChristiCorpus ChrstiTX2$429.26$429.26$429.26
Ascension Seton Shoal CreekAustinTX18$72.43$425.99$599.32
Ascension Seton BastropBastropTX18$72.43$425.99$599.32
Baylor Orthopedic And Spine HospitalArlingtonTX3$4,778.00$2,866.80$1,659.00$3,886.00$8,427.00
Burleson St. Joseph Health CenterCaldwellTX3$368.78$387.22$1,498.22
Childrens Medical Center Of PlanoPlanoTX31$4,960.00$3,720.00$376.98$3,472.00$4,811.20
Crescent Medical Center LancasterLancasterTX12$19,641$12,767$936.00$3,043.00$153,120
Glen Rose Medical CenterGlen RoseTX8$3,664.00$3,664.00$1,685.00$2,565.00$3,481.00
Falls Community Hospital And ClinicMarlinTX6$3,506.00$2,804.80$1,082.91$2,454.20$4,518.99
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$5,715.00$3,429.00$1,075.12$2,370.00$3,538.00
Heritage Park Surgical HospitalShermanTX2$2,350.00$1,410.00$1,075.12$2,370.00$3,538.00
Texas Rehabilitation Hospital Of KelKellerTX13$6,381.00$638.10$1,595.25$1,876.02$3,260.69
Scott & White Hospital BrenhamBrenhamTX5$1,486.25$1,807.60$4,025.00
River Crest HospitalSan AngeloTX14$450.72$1,804.63$2,862.03
San Angelo Community Medical CenterSan AngeloTX14$450.72$1,804.63$2,862.03
Shannon Medical CenterSan AngeloTX14$450.72$1,804.63$2,862.03
Big Spring State HospitalBig SpringsTX14$450.72$1,804.63$2,862.03
Acuity Hospital Of South TexasSan AntonioTX11$2,364.12$2,364.12$243.93$1,773.09$2,127.71
College Station HospitalCollege StationTX15$1,056.41$1,486.25$4,958.00
Scott And White Memorial HospitalTempleTX16$429.26$1,486.25$4,958.00
Hillcrest Baptist Medical CenterWacoTX15$429.26$1,486.25$4,958.00
Scott And White Hospital TaylorTaylorTX11$429.26$1,486.25$4,958.00
Mid Coast Medical Center-CentralLlanoTX11$429.26$1,486.25$4,958.00
Baylor Scott & White PflugervillePflugervilleTX15$429.26$1,486.25$4,958.00
Bsw Medical Center - AustinAustinTX11$429.26$1,486.25$4,958.00
Baylor Scott & White - BudaBudaTX11$429.26$1,405.49$4,958.00
Round Rock HospitalRound RockTX17$429.26$1,405.49$4,958.00
Baylor Scott & White - Marble FallsMarble FallsTX15$429.26$1,396.09$4,958.00
Baylor Scott & White Wmc - BrenhamBrenhamTX15$429.26$1,354.43$5,303.00
The Heart Hospital Baylor PlanoPlanoTX15$429.26$1,354.43$5,303.00
Baylor S&W Medical Center - PlanoPlanoTX15$429.26$1,354.43$5,016.00
Baylor S&W Medical Center - MckinneyMckinneyTX15$429.26$1,354.43$5,016.00
Baylor Medical Center-GrapevineGrapevineTX15$429.26$1,328.98$5,016.00
Baylor S&W Medical Center - IrvingIrvingTX16$429.26$1,295.08$5,016.00
Crane County Hospital DistrictCraneTX2$2,084.00$1,459.00$1,271.00$1,290.00$1,876.00
Baylor University Medical CtrDallasTX17$429.26$1,268.10$5,016.00
Baylor S&W All Saints Medical CenterFort WorthTX17$429.26$1,245.07$5,016.00
Baylor Scott & White Mc- Lake PointeRowlettTX17$429.26$1,241.11$5,016.00
Centennial Medical CenterFriscoTX17$429.26$1,241.11$5,016.00
St Lukes Hospital At The VintageHoustonTX18$385.20$1,236.03$5,185.00
Chi St Lukes Health Baylor Med CtrHoustonTX17$385.20$1,220.09$5,185.00
St. Lukes Patients Medical CenterPasadenaTX14$2,839.00$993.65$365.94$1,195.00$5,185.00
St. Joseph Regional Health CenterBryanTX9$368.78$1,144.43$4,168.00
College Station Medical CenterCollege StationTX9$368.78$1,144.43$4,168.00
St. Lukes Sugar Land HospitalSugar LandTX16$385.20$1,142.10$5,185.00
St. Lukes The Woodlands HospitalThe WoodlandsTX17$385.20$1,141.40$5,185.00
North Texas Medical CenterGainsvilleTX17$7,513.00$1,878.00$263.00$1,124.00$6,912.00
St. Lukes Lakeside HospitalThe WoodlandsTX17$385.20$1,110.95$5,185.00
Scott & White Cedar ParkCedar ParkTX1$1,108.33$1,108.33$1,108.33
Brazosport Regional Health SystemLake JacksonTX10$385.20$1,055.76$2,448.83
Seton Medical Center Harker HeightsHarker HeightsTX14$2,651.85$265.18$357.47$1,034.22$2,296.50
Limestone Medical CenterGroesbeckTX7$2,573.55$1,544.13$478.07$1,018.77$2,058.84
Laredo Medical CenterLaredoTX0$14,057$3,373.80
Nocona General HospitalNoconaTX0$3,163.00$27.85
Longview Regional Medical CenterLongviewTX0$14,546$2,618.22
Yoakum County HospitalDenver CityTX0$2,476.81$2,476.81
Navarro Regional HospitalCorsicanaTX0$17,571$4,217.05

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.