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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$781.39
Median
$1,168.33
Max
$1,638.5
Range multiplier
2.1×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield533$238.32$1,585$5,019.5321.1×
UnitedHealthcare525$291.75$1,036.8$5,103.1317.5×
mvp318$198.6$1,095.16$4,700.6423.7×
capital district physicians' health plan316$416.79$1,452.36$4,069.829.8×
Cigna511$233.65$1,656$4,812.5620.6×
wellpath310$327.11$1,895.51$2,851.28.7×
First Health410$233.65$2,406.31$4,425.9218.9×
Aetna59$233.65$1,168.33$1,716.447.3×
Humana49$221.97$1,121.6$2,070.529.3×
Anthem BCBS28$233.65$838.35$1,583.466.8×
harvard pilgrim38$278.1$3,495.71$4,147.214.9×
martins point37$424.76$1,168.33$3,255.857.7×
VA Health36$233.65$700.99$1,716.447.3×
fidelis care26$210.28$268.7$1,544.87.3×
wellsense14$205.62$580.72$1,210.225.9×
Multiplan23$731.5$1,583.46$3,469.44.7×
nppn13$1,692.9$4,665.6$4,665.62.8×
magnacare13$1,504.8$4,147.2$4,147.22.8×
tufts health plan13$572.52$572.52$572.521.0×
ebpa13$1,448.37$4,458.24$4,458.243.1×
mvp healthcare13$233.65$1,131.04$1,583.466.8×
martin's point12$233.65$682.35$1,131.044.8×
medical corporation12$731.5$2,100.45$3,469.44.7×
new hampshire healthy families12$205.62$558.53$911.434.4×
st. regis12$233.65$710.97$1,188.285.1×
harvard pilgrim health care12$233.65$682.35$1,131.044.8×
veterans choice12$233.65$975.05$1,716.447.3×
WellCare12$245.33$716.47$1,187.64.8×
amerihealth-caritas12$205.62$558.53$911.434.4×
the vermont health plan11$1,291$1,291$1,2911.0×
hphc insurance company, inc.11$1,656$1,656$1,6561.0×
mvp health plan, inc.11$1,621$1,621$1,6211.0×
vermont health plan11$733.05$733.05$733.051.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT17$1,276.4$893.48$205.62$911.43$1,583.46
PORTER HOSPITALMIDDLEBURYVT16$3,652$3,652$198.6$781.39$3,615.48
MT ASCUTNEY HOSPITAL AND HEALTH CENTWINDSORVT8$1,781$1,425$1,289$1,638.5$1,692
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$5,184$5,184$198.6$1,478.16$5,103.13
CENTRAL VERMONT HOSPITALBARREVT12$5,087.27$5,087.27$228.98$1,168.33$5,056.75
COPLEY HOSPITAL INC.MORRISVILLEVT0$1,442$1,153.6

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.