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Colonoscopy with polyp removal

CPT 45385 · negotiated-rate distribution across hospitals in WI

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Hospitals
35
Min
$261.49
Median
$1,779.51
Max
$7,870.00
Range multiplier
30.1×

By payer (47 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2373$227.49$2,976.00$8,190.0036.0×
Anthem BCBS2061$227.49$2,244.00$7,959.0035.0×
wisconsin physician service1236$2,883.00$3,035.00$3,035.001.1×
common ground1236$2,450.00$2,727.00$2,727.001.1×
Cigna1316$303.80$6,800.00$6,800.0022.4×
Molina1415$1,121.42$2,568.00$2,568.002.3×
aspirus113$227.49$950.60$2,607.9711.5×
Humana613$238.86$1,765.38$1,765.387.4×
everpointe elite1212$2,153.00$2,153.00$2,153.001.0×
hs technology1212$3,152.00$3,152.00$3,152.001.0×
Aetna1212$3,119.00$3,119.00$3,119.001.0×
aurora caregiver1212$2,450.00$2,450.00$2,450.001.0×
Blue Cross Blue Shield412$277.68$1,210.17$5,028.0018.1×
centivo1212$3,169.00$3,169.00$3,169.001.0×
trilogy1212$4,387.00$4,387.00$4,387.001.0×
quartz one1212$2,790.00$2,790.00$2,790.001.0×
quartz group1212$3,260.00$3,260.00$3,260.001.0×
health payment systems1212$3,350.00$3,350.00$3,350.001.0×
Medicare310$273.67$1,237.89$1,463.335.3×
wps77$1,779.51$1,779.51$1,779.511.0×
network health plan57$400.74$1,121.42$4,326.4110.8×
prevea 36017$227.49$1,386.35$3,694.6316.2×
Medicaid26$294.58$1,358.53$3,012.7310.2×
security health plan26$325.50$968.11$1,347.454.1×
mercy care15$379.75$950.60$1,443.083.8×
medica [900156]35$1,611.87$2,535.00$3,340.712.1×
First Health35$1,624.50$2,803.58$3,366.902.1×
alliance33$1,727.03$1,727.03$1,727.031.0×
ma wisconsin replacement [950271]23$2,232.00$3,419.00$3,693.001.7×
healthpartners [900713]33$1,903.19$2,759.90$3,362.611.8×
illinicare12$227.49$683.20$1,138.905.0×
centivo nw322$1,614.68$1,614.68$1,614.681.0×
meridiancare12$238.86$688.88$1,138.904.8×
centivo nw122$1,614.68$1,614.68$1,614.681.0×
quartz22$1,123.90$1,240.03$1,356.151.2×
icare22$1,121.42$1,162.00$1,202.571.1×
cchp22$1,188.38$1,188.38$1,188.381.0×
unitedhealth group of wi12$1,123.90$2,924.95$4,726.004.2×
health partners open network12$574.03$1,080.28$1,586.522.8×
medical associates health plan12$755.27$1,160.03$1,564.782.1×
allwell11$1,143.85$1,143.85$1,143.851.0×
managed health services11$1,123.90$1,123.90$1,123.901.0×
group health cooperative of eau claire11$1,191.33$1,191.33$1,191.331.0×
health partners11$1,121.42$1,121.42$1,121.421.0×
community care incorporated11$1,121.42$1,121.42$1,121.421.0×
security health plan (shp)11$1,123.90$1,123.90$1,123.901.0×
veteran's administration (va ccn)11$1,123.90$1,123.90$1,123.901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens WisconsinMilwaukeeWI2$6,842.00$7,870.00$8,190.00
Ssh - Fox ValleyOshkoshWI2$6,842.00$7,870.00$8,190.00
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$6,842.00$7,870.00$8,190.00
Aurora Medical Center - HartfordHartfordWI15$1,979.00$2,976.00$6,800.00
Memorial Hospital Of BurlingtonBurlingtonWI15$1,979.00$2,976.00$6,800.00
Aurora Health Care Metro Inc.MilwaukeeWI15$1,979.00$2,976.00$6,800.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI15$1,979.00$2,976.00$6,800.00
Sheboygan Memorial HospitalSheboyganWI15$1,979.00$2,976.00$6,800.00
Aurora Lakeland Medical CenterElkhornWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center - Bay AreaMarinetteWI15$2,020.00$2,976.00$6,800.00
West Allis Memorial HospitalWest AllisWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center KenoshaKenoshaWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center Of OshkoshOshkoshWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center - SummitSummitWI15$1,979.00$2,976.00$6,800.00
Aurora Medical Center GraftonGraftonWI15$1,979.00$2,976.00$6,800.00
Mercy Medical CenterOshkoshWI4$261.49$261.49$1,614.68
Ascension Ne Wisconsin-St. ElizabethAppletonWI4$261.49$261.49$1,614.68
Wheaton Franciscan Healthcare - AllRacineWI1$1,779.51$1,779.51$1,779.51
Wfhc - Elmbrook MemorialBrookfieldWI1$1,779.51$1,779.51$1,779.51
All Saints - St. Luke S HospitalRacineWI1$1,779.51$1,779.51$1,779.51
Wheaton Franciscan - FranklinFranklinWI1$1,779.51$1,779.51$1,779.51
MoshFranklinWI1$1,779.51$1,779.51$1,779.51
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI1$1,779.51$1,779.51$1,779.51
Ascension Se Wisconsin Hospital IncMilwaukeeWI1$1,779.51$1,779.51$1,779.51
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$4,161.00$2,205.33$400.74$1,765.38$1,765.38
Ascension Columbia St Marys OzaukeeMequonWI4$4,161.00$2,205.33$400.74$1,765.38$1,765.38
Ascension Columbia St Marys MilwaukeMilwaukeeWI4$400.74$1,765.38$1,765.38
Hudson HospitalHudsonWI8$3,693.00$1,665.91$1,191.30$1,631.11$4,603.00
Westfields HospitalNew RichmondWI8$3,419.00$1,798.39$273.67$1,463.33$3,419.00
Amery Regional Medical CenterAmeryWI6$3,741.00$1,950.56$273.67$1,394.46$3,627.27
Meriter Hospital Inc.MadisonWI14$4,346.62$3,477.30$227.49$1,138.90$5,169.00
Holy Family Memorial IncManitowocWI10$1,121.42$1,132.64$6,312.00
Beaver Dam Community HospitalsBeaver DamWI11$1,123.90$1,123.90$7,959.00
Uw Health Rehabilitation HospitalMadisonWI0$10,198$6,118.80
University Of Wi Hospitals & ClinicsMadisonWI0$10,198$6,118.80

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.