Where Health Care Service Corp. pays the lowest rates for colonoscopies

Northwest Health-La Porte (Ind.) is the healthcare organization with the lowest PPO payment rates for screening colonoscopies from Health Care Service Corp., which provides Blue Cross Blue Shield plans in five states.

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Hospital Pricing Specialists — which shared data from HCSC on PPO rates for screening colonoscopies with Becker’s Oct. 17 — has been involved in more than 1,200 pricing projects, ranging from critical access hospitals to healthcare systems.

Here are the lowest PPO payment rates for CPT code 45378 — screening colonoscopy, reported by Health Care Service Corp.:

1. $171 — Northwest Health-La Porte (Ind.)

2. $249 — Kindred Hospital Riverside (Perris, Calif.)

2. $249 — Kindred Hospital South Bay (Gardena, Calif.)

2. $249 — Kindred Hospital Rancho (Rancho Cucamonga, Calif.)

2. $249 — Kindred Hospital Paramount (Calif.)

2. $249 — Kindred Hospital Baldwin Park (Calif.)

2. $249 — Kindred Hospital Brea (Calif.)

2. $249 — Kindred Hospital La Mirada (Calif.)

2. $249 — Kindred Hospital Ontario (Calif.)

2. $249 — Kindred Hospital San Diego 

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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