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 highest PPO payment rates for CPT code 45378 — screening colonoscopy, reported by Health Care Service Corp.:
1. $14,885 — Long Beach (Calif.) Medical Center
2. $14,885 — Miller Children’s and Women’s Hospital Long Beach (Calif.)
3. $14,324 — Marian Regional Medical Center (Santa Maria, Calif.)
4. $12,696 — Palomar Medical Center Escondido (Calif.)
5. $12,696 — Palomar Medical Center Poway (Calif.)
6. $11,724 — Orange Coast Memorial Medical Center (Fountain Valley, Calif.)
7. $11,400 — NorthBay Medical Center (Fairfield, Calif.)
8. $11,283 — Hoag Orthopedic Institute (Irvine, Calif.)
9. $10,983 — Hoag Hospital Newport Beach (Calif.)
10. $10,076 — Saint Mary’s Medical Center (Grand Junction, Colo.)
