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.)
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.
