Long Beach (Calif.) Medical Center is the healthcare organization with the highest PPO payment rates for screening colonoscopies from Health Care Service Corp., which provides Blue Cross Blue Shield plans in five states.
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.)