Flexible sigmoidoscopy with tissue biopsy at AMH Cath Labs LLC

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

W/BIOPSY (SIG)

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $798 is 26% below the median hospital's median price ($1.1k), higher than 21% of the 2,247 hospitals reporting CPT 45331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 45331 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$329	$329	—	—	—	$329 – $329
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$329	$329	—	—	—	$329 – $329
3	WellCare managed medicaid fee schedule · outpatient	$345	$345	—	—	—	$345 – $345
4	Molina managed medicaid fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
5	Aetna managed medicaid fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
6	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
7	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$501	$501	—	—	—	$501 – $501
8	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$504	$504	—	—	—	$504 – $504
9	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$634	$634	—	—	—	$634 – $634
10	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
11	Aetna asa percent of total billed charges · outpatientfrom % of charges	$639	$639	—	—	—	$639 – $639
12	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$639	$639	—	—	—	$639 – $639
13	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$679	$679	—	—	—	$679 – $679
14	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$793	$793	—	—	—	$793 – $793
15	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$793	$793	—	—	—	$793 – $793
16	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$858	$858	—	—	—	$858 – $858
17	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$858	$858	—	—	—	$858 – $858
18	Blue Cross Blue Shield exchange case rate · outpatient	$878	$878	—	—	—	$878 – $878
19	Blue Cross Blue Shield medicare advantage case rate · outpatient	$936	$936	—	—	—	$936 – $936
20	Humana medicare advantage case rate · outpatient	$973	$973	—	—	—	$973 – $973
21	Humana medicare advantage ppo case rate · outpatient	$973	$973	—	—	—	$973 – $973
22	Molina medicare advantage case rate · outpatient	$983	$983	—	—	—	$983 – $983
23	WellCare medicare advantage hmo case rate · outpatient	$983	$983	—	—	—	$983 – $983
24	WellCare medicare advantage mmp case rate · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
25	UnitedHealthcare medicare advantage ppo case rate · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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