Flexible sigmoidoscopy with ultrasound-guided needle biopsy at St. Joseph Health System, 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

45342 SIGMOIDOSCOPY W/US GUIDE BX

Wayne, IN

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $489 is 67% below the median hospital's median price ($1.5k), higher than 14% of the 1,754 hospitals reporting CPT 45342. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 45342 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 10 payers, 33 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	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
2	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
3	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
4	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
5	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
6	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$281	$281	—	—	—	$281 – $281
7	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$281	$281	—	—	—	$281 – $281
8	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$415	$415	—	—	—	$415 – $415
9	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$415	$415	—	—	—	$415 – $415
10	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
11	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
12	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$458	$458	—	—	—	$458 – $458
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$458	$458	—	—	—	$458 – $458
14	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$477	$477	—	—	—	$477 – $477
15	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$477	$477	—	—	—	$477 – $477
16	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$489	$489	—	—	—	$489 – $489
17	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$489	$489	—	—	—	$489 – $489
18	Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
19	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
20	Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
21	Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
22	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Aetna node aetna mcr adv facility · fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Humana node humana mcr adv facility · fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 33 rates

Last updated: Apr 1, 2026

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