Flexible sigmoidoscopy with tissue biopsy at Wheeling Hospital, Inc.

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

BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE

Wheeling, WV

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Pricing by billing methodology

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How this price compares nationally

Wheeling Hospital, Inc.’s median price of $895 is 17% below the median hospital's median price ($1.1k), higher than 29% of the 2,245 hospitals reporting CPT 45331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 45331 at Wheeling Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 20 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	UnitedHealthcare unison kids facility · fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
2	Aetna Better Health chip facility · fee schedule · outpatient	$137	$137	$73	53%	—	$64 – $210
3	Highmark chip facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
4	Highmark mgd mcaid facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
5	Aetna better health mgd medicaid facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
6	Caresource managed medicaid facility · other · outpatient	$561	$561	—	—	1–10	$561 – $561
7	Amerihealth Caritas managed medicaid facility · other · outpatient	$581	$581	—	—	1–10	$581 – $581
8	Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient	$582	$582	—	—	—	$582 – $582
9	Anthem anthem pathway facility · other · outpatient	$895	$895	—	—	—	$895 – $895
10	Caresource all plans facility · other · outpatient	$895	$895	—	—	—	$895 – $895
11	Molina all plans facility · other · outpatient	$895	$895	—	—	—	$895 – $895
12	Anthem hmo facility · other · outpatient	$922	$922	—	—	—	$922 – $922
13	Highmark all pla facility · other · outpatient	$922	$922	—	—	—	$922 – $922
14	Highmark all plans facility · other · outpatient	$931	$931	—	—	—	$931 – $931
15	Aetna all plans facility · other · outpatient	$940	$940	—	—	—	$940 – $940
16	Humana all plans facility · other · outpatient	$940	$940	—	—	—	$940 – $940
17	UnitedHealthcare all plans facility · other · outpatient	$976	$976	—	—	—	$976 – $976
18	Caresource caresource oh exchange facility · other · outpatient	$985	$985	—	—	—	$985 – $985
19	Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient	$3.8k	$3.8k	—	—	—	$3.8k – $3.8k
20	Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient	$3.8k	$3.8k	—	—	—	$3.8k – $3.8k

Last updated: Jul 9, 2026

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