CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: North Memorial Health Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$739

about 0.8× the $950 Medicare rate · typically $408–$1,027

modeled estimate · not a bill or quote

What this hospital charges insurers

$204

Below the fair price — a good deal

about $535 under the fair price · 0.2× Medicare

Medicare pays $950 Fair price $739 This hospital $204 Cash price $509 Hospital's list price $791

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MN hospitals compared.

Cheapest $156 Priciest $250

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $739 (about 0.8× the $950 Medicare rate). North Memorial Health Hospital charges insurers about $204, or about $509 in cash — below the fair price — a good deal. Located in Robbinsdale, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$183 - $703	19%
Blue Cross Blue Shieldmajor	$132 - $744	14%
Aetnamajor	$198	21%
Cignamajor	$758	80%
Humanamajor	$199	21%
HealthPartners	$130 - $729	14%
Medica	$131 - $706	14%
UCare	$157 - $319	17%
+ 1 smaller / regional plan	$144 - $146

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 509), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm North Memorial Health Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Memorial Health Hospital

Compare: Colonoscopy (diagnostic) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.