CMS Price Transparency Data

Colonoscopy with biopsy

Facility: North Memorial Health Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$852

about 0.7× the $1,223 Medicare rate · typically $506–$1,139

modeled estimate · not a bill or quote

What this hospital charges insurers

$222

Below the fair price — a good deal

about $630 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $852 This hospital $222 Cash price $553 Hospital's list price $860

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MN hospitals compared.

Cheapest $169 Priciest $370

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

A fair price for a Colonoscopy with biopsy is about $852 (about 0.7× the $1,223 Medicare rate). North Memorial Health Hospital charges insurers about $222, or about $553 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	$199 - $761	16%
Blue Cross Blue Shieldmajor	$143 - $808	12%
Aetnamajor	$215	18%
Cignamajor	$825	67%
Humanamajor	$216	18%
HealthPartners	$142 - $793	12%
Medica	$143 - $769	12%
UCare	$170 - $347	14%
+ 1 smaller / regional plan	$156 - $159

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 553), 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: 45380.

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 45380.
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 with biopsy at other MN hospitals

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