CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Essentia Health Virginia

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$878

about 0.9× the $950 Medicare rate · typically $454–$893

modeled estimate · not a bill or quote

What this hospital charges insurers

$895

About the fair price

about $17 over the fair price · 0.9× Medicare

Medicare pays $950 Fair price $878 This hospital $895 Cash price $1,775 Hospital's list price $2,827

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $156 Priciest $895

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 $878 (about 0.9× the $950 Medicare rate). Essentia Health Virginia charges insurers about $895, or about $1,775 in cash — about the fair price. Located in Virginia, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$895 - $2,488	94%
Blue Cross Blue Shieldmajor	$895 - $2,403	94%
Aetnamajor	$2,403	253%
Cignamajor	$2,547 - $2,556	268%
HealthPartners	$895 - $2,556	94%
Medica	$650 - $2,061	68%
Sanford Health Plan	$1,212 - $1,614	128%
Security Health Plan	$895 - $2,177	94%
UCare	$895 - $1,860	94%
+ 12 smaller / regional plans	$881 - $2,177

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (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 1,775), 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 Essentia Health Virginia 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 Essentia Health Virginia

Compare: Colonoscopy (diagnostic) at other MN hospitals

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