CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Essentia Health St Marys - Detroit Lakes

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,242

about 1.0× the $1,223 Medicare rate · typically $1,242–$1,303

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,239

About the fair price

about $3 under the fair price · 1.0× Medicare

Medicare pays $1,223 Fair price $1,242 This hospital $1,239 Cash price $1,967 Hospital's list price $3,064

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 $169 Priciest $1,239

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 $1,242 (about 1.0× the $1,223 Medicare rate). Essentia Health St Marys - Detroit Lakes charges insurers about $1,239, or about $1,967 in cash — about the fair price. Located in Detroit Lakes, 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	$1,239 - $2,574	101%
Blue Cross Blue Shieldmajor	$790 - $2,329	65%
Aetnamajor	$2,604	213%
Cignamajor	$2,249	184%
HealthPartners	$1,192 - $2,249	98%
Medica	$1,239 - $2,448	101%
Sanford Health Plan	$1,314 - $2,088	107%
Security Health Plan	$1,239	101%
UCare	$1,239 - $2,016	101%
+ 12 smaller / regional plans	$1,138 - $2,635

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 1,967), 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 Essentia Health St Marys - Detroit Lakes 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 Essentia Health St Marys - Detroit Lakes

Compare: Colonoscopy with biopsy at other MN hospitals

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