CMS Price Transparency Data

Colonoscopy with biopsy

Facility: M Health Fairview St John's Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$883

about 0.7× the $1,223 Medicare rate · typically $663–$1,093

modeled estimate · not a bill or quote

What this hospital charges insurers

$882

About the fair price

about $1 under the fair price · 0.7× Medicare

Medicare pays $1,223 Fair price $883 This hospital $882 Cash price $1,132 Hospital's list price $2,315

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 $882

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 $883 (about 0.7× the $1,223 Medicare rate). M Health Fairview St John's Hospital charges insurers about $882, or about $1,132 in cash — about the fair price. Located in Maplewood, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$181 - $3,500	15%
Blue Cross Blue Shieldmajor	$153 - $3,418	13%
HealthPartners	$133 - $3,534	11%
Medica	$143 - $2,264	12%
Sanford Health Plan	$75 - $2,108	6%
Security Health Plan	$92 - $2,684	8%
UCare	$136 - $2,636	11%
WellCare	$181 - $1,147	15%
+ 5 smaller / regional plans	$114 - $3,221

Excludes 4 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 1,132), 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 M Health Fairview St John's 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 M Health Fairview St John's Hospital

Compare: Colonoscopy with biopsy at other MN hospitals

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