CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Chippewa County Hospital

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $164
Cash Discount Price: $549
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Chippewa County Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $549. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.17x the Medicare baseline. Located in 824 North 11Th Street, Montevideo, MN.

Cash / Self-Pay

$549

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)

Cash / Self-Pay: $549 (58%)

Insurance Median: $164 (17%)

Cash: $549 (58% of Medicare)

Ins. Median: $164 (17% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health Partners Comm - All Other Plans	$118	12%
Ucare Msho	$131	14%
Medica Mcaid	$133	14%
Ucare Non-Dual	$138	15%
Ucare Mcr Select	$156	16%
Ucare Mcr Adv	$164	17%
Health Partners Mcr	$167	18%
Medica Mcr Adv	$169	18%
Medica Mcr Cost/Select	$169	18%
Ucare Ifp - All Other Plans	$549	58%
Medica Comm - All Other Plans	$624	66%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $549.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Chippewa County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.