CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Windom Area Health

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$451

about 0.4× the $1,223 Medicare rate · typically $197–$1,383

modeled estimate · not a bill or quote

What this hospital charges insurers

$184

Below the fair price — a good deal

about $267 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $451 This hospital $184 Cash price $2,445 Hospital's list price $3,595

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 6 of 8 other MN hospitals charge more for the same procedure.

Cheapest $169 Priciest $370

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $451 (about 0.4× the $1,223 Medicare rate). Windom Area Health charges insurers about $184, or about $2,445 in cash — below the fair price — a good deal. Located in Windom, 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✓ Humana CignaKaiser 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	$184 - $2,941	15%
Blue Cross Blue Shieldmajor	$184 - $4,502	15%
Aetnamajor	$184 - $1,582	15%
Humanamajor	$184 - $1,582	15%
HealthPartners	$639 - $3,056	52%
Medica	$184 - $3,365	15%
Sanford Health Plan	$2,157 - $3,415	176%
UCare	$184 - $1,582	15%
+ 3 smaller / regional plans	$184 - $3,343

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 2,445), 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 Windom Area Health 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 Windom Area Health

Compare: Colonoscopy with biopsy at other MN hospitals

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