CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Perham Health

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$221

about 0.2× the $950 Medicare rate · typically $179–$811

modeled estimate · not a bill or quote

What this hospital charges insurers

$180

Below the fair price — a good deal

about $41 under the fair price · 0.2× Medicare

Medicare pays $950 Fair price $221 This hospital $180 Cash price $857 Hospital's list price $1,319

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $156 Priciest $250

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 (diagnostic) is about $221 (about 0.2× the $950 Medicare rate). Perham Health charges insurers about $180, or about $857 in cash — below the fair price — a good deal. Located in Perham, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$199 - $1,319	21%
Blue Cross Blue Shieldmajor	$156 - $2,742	16%
Humanamajor	$156 - $448	16%
HealthPartners	$156 - $1,082	16%
Medica	$180 - $966	19%
Sanford Health Plan	$585 - $1,121	62%
UCare	$117 - $660	12%
+ 1 smaller / regional plan	$725 - $989

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 857), 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 Perham Health 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 Perham Health

Compare: Colonoscopy (diagnostic) at other MN hospitals

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