CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: St Peters Health

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$979
about 1.0× the $950 Medicare rate · typically $698–$1,503
modeled estimate · not a bill or quote
What this hospital charges insurers
$701
Below the fair price — a good deal
about $278 under the fair price · 0.7× Medicare
Medicare pays $950 Fair price $979 This hospital $701 Cash price $2,392 Hospital's list price $2,814

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 7 of 8 other MT hospitals charge less.

Cheapest $287 Priciest $939

Black dot = this hospital, among the 9 MT 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 $979 (about 1.0× the $950 Medicare rate). St Peters Health charges insurers about $701, or about $2,392 in cash — below the fair price — a good deal. Located in Helena, MT.

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✓ Cigna✓ Humana Blue Cross Blue ShieldAetnaKaiser 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 $2,877 303%
Cignamajor $2,707 285%
Humanamajor $701 74%
PacificSource $2,446 257%

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2475 Broadway, Helena, MT 59601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals