CMS Price Transparency Data

Colonoscopy with biopsy

Facility: St. Patrick Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,242
about 1.0× the $1,223 Medicare rate · typically $1,242–$1,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,259
About the fair price
about $17 over the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,242 This hospital $1,259

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 $311 Priciest $1,271

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

A fair price for a Colonoscopy with biopsy is about $1,242 (about 1.0× the $1,223 Medicare rate). St. Patrick Hospital charges insurers about $1,259 — about the fair price. Located in Missoula, MT.

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $1,235 101%
Humanamajor $1,247 102%
PacificSource $1,259 103%
+ 2 smaller / regional plans $2,445 - $3,534

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Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals