CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Community Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,254

about 1.0× the $1,223 Medicare rate · typically $1,242–$1,446

modeled estimate · not a bill or quote

Medicare pays $1,223 Fair price $1,254 Cash price $3,293 Hospital's list price $5,488

How we calculate the fair BaseRate →

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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	$3,903 - $5,541	319%
Aetnamajor	$4,958	406%
+ 1 smaller / regional plan	$3,903

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 3,293), 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 Community Medical Center 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 Community Medical Center

Compare: Colonoscopy with biopsy at other MT hospitals

Livingston Healthcare · Livingston $311
Central Montana Medical Center · Lewistown $313
Sidney Health Center · Sidney $318
Frances Mahon Deaconess Hospital · Glasgow $328
Stillwater Billings Clinic · Columbus $339
Barrett Hospital & Healthcare · Dillon $347
St James Hospital · Butte $1,214
St. Patrick Hospital · Missoula $1,259

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