CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Stillwater Billings Clinic

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$348

about 0.3× the $1,223 Medicare rate · typically $264–$1,742

modeled estimate · not a bill or quote

What this hospital charges insurers

$339

About the fair price

about $9 under the fair price · 0.3× Medicare

Medicare pays $1,223 Fair price $348 This hospital $339 Cash price $1,347 Hospital's list price $1,347

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MT hospitals compared.

Cheapest $311 Priciest $1,271

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 with biopsy is about $348 (about 0.3× the $1,223 Medicare rate). Stillwater Billings Clinic charges insurers about $339, or about $1,347 in cash — about the fair price. Located in Columbus, MT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$318 - $1,704	26%
Blue Cross Blue Shieldmajor	$194 - $1,794	16%
Aetnamajor	$346 - $1,740	28%
Cignamajor	$339 - $1,704	28%
Humanamajor	$192 - $1,232	16%
PacificSource	$344 - $1,704	28%
+ 29 smaller / regional plans	$192 - $2,512

Government programs also on file: Military & VA.

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 1,347), 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 Stillwater Billings Clinic 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 Stillwater Billings Clinic

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
Barrett Hospital & Healthcare · Dillon $347
St James Hospital · Butte $1,214
St. Patrick Hospital · Missoula $1,259
Logan Health Medical Center · Kalispell $1,271

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