CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Sidney Health Center

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$305
about 0.3× the $950 Medicare rate · typically $246–$1,226
modeled estimate · not a bill or quote
What this hospital charges insurers
$293
About the fair price
about $12 under the fair price · 0.3× Medicare
Medicare pays $950 Fair price $305 This hospital $293 Cash price $851 Hospital's list price $1,374

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 6 of 8 other MT hospitals charge more for the same procedure.

Cheapest $287 Priciest $939

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

A fair price for a Colonoscopy (diagnostic) is about $305 (about 0.3× the $950 Medicare rate). Sidney Health Center charges insurers about $293, or about $851 in cash — about the fair price. Located in Sidney, MT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $169 - $1,305 18%
Blue Cross Blue Shieldmajor $293 - $1,374 31%
Aetnamajor $281 - $1,305 30%
Cignamajor $293 - $1,305 31%
Sanford Health Plan $315 - $1,305 33%
+ 4 smaller / regional plans $293 - $1,333

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Facility Profile & Credentials

  • Address: 216 14Th Ave Sw, Sidney, MT 59270
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals