CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Sidney Health Center

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$382
about 0.3× the $1,223 Medicare rate · typically $297–$1,377
modeled estimate · not a bill or quote
What this hospital charges insurers
$318
Below the fair price — a good deal
about $64 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $382 This hospital $318 Cash price $649 Hospital's list price $1,048

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 $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 $382 (about 0.3× the $1,223 Medicare rate). Sidney Health Center charges insurers about $318, or about $649 in cash — below the fair price — a good deal. 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 $184 - $996 15%
Blue Cross Blue Shieldmajor $318 - $1,048 26%
Aetnamajor $306 - $996 25%
Cignamajor $318 - $996 26%
Sanford Health Plan $342 - $996 28%
+ 4 smaller / regional plans $318 - $1,017

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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