CMS Price Transparency Data

Colonoscopy with biopsy

Facility: CHI St Alexius Health

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,552

about 1.3× the $1,223 Medicare rate · typically $1,223–$1,552

modeled estimate · not a bill or quote

Medicare pays $1,223 Fair price $1,552 Cash price $216 Hospital's list price $424

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$280 - $1,179	23%
Blue Cross Blue Shieldmajor	$1,203	98%
Humanamajor	$1,179	96%
HealthPartners	$318	26%
Medica	$314 - $1,179	26%
Sanford Health Plan	$2,040	167%
+ 1 smaller / regional plan	$1,238

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 216), 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 CHI St Alexius Health 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 CHI St Alexius Health

Compare: Colonoscopy with biopsy at other ND hospitals

PAM Rehabilitation Hospital of Fargo · Fargo $320
Southwest Healthcare Services · Bowman $363
CHI St Alexius Health Dickinson · Dickinson $960
CHI St Alexius Health Williston · Williston $996
Essentia Health · Fargo $1,179
Linton Hospital - Cah · Linton $1,203
Sanford Medical Center Fargo · Fargo $1,214
Sanford Medical Center Bismarck · Bismarck $1,214

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