CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Sanford Medical Center Fargo

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$940

about 1.0× the $950 Medicare rate · typically $909–$977

modeled estimate · not a bill or quote

What this hospital charges insurers

$939

About the fair price

about $1 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $940 This hospital $939 Cash price $2,662 Hospital's list price $3,328

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 2 charge more and 5 charge less, among the 9 ND hospitals compared.

Cheapest $249 Priciest $1,203

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

A fair price for a Colonoscopy (diagnostic) is about $940 (about 1.0× the $950 Medicare rate). Sanford Medical Center Fargo charges insurers about $939, or about $2,662 in cash — about the fair price. Located in Fargo, ND.

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	$939 - $2,899	99%
Blue Cross Blue Shieldmajor	$666 - $1,614	70%
Aetnamajor	$939 - $2,845	99%
Cignamajor	$2,995	315%
Health Net	$2,995	315%
HealthPartners	$939 - $1,364	99%
Medica	$1,498 - $1,601	158%
Sanford Health Plan	$181 - $866	19%
Security Health Plan	$1,830	193%
UCare	$930 - $2,339	98%
+ 2 smaller / regional plans	$957 - $2,995

Government programs also on file: Medicare.

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 2,662), 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: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Medical Center Fargo is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
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 Sanford Medical Center Fargo

Compare: Colonoscopy (diagnostic) at other ND hospitals

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