CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Sanford Medical Center Bismarck

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,218
about 1.0× the $1,223 Medicare rate · typically $1,130–$1,283
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,214
About the fair price
about $4 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,218 This hospital $1,214 Cash price $2,254 Hospital's list price $2,818

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 6 of 8 other ND hospitals charge less.

Cheapest $320 Priciest $1,223

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

A fair price for a Colonoscopy with biopsy is about $1,218 (about 1.0× the $1,223 Medicare rate). Sanford Medical Center Bismarck charges insurers about $1,214, or about $2,254 in cash — about the fair price. Located in Bismarck, 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 $1,140 - $2,899 93%
Blue Cross Blue Shieldmajor $523 - $4,172 43%
Aetnamajor $1,140 - $2,845 93%
Cignamajor $2,995 245%
Health Net $2,077 - $2,995 170%
HealthPartners $1,140 - $1,800 93%
Medica $1,498 - $2,036 123%
Sanford Health Plan $197 - $2,143 16%
Security Health Plan $1,269 - $1,830 104%
UCare $1,131 - $2,339 93%
+ 2 smaller / regional plans $1,163 - $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.

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Facility Profile & Credentials

  • Address: 300 N 7Th St, Bismarck, ND 58506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals