CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Southwest Healthcare Services

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$920
about 0.8× the $1,223 Medicare rate · typically $249–$1,767
modeled estimate · not a bill or quote
What this hospital charges insurers
$363
Below the fair price — a good deal
about $557 under the fair price · 0.3× Medicare
Medicare pays $1,223 Fair price $920 This hospital $363 Cash price $1,157 Hospital's list price $1,286

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 7 of 8 other ND hospitals charge more for the same procedure.

Cheapest $320 Priciest $1,223

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $920 (about 0.8× the $1,223 Medicare rate). Southwest Healthcare Services charges insurers about $363, or about $1,157 in cash — below the fair price — a good deal. Located in Bowman, ND.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $363 30%
Sanford Health Plan $363 30%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 802 2Nd St Nw, Bowman, ND 58623
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals