CMS Price Transparency Data

Colonoscopy with biopsy

Facility: CHI St Alexius Health Williston

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $996
Cash Discount Price: $705
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at CHI St Alexius Health Williston is $996. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $705. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.81x the Medicare baseline. Located in 1301 15Th Ave W, Williston, ND.

Cash / Self-Pay

$705

Average discount available for prompt cash payment at this facility.

Insurance Median

$996

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $705 (58%)

Insurance Median: $996 (81%)

Cash: $705 (58% of Medicare)

Ins. Median: $996 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medica	$535 - $1,142	44%
Blue Cross Blue Shield	$545 - $753	45%
Sanford Health Plan	$729	60%
United	$887 - $996	73%
Health Partners	$1,142	93%
Multiplan	$1,142	93%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $705.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm CHI St Alexius Health Williston is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.