CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Dunes Surgical Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,801

about 1.5× the $1,223 Medicare rate · typically $928–$1,801

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,563

Below the fair price — a good deal

about $238 under the fair price · 1.3× Medicare

Medicare pays $1,223 Fair price $1,801 This hospital $1,563 Cash price $1,806 Hospital's list price $2,420

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

Highest price of the 9 SD hospitals we have prices for — worth calling around.

Cheapest $177 Priciest $1,563

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

A fair price for a Colonoscopy with biopsy is about $1,801 (about 1.5× the $1,223 Medicare rate). Dunes Surgical Hospital charges insurers about $1,563, or about $1,806 in cash — below the fair price — a good deal. Located in Dakota Dunes, SD.

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✓ Cigna AetnaHumanaKaiser 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	$372 - $1,936	30%
Blue Cross Blue Shieldmajor	$1,228 - $1,705	100%
Cignamajor	$1,694	139%
Amerigroup	$1,245	102%
HealthPartners	$2,347	192%
Molina	$1,240	101%
Oscar Health	$1,433	117%
Sanford Health Plan	$2,057	168%
+ 5 smaller / regional plans	$1,204 - $2,057

Excludes 2 rental-network / third-party entries (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 1,806), 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 Dunes Surgical Hospital 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 Dunes Surgical Hospital

Compare: Colonoscopy with biopsy at other SD hospitals

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