CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Douglas County Memorial Hospital-Cah

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$425

about 0.3× the $1,223 Medicare rate · typically $196–$2,409

modeled estimate · not a bill or quote

What this hospital charges insurers

$211

Below the fair price — a good deal

about $214 under the fair price · 0.2× Medicare

Medicare pays $1,223 Fair price $425 This hospital $211 Cash price $1,750 Hospital's list price $1,944

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

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

Cheapest $177 Priciest $1,214

Black dot = this hospital, among the 9 SD 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 $425 (about 0.3× the $1,223 Medicare rate). Douglas County Memorial Hospital-Cah charges insurers about $211, or about $1,750 in cash — below the fair price — a good deal. Located in Armour, SD.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$1,652	135%
Blue Cross Blue Shieldmajor	$1,944	159%
Sanford Health Plan	$211 - $1,886	17%
+ 1 smaller / regional plan	$1,847

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 1,750), 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 Douglas County Memorial Hospital-Cah 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 Douglas County Memorial Hospital-Cah

Compare: Colonoscopy with biopsy at other SD hospitals

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