CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Sauk Prairie Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,297
about 1.1× the $1,223 Medicare rate · typically $980–$2,014
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,062
Below the fair price — a good deal
about $235 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,297 This hospital $1,062 Cash price $1,323 Hospital's list price $2,420

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $166 Priciest $1,062

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

A fair price for a Colonoscopy with biopsy is about $1,297 (about 1.1× the $1,223 Medicare rate). Sauk Prairie Hospital charges insurers about $1,062, or about $1,323 in cash — below the fair price — a good deal. Located in Prairie Du Sac, WI.

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✓ Humana AetnaCignaKaiser 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 $182 - $2,299 15%
Blue Cross Blue Shieldmajor $151 - $2,226 12%
Humanamajor $182 - $1,138 15%
Dean Health Plan $182 - $9,415 15%
Quartz $182 - $3,106 15%
+ 1 smaller / regional plan $986 - $1,936

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals