CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Baptist Memorial Hospital Jonesboro, Inc.
Billing Code: 45378 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45378
- Insurance Median: $1,260
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Baptist Memorial Hospital Jonesboro, Inc. is $1,260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.33x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,260
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$950.1
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $950.1 (100%)
Insurance Median: $1,260 (133%)
Ins. Median: $1,260 (133% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $950.1 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Summit Community Care | $250 | 26% |
| Caresource | $258 | 27% |
| Access Health Services | $262 - $1,344 | 28% |
| Home State Health Plan | $297 | 31% |
| Humana | $600 - $882 | 63% |
| Aetna | $660 - $882 | 69% |
| Cigna | $709 - $848 | 75% |
| Triwest | $806 | 85% |
| Blue Cross Blue Shield | $840 - $857 | 88% |
| Springs Of Jonesboro | $840 | 88% |
| Vaccn | $840 | 88% |
| Veterans Evaluation Services | $840 | 88% |
| Novasys | $848 - $1,092 | 89% |
| Devoted Health | $857 | 90% |
| UnitedHealthcare | $865 - $1,229 | 91% |
| Primewell | $882 - $2,352 | 93% |
| Shared Health | $882 | 93% |
| Arlington Community Schools | $1,260 | 133% |
| Armstrong Relocation | $1,260 | 133% |
| Ashley Furniture Stores | $1,260 | 133% |
| Bartlett City Schools | $1,260 | 133% |
| Brimhall Foods | $1,260 | 133% |
| Building Plastic | $1,260 | 133% |
| Cannon Motor Company | $1,260 | 133% |
| Carlisle | $1,260 | 133% |
| City Of Bartlett | $1,260 | 133% |
| City Of Lakeland | $1,260 | 133% |
| Collierville Schools | $1,260 | 133% |
| Crittenden County | $1,260 | 133% |
| Davidson Hospitality | $1,260 | 133% |
| Desoto Co Board Of Supervisors | $1,260 | 133% |
| Dunn Investment Company | $1,260 | 133% |
| Eas Mssc Schools | $1,260 | 133% |
| Gossett Motor Cars | $1,260 | 133% |
| Heavy Machines | $1,260 | 133% |
| Hollowell Industries | $1,260 | 133% |
| Hospitality Management Advisors | $1,260 | 133% |
| Jas D Collier | $1,260 | 133% |
| Lakeland School System | $1,260 | 133% |
| Malco Theaters | $1,260 | 133% |
| Mechanical Systems | $1,260 | 133% |
| Mid-South Transport | $1,260 | 133% |
| Patterson Warehouses | $1,260 | 133% |
| Radians | $1,260 | 133% |
| Rei Nation | $1,260 | 133% |
| Retzer Resources | $1,260 | 133% |
| Ritchey Automotive | $1,260 | 133% |
| Security One | $1,260 | 133% |
| Silver Tree | $1,260 | 133% |
| State Systems | $1,260 | 133% |
| Town Of Collierville | $1,260 | 133% |
| United Tn Holdings | $1,260 | 133% |
| Vaughn Electric | $1,260 | 133% |
| W W Wood Products | $1,260 | 133% |
| Watkins Uiberall | $1,260 | 133% |
| Y K Auto Group | $1,260 | 133% |
| First Community Bank | $1,344 | 141% |
| First State Bank Trust | $1,428 | 150% |
| Ppo Plus | $1,428 | 150% |
| Burch Food Services | $1,512 | 159% |
| First Choice Health Plan Of Ms | $1,512 | 159% |
| French Camp Academy | $1,512 | 159% |
| Hattiesburg Clinic | $1,512 | 159% |
| Heartland Catfish Company | $1,512 | 159% |
| W G Yates | $1,512 | 159% |
| Employers Health Network | $1,680 | 177% |
| Harding Academy | $1,680 | 177% |
| Multiplan | $2,227 | 234% |