CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Memorial Hospital Biloxi

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $2,053
Cash Discount Price: $3,593
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Memorial Hospital Biloxi is $2,053. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,593. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.68x the Medicare baseline. Located in 150 Reynoir Street, Biloxi, MS.

Cash / Self-Pay

$3,593

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,053

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: $3,593 (294%)

Insurance Median: $2,053 (168%)

Cash: $3,593 (294% of Medicare)

Ins. Median: $2,053 (168% 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
Sas Mhg	$770 - $3,131	63%
UnitedHealthcare	$874 - $3,001	71%
Magnolia Health	$883 - $1,530	72%
Molina	$883 - $9,906	72%
Cigna	$1,050 - $3,593	86%
Devoted Health	$1,071	88%
First Choice	$1,959 - $3,695	160%
Sas Non-Mhg	$1,959	160%
Fox Everett	$2,053	168%
Mhg	$2,065	169%
Aetna	$2,566	210%
First Health	$3,695	302%
Humana	$3,695	302%
Mpcn	$3,849	315%

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 $3,593.
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 Memorial Hospital Biloxi 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.