CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Baptist Memorial Hospital North Ms

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $1,493
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Baptist Memorial Hospital North Ms is $1,493. 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 1.57x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,493

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: $1,493 (157%)
Ins. Median: $1,493 (157% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Triwest $796 84%
Ms Breast And Cervical $829 87%
Vaccn $829 87%
Veterans Evaluation Services $829 87%
Devoted Health $846 89%
Molina $846 - $1,534 89%
Blue Cross Blue Shield $854 - $3,067 90%
Aetna $871 92%
American Health Plan $871 92%
Humana $871 92%
Shared Health $871 92%
Magnolia Ms $1,120 118%
Brimhall Foods $1,244 131%
UnitedHealthcare $1,277 - $1,883 134%
First State Bank Trust $1,410 148%
Arlington Community Schools $1,493 157%
Armstrong Relocation $1,493 157%
Ashley Furniture Stores $1,493 157%
Bartlett City Schools $1,493 157%
Building Plastic $1,493 157%
Burch Food Services $1,493 157%
Cannon Motor Company $1,493 157%
Carlisle $1,493 157%
City Of Bartlett $1,493 157%
City Of Lakeland $1,493 157%
Collierville Schools $1,493 157%
Crittenden County $1,493 157%
Davidson Hospitality $1,493 157%
Delta Industries $1,493 157%
Desoto Co Board Of Supervisors $1,493 157%
Dunn Investment Company $1,493 157%
Eas Mssc Schools $1,493 157%
First Choice Health Plan Of Ms $1,493 157%
First Community Bank $1,493 157%
French Camp Academy $1,493 157%
Gossett Motor Cars $1,493 157%
Hattiesburg Clinic $1,493 157%
Heartland Catfish Company $1,493 157%
Heavy Machines $1,493 157%
Hollowell Industries $1,493 157%
Hospitality Management Advisors $1,493 157%
Jas D Collier $1,493 157%
Lakeland School System $1,493 157%
Malco Theaters $1,493 157%
Mechanical Systems $1,493 157%
Mid-South Transport $1,493 157%
Minact $1,493 157%
Patterson Warehouses $1,493 157%
Radians $1,493 157%
Rei Nation $1,493 157%
Retzer Resources $1,493 157%
Ritchey Automotive $1,493 157%
Security One $1,493 157%
Silver Tree $1,493 157%
State Systems $1,493 157%
Town Of Collierville $1,493 157%
United Tn Holdings $1,493 157%
Vaughn Electric $1,493 157%
W G Yates $1,493 157%
W W Wood Products $1,493 157%
Watkins Uiberall $1,493 157%
Y K Auto Group $1,493 157%
Employers Health Network $1,659 175%
Harding Academy $1,659 175%
Mpcn $1,659 175%
Primewell $2,322 244%
Advanced Health Systems Inc. $2,454 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Belk Blvd, Oxford, MS 38655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals