CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Baptist Memorial Hospital North Ms

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45380
  • Insurance Median: $1,931
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Baptist Memorial Hospital North Ms is $1,931. 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 $1,222.56, this hospital’s rate is 1.58x 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
$1,931

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%)
Insurance Median: $1,931 (158%)
Ins. Median: $1,931 (158% 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.

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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
Triwest $1,030 84%
Ms Breast And Cervical $1,073 88%
Vaccn $1,073 88%
Veterans Evaluation Services $1,073 88%
Devoted Health $1,094 89%
Molina $1,094 - $1,984 89%
Blue Cross Blue Shield $1,105 - $3,967 90%
Aetna $1,126 92%
American Health Plan $1,126 92%
Humana $1,126 92%
Shared Health $1,126 92%
UnitedHealthcare $1,277 - $1,883 104%
Magnolia Ms $1,449 119%
Brimhall Foods $1,609 132%
First State Bank Trust $1,824 149%
Arlington Community Schools $1,931 158%
Armstrong Relocation $1,931 158%
Ashley Furniture Stores $1,931 158%
Bartlett City Schools $1,931 158%
Building Plastic $1,931 158%
Burch Food Services $1,931 158%
Cannon Motor Company $1,931 158%
Carlisle $1,931 158%
City Of Bartlett $1,931 158%
City Of Lakeland $1,931 158%
Collierville Schools $1,931 158%
Crittenden County $1,931 158%
Davidson Hospitality $1,931 158%
Delta Industries $1,931 158%
Desoto Co Board Of Supervisors $1,931 158%
Dunn Investment Company $1,931 158%
Eas Mssc Schools $1,931 158%
First Choice Health Plan Of Ms $1,931 158%
First Community Bank $1,931 158%
French Camp Academy $1,931 158%
Gossett Motor Cars $1,931 158%
Hattiesburg Clinic $1,931 158%
Heartland Catfish Company $1,931 158%
Heavy Machines $1,931 158%
Hollowell Industries $1,931 158%
Hospitality Management Advisors $1,931 158%
Jas D Collier $1,931 158%
Lakeland School System $1,931 158%
Malco Theaters $1,931 158%
Mechanical Systems $1,931 158%
Mid-South Transport $1,931 158%
Minact $1,931 158%
Patterson Warehouses $1,931 158%
Radians $1,931 158%
Rei Nation $1,931 158%
Retzer Resources $1,931 158%
Ritchey Automotive $1,931 158%
Security One $1,931 158%
Silver Tree $1,931 158%
State Systems $1,931 158%
Town Of Collierville $1,931 158%
United Tn Holdings $1,931 158%
Vaughn Electric $1,931 158%
W G Yates $1,931 158%
W W Wood Products $1,931 158%
Watkins Uiberall $1,931 158%
Y K Auto Group $1,931 158%
Employers Health Network $2,145 175%
Harding Academy $2,145 175%
Mpcn $2,145 175%
Primewell $3,004 246%
Advanced Health Systems Inc. $3,174 260%

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