CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Singing River Health System

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,293
Cash Discount Price: $1,170
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Singing River Health System is $1,293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,170. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.06x the Medicare baseline. Located in 2809 Denny Av, Pascagoula, MS.

Cash / Self-Pay

$1,170

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,293

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: $1,170 (96%)

Insurance Median: $1,293 (106%)

Cash: $1,170 (96% of Medicare)

Ins. Median: $1,293 (106% 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
UnitedHealthcare	$935 - $1,708	76%
Aetna	$1,089 - $1,831	89%
Humana	$1,089	89%
Blue Cross Blue Shield	$1,099	90%
Cigna	$1,110 - $1,547	91%
Shared Health	$1,121	92%
Wellcare	$1,121	92%
Singing River Health System Employees	$1,293	106%
Ambetter / Centene	$1,601	131%
Molina Healthcare Of Ms	$1,708	140%
First Choice	$1,868	153%
Mississippi Physicians Care Network	$1,921	157%
First Choice Preferred Pricing	$1,974	161%
90 Degree Benefits	$2,028	166%

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 $1,170.
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 Singing River Health System 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.