CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Baptist Memorial Hospital Booneville

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $1,462
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Baptist Memorial Hospital Booneville is $1,462. 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 1.54x the Medicare baseline. Located in 100 Hospital Street, Booneville, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,462

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: $1,462 (154%)
Ins. Median: $1,462 (154% 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 $780 82%
Humana $812 - $853 85%
Ms Breast And Cervical $812 85%
Vaccn $812 85%
Veterans Evaluation Services $812 85%
Devoted Health $828 87%
Molina $828 - $1,502 87%
Blue Cross Blue Shield $836 - $4,049 88%
Aetna $853 90%
American Health Plan $853 90%
Shared Health $853 90%
Magnolia Ms $1,097 115%
First State Bank Trust $1,381 145%
Arlington Community Schools $1,462 154%
Armstrong Relocation $1,462 154%
Ashley Furniture Stores $1,462 154%
Bartlett City Schools $1,462 154%
Brimhall Foods $1,462 154%
Building Plastic $1,462 154%
Burch Food Services $1,462 154%
Cannon Motor Company $1,462 154%
Carlisle $1,462 154%
City Of Bartlett $1,462 154%
City Of Lakeland $1,462 154%
Collierville Schools $1,462 154%
Crittenden County $1,462 154%
Davidson Hospitality $1,462 154%
Delta Industries $1,462 154%
Desoto Co Board Of Supervisors $1,462 154%
Dunn Investment Company $1,462 154%
Eas Mssc Schools $1,462 154%
First Choice Health Plan Of Ms $1,462 154%
First Community Bank $1,462 154%
French Camp Academy $1,462 154%
Gossett Motor Cars $1,462 154%
Hattiesburg Clinic $1,462 154%
Heartland Catfish Company $1,462 154%
Heavy Machines $1,462 154%
Hollowell Industries $1,462 154%
Hospitality Management Advisors $1,462 154%
Jas D Collier $1,462 154%
Lakeland School System $1,462 154%
Malco Theaters $1,462 154%
Mechanical Systems $1,462 154%
Mid-South Transport $1,462 154%
Minact $1,462 154%
Patterson Warehouses $1,462 154%
Radians $1,462 154%
Rei Nation $1,462 154%
Retzer Resources $1,462 154%
Ritchey Automotive $1,462 154%
Security One $1,462 154%
Silver Tree $1,462 154%
State Systems $1,462 154%
Town Of Collierville $1,462 154%
United Tn Holdings $1,462 154%
Vaughn Electric $1,462 154%
W G Yates $1,462 154%
W W Wood Products $1,462 154%
Watkins Uiberall $1,462 154%
Y K Auto Group $1,462 154%
Employers Health Network $1,624 171%
Harding Academy $1,624 171%
Mpcn $1,624 171%
Primewell $2,274 239%
Advanced Health Systems Inc. $2,730 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Hospital Street, Booneville, MS 38829
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals