CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Baptist Memorial Hospital Booneville

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45380
  • Insurance Median: $1,890
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Baptist Memorial Hospital Booneville is $1,890. 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 1.55x 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
$1,890

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: $1,890 (155%)
Ins. Median: $1,890 (155% 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.

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 $1,008 82%
Humana $1,050 - $1,103 86%
Ms Breast And Cervical $1,050 86%
Vaccn $1,050 86%
Veterans Evaluation Services $1,050 86%
Devoted Health $1,071 88%
Molina $1,071 - $1,943 88%
Blue Cross Blue Shield $1,082 - $5,236 89%
Aetna $1,103 90%
American Health Plan $1,103 90%
Shared Health $1,103 90%
Magnolia Ms $1,418 116%
First State Bank Trust $1,785 146%
Arlington Community Schools $1,890 155%
Armstrong Relocation $1,890 155%
Ashley Furniture Stores $1,890 155%
Bartlett City Schools $1,890 155%
Brimhall Foods $1,890 155%
Building Plastic $1,890 155%
Burch Food Services $1,890 155%
Cannon Motor Company $1,890 155%
Carlisle $1,890 155%
City Of Bartlett $1,890 155%
City Of Lakeland $1,890 155%
Collierville Schools $1,890 155%
Crittenden County $1,890 155%
Davidson Hospitality $1,890 155%
Delta Industries $1,890 155%
Desoto Co Board Of Supervisors $1,890 155%
Dunn Investment Company $1,890 155%
Eas Mssc Schools $1,890 155%
First Choice Health Plan Of Ms $1,890 155%
First Community Bank $1,890 155%
French Camp Academy $1,890 155%
Gossett Motor Cars $1,890 155%
Hattiesburg Clinic $1,890 155%
Heartland Catfish Company $1,890 155%
Heavy Machines $1,890 155%
Hollowell Industries $1,890 155%
Hospitality Management Advisors $1,890 155%
Jas D Collier $1,890 155%
Lakeland School System $1,890 155%
Malco Theaters $1,890 155%
Mechanical Systems $1,890 155%
Mid-South Transport $1,890 155%
Minact $1,890 155%
Patterson Warehouses $1,890 155%
Radians $1,890 155%
Rei Nation $1,890 155%
Retzer Resources $1,890 155%
Ritchey Automotive $1,890 155%
Security One $1,890 155%
Silver Tree $1,890 155%
State Systems $1,890 155%
Town Of Collierville $1,890 155%
United Tn Holdings $1,890 155%
Vaughn Electric $1,890 155%
W G Yates $1,890 155%
W W Wood Products $1,890 155%
Watkins Uiberall $1,890 155%
Y K Auto Group $1,890 155%
Employers Health Network $2,100 172%
Harding Academy $2,100 172%
Mpcn $2,100 172%
Primewell $2,941 241%
Advanced Health Systems Inc. $3,531 289%

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