CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Crossgates River Oaks Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,070

about 1.1× the $950 Medicare rate · typically $907–$1,476

modeled estimate · not a bill or quote

What this hospital charges insurers

$903

Below the fair price — a good deal

about $167 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $1,070 This hospital $903 Cash price $2,694 Hospital's list price $17,959

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $155 Priciest $903

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $1,070 (about 1.1× the $950 Medicare rate). Crossgates River Oaks Hospital charges insurers about $903, or about $2,694 in cash — below the fair price — a good deal. Located in Brandon, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$695 - $5,208	73%
Blue Cross Blue Shieldmajor	$527	55%
Aetnamajor	$911 - $12,572	96%
Cignamajor	$3,718 - $12,572	391%
Humanamajor	$885	93%
CareSource	$709	75%
Devoted Health	$903	95%
Molina	$750 - $1,247	79%
WellCare	$917	97%
+ 24 smaller / regional plans	$507 - $16,163

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,694), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Crossgates River Oaks Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Crossgates River Oaks Hospital

Compare: Colonoscopy (diagnostic) at other MS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.