CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mississippi Baptist Medical Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $1,490
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Mississippi Baptist Medical Center is $1,490. 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 1.57x the Medicare baseline. Located in 1225 N State St, Jackson, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,490

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: $1,490 (157%)
Ins. Median: $1,490 (157% 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
Ms Breast And Cervical $828 87%
Triwest $828 87%
Vaccn $828 87%
Veterans Evaluation Services $828 87%
Devoted Health $844 89%
Molina $844 - $1,531 89%
Blue Cross Blue Shield $853 - $1,738 90%
Aetna $869 91%
American Health Plan $869 91%
Cigna $869 91%
Humana $869 91%
Magnolia Ms $869 - $1,616 91%
Shared Health $869 91%
Wellcare $869 91%
Occunet $1,242 131%
First State Bank Trust $1,407 148%
Armstrong Relocation $1,490 157%
Ashley Furniture Stores $1,490 157%
Brimhall Foods $1,490 157%
Building Plastic $1,490 157%
Burch Food Services $1,490 157%
Cannon Motor Company $1,490 157%
Carlisle $1,490 157%
Crittenden County $1,490 157%
Davidson Hospitality $1,490 157%
Delta Industries $1,490 157%
Desoto Co Board Of Supervisors $1,490 157%
Dunn Investment Company $1,490 157%
First Choice Health Plan Of Ms $1,490 157%
First Community Bank $1,490 157%
French Camp Academy $1,490 157%
Gossett Motor Cars $1,490 157%
Hattiesburg Clinic $1,490 157%
Heartland Catfish Company $1,490 157%
Heavy Machines $1,490 157%
Hospitality Management Advisors $1,490 157%
Jas D Collier $1,490 157%
Malco Theaters $1,490 157%
Mechanical Systems $1,490 157%
Mid-South Transport $1,490 157%
Minact $1,490 157%
Patterson Warehouses $1,490 157%
Radians $1,490 157%
Rei Nation $1,490 157%
Retzer Resources $1,490 157%
Ritchey Automotive $1,490 157%
Security One $1,490 157%
Silver Tree $1,490 157%
State Systems $1,490 157%
United Tn Holdings $1,490 157%
Vaughn Electric $1,490 157%
W G Yates $1,490 157%
W W Wood Products $1,490 157%
Watkins Uiberall $1,490 157%
Y K Auto Group $1,490 157%
Mpcn $1,564 165%
UnitedHealthcare $1,568 - $1,830 165%
Employers Health Network $1,655 174%
Harding Academy $1,655 174%
Multiplan $2,227 234%
Primewell $2,318 244%
Advanced Health Systems Inc. $2,454 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1225 N State St, Jackson, MS 39202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals