CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Anderson Regional Medical Center

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,941
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Anderson Regional Medical Center is $1,941. 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 1.59x the Medicare baseline. Located in 2124 14Th Street, Meridian, MS.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,941

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: $1,941 (159%)

Ins. Median: $1,941 (159% 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
Integrated Health Plan	$1,068	87%
First Choice Health Plan Of Ms	$1,078 - $2,103	88%
Ms Breast And Cervical	$1,078	88%
Triwest	$1,078	88%
UnitedHealthcare	$1,078 - $1,618	88%
Magnolia Ms	$1,089 - $1,510	89%
Molina	$1,089 - $2,049	89%
Blue Cross Blue Shield	$1,111 - $2,248	91%
Primewell	$1,111 - $2,696	91%
Aetna	$1,132	93%
Shared Health	$1,132	93%
Wellcare	$1,132	93%
Ppo Plus	$1,279	105%
Ashley Furniture Stores	$1,941	159%
Crittenden County	$1,941	159%
Davidson Hospitality	$1,941	159%
Dunn Investment Company	$1,941	159%
First State Bank Trust	$1,941	159%
Gossett Motor Cars	$1,941	159%
Hattiesburg Clinic	$1,941	159%
Hospitality Management Advisors	$1,941	159%
Jas D Collier	$1,941	159%
Mechanical Systems	$1,941	159%
Mid-South Transport	$1,941	159%
Patterson Warehouses	$1,941	159%
Radians	$1,941	159%
Rei Nation	$1,941	159%
Retzer Resources	$1,941	159%
State Systems	$1,941	159%
W W Wood Products	$1,941	159%
Watkins Uiberall	$1,941	159%
Advanced Health Systems Inc.	$2,195	180%
Lucent Health	$2,244	184%
Mpcn	$2,427	199%

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 $X.
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 Anderson Regional Medical Center 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.