CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Ochsner Medical Center-Hancock

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $841
Cash Discount Price: $540
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Ochsner Medical Center-Hancock is $841. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.89x the Medicare baseline. Located in 149 Drinkwater Blvd, Bay Saint Louis, MS.

Cash / Self-Pay

$540

Average discount available for prompt cash payment at this facility.

Insurance Median

$841

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%)

Cash / Self-Pay: $540 (57%)

Insurance Median: $841 (89%)

Cash: $540 (57% of Medicare)

Ins. Median: $841 (89% 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.

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
Blue Cross Blue Shield	$507 - $527	53%
Cigna	$568 - $837	60%
Medicaid / KanCare	$677 - $711	71%
Mississippi Physicians Care Network	$710	75%
Zelis	$738	78%
Humana	$753 - $837	79%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$837	88%
Medicare (plans)	$837 - $879	88%
UnitedHealthcare	$837 - $2,959	88%
Aetna	$845 - $1,108	89%
Shared Health Mississippi	$879	93%
Claritev D/B/A Multiplan/Phcs/American Life Care	$909	96%
Healthcomp & Personify Health (Formerly Gilsbar)	$994	105%
Select Administrative Services Network	$994	105%
Ambetter / Centene	$1,339	141%
Primewell Health Services Commercial Exchange Plan	$2,344	247%
Primewell Health Services – Commercial	$2,344	247%

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 $540.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center-Hancock is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
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.