CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University of Mississippi Medical Center- Grenada

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $842
  • Cash Discount Price: $920
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at University of Mississippi Medical Center- Grenada is $842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.89x the Medicare baseline. Located in 960 Avent Drive, Grenada, MS.
Cash / Self-Pay
$920

Average discount available for prompt cash payment at this facility.

Insurance Median
$842

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: $920 (97%)
Insurance Median: $842 (89%)
Cash: $920 (97% of Medicare)
Ins. Median: $842 (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.

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
Advhealth-Gmc $507 53%
Ms-Can-Molina-Gmc $716 75%
Ms-Can-Magnolia-Gmc $723 76%
Ms-Can-Truecare-Gmc $729 77%
Blue Cross Blue Shield $793 83%
Medicare (plans) $802 84%
Tricare $802 84%
Va_Ccn-Gmc $802 84%
Medadv_Primewell-Gmc $826 87%
Medadv_Uhc-Gmc $826 87%
Medadv_Uhcdsnp-Gmc $826 87%
Wellcare-Gmc $826 87%
Humana $834 88%
Devoted_Health-Gmc $842 89%
Molina-Chip-Gmc $1,528 161%
Magnolia-Chip-Gmc $1,563 165%
Truecare-Chip-Gmc $1,563 165%
Firstchoice-Gmc $1,604 169%
Mpcn-Gmc $1,608 169%
Bhsg-Gmc $1,610 169%
Molina_Exchange-Gmc $1,724 181%
Ambetter / Centene $2,020 213%
Cigna $2,024 213%
Aetna $2,070 218%
Healthlink-Gmc $2,128 224%
Primewell-Gmc $2,300 242%
United-Gmc $2,300 242%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 960 Avent Drive, Grenada, MS 38901
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals