CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University of Mississippi Medical Center- Grenada

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,095

about 0.9× the $1,223 Medicare rate · typically $1,079–$1,792

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,078

About the fair price

about $17 under the fair price · 0.9× Medicare

Medicare pays $1,223 Fair price $1,095 This hospital $1,078 Cash price $920 Hospital's list price $2,300

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 $167 Priciest $1,078

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

A fair price for a Colonoscopy with biopsy is about $1,095 (about 0.9× the $1,223 Medicare rate). University of Mississippi Medical Center- Grenada charges insurers about $1,078, or about $920 in cash — about the fair price. Located in Grenada, 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	$1,063	87%
Blue Cross Blue Shieldmajor	$995	81%
Aetnamajor	$2,070	169%
Cignamajor	$2,024	166%
Humanamajor	$1,073	88%
Ambetter (Centene)	$2,300	188%
Devoted Health	$1,083	89%
HealthLink	$2,128	174%
Molina	$925 - $2,218	76%
WellCare	$1,063	87%
+ 9 smaller / regional plans	$666 - $2,300

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

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 920), 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: 45380.

Insurance Before you use insurance

Call your insurance company to confirm University of Mississippi Medical Center- Grenada is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
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 University of Mississippi Medical Center- Grenada

Compare: Colonoscopy with biopsy at other MS hospitals

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