CMS Price Transparency Data

Colonoscopy with biopsy

Facility: University of Mississippi Medical Center- Grenada

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,083
Cash Discount Price: $920
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at University of Mississippi Medical Center- Grenada is $1,083. 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 $1,222.56, 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

$1,083

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%)

Cash / Self-Pay: $920 (75%)

Insurance Median: $1,083 (89%)

Cash: $920 (75% of Medicare)

Ins. Median: $1,083 (89% 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
Advhealth-Gmc	$666	54%
Ms-Can-Molina-Gmc	$925	76%
Ms-Can-Magnolia-Gmc	$934	76%
Ms-Can-Truecare-Gmc	$943	77%
Blue Cross Blue Shield	$995	81%
Medicare (plans)	$1,032	84%
Tricare	$1,032	84%
Va_Ccn-Gmc	$1,032	84%
Medadv_Primewell-Gmc	$1,063	87%
Medadv_Uhc-Gmc	$1,063	87%
Medadv_Uhcdsnp-Gmc	$1,063	87%
Wellcare-Gmc	$1,063	87%
Humana	$1,073	88%
Devoted_Health-Gmc	$1,083	89%
Bhsg-Gmc	$1,610	132%
Molina-Chip-Gmc	$1,977	162%
Magnolia-Chip-Gmc	$2,022	165%
Truecare-Chip-Gmc	$2,022	165%
Cigna	$2,024	166%
Firstchoice-Gmc	$2,063	169%
Mpcn-Gmc	$2,069	169%
Aetna	$2,070	169%
Healthlink-Gmc	$2,128	174%
Molina_Exchange-Gmc	$2,218	181%
Ambetter / Centene	$2,300	188%
Primewell-Gmc	$2,300	188%
United-Gmc	$2,300	188%

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 $920.
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 University of Mississippi Medical Center- Grenada 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.