CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Simpson General Hospital Cah

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$719

about 0.6× the $1,223 Medicare rate · typically $373–$2,012

modeled estimate · not a bill or quote

What this hospital charges insurers

$804

About the fair price

about $85 over the fair price · 0.7× Medicare

Medicare pays $1,223 Fair price $719 This hospital $804 Cash price $3,841 Hospital's list price $5,487

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

On the higher side — 6 of 8 other MS hospitals charge less.

Cheapest $167 Priciest $979

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy with biopsy is about $719 (about 0.6× the $1,223 Medicare rate). Simpson General Hospital Cah charges insurers about $804, or about $3,841 in cash — about the fair price. Located in Mendenhall, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$764 - $4,390	62%
Blue Cross Blue Shieldmajor	$2,777	227%
Aetnamajor	$3,292	269%
Ambetter (Centene)	$2,140	175%
HealthPartners	$4,390	359%
+ 4 smaller / regional plans	$804 - $4,664

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 3,841), 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 Simpson General Hospital Cah 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 Simpson General Hospital Cah

Compare: Colonoscopy with biopsy at other MS hospitals

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