CMS Price Transparency Data
Colonoscopy (diagnostic)
Facility: Baptist Memorial Hospital
Billing Code: 45378 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 45378
- Insurance Median: $1,503
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Baptist Memorial Hospital is $1,503. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 1.58x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,503
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%)
Insurance Median: $1,503 (158%)
Ins. Median: $1,503 (158% 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 |
|---|---|---|
| Blue Cross Blue Shield | $495 - $3,775 | 52% |
| Wellpoint | $793 - $877 | 83% |
| Triwest | $801 | 84% |
| Vaccn | $835 | 88% |
| Veterans Evaluation Services | $835 | 88% |
| Devoted Health | $852 | 90% |
| Molina | $852 - $1,544 | 90% |
| Aetna | $877 | 92% |
| American Health Plan | $877 | 92% |
| Humana | $877 - $1,115 | 92% |
| Novasys | $877 | 92% |
| Shared Health | $877 | 92% |
| Tribute Health Plan | $877 | 92% |
| Rhodes College | $1,336 | 141% |
| Arlington Community Schools | $1,378 | 145% |
| Bartlett City Schools | $1,378 | 145% |
| City Of Bartlett | $1,378 | 145% |
| City Of Lakeland | $1,378 | 145% |
| Collierville Schools | $1,378 | 145% |
| Eas Mssc Schools | $1,378 | 145% |
| Lakeland School System | $1,378 | 145% |
| Town Of Collierville | $1,378 | 145% |
| Magnolia Tn | $1,409 | 148% |
| First State Bank Trust | $1,419 | 149% |
| Armstrong Relocation | $1,503 | 158% |
| Ashley Furniture Stores | $1,503 | 158% |
| Brimhall Foods | $1,503 | 158% |
| Building Plastic | $1,503 | 158% |
| Burch Food Services | $1,503 | 158% |
| Cannon Motor Company | $1,503 | 158% |
| Carlisle | $1,503 | 158% |
| Crittenden County | $1,503 | 158% |
| Davidson Hospitality | $1,503 | 158% |
| Desoto Co Board Of Supervisors | $1,503 | 158% |
| Dunn Investment Company | $1,503 | 158% |
| First Choice Health Plan Of Ms | $1,503 | 158% |
| First Community Bank | $1,503 | 158% |
| French Camp Academy | $1,503 | 158% |
| Gossett Motor Cars | $1,503 | 158% |
| Hattiesburg Clinic | $1,503 | 158% |
| Heartland Catfish Company | $1,503 | 158% |
| Heavy Machines | $1,503 | 158% |
| Hollowell Industries | $1,503 | 158% |
| Hospitality Management Advisors | $1,503 | 158% |
| Jas D Collier | $1,503 | 158% |
| Malco Theaters | $1,503 | 158% |
| Mechanical Systems | $1,503 | 158% |
| Mid-South Transport | $1,503 | 158% |
| Patterson Warehouses | $1,503 | 158% |
| Radians | $1,503 | 158% |
| Rei Nation | $1,503 | 158% |
| Retzer Resources | $1,503 | 158% |
| Ritchey Automotive | $1,503 | 158% |
| Security One | $1,503 | 158% |
| Silver Tree | $1,503 | 158% |
| State Systems | $1,503 | 158% |
| United Tn Holdings | $1,503 | 158% |
| Vaughn Electric | $1,503 | 158% |
| W G Yates | $1,503 | 158% |
| W W Wood Products | $1,503 | 158% |
| Watkins Uiberall | $1,503 | 158% |
| Y K Auto Group | $1,503 | 158% |
| Access Health Services | $1,670 | 176% |
| Employers Health Network | $1,670 | 176% |
| Harding Academy | $1,670 | 176% |
| Mpcn | $1,670 | 176% |
| Multiplan | $2,227 | 234% |
| Oscar | $4,722 | 497% |